A comparison of risk factors for mortality from heart failure in Asian and non-Asian populations : an overview of individual participant data from 32 prospective cohorts from the Asia-Pacific Region

BACKGROUND: Most of what is known regarding the epidemiology of mortality from heart failure (HF) comes from studies within Western populations with few data available from the Asia-Pacific region where the burden of heart failure is increasing.

METHODS: Individual level data from 543694 (85% Asian; 36% female) participants from 32 cohorts in the Asia Pacific Cohort Studies Collaboration were included in the analysis. Adjusted hazard ratios (HR) and 95% confidence intervals (CI) for mortality from HF were estimated separately for Asians and non-Asians for a quintet of cardiovascular risk factors: systolic blood pressure, diabetes, body mass index, cigarette smoking and total cholesterol. All analyses were stratified by sex and study.

RESULTS: During 3,793,229 person years of follow-up there were 614 HF deaths (80% Asian). The positive associations between elevated blood pressure, obesity, and cigarette smoking were consistent for Asians and non-Asians. There was evidence to indicate that diabetes was a weaker risk factor for death from HF for Asians compared with non-Asians: HR 1.26 (95% CI: 0.74-2.13) versus 3.04 (95% CI 1.76-5.25) respectively; p for interaction = 0.022. Additional adjustment for covariates did not materially change the overall associations. There was no good evidence to indicate that total cholesterol was a risk factor for HF mortality in either population.

CONCLUSIONS: Most traditional cardiovascular risk factors including elevated blood pressure, obesity and cigarette smoking appear to operate similarly to increase the risk of death from HF in Asians and non-Asians populations alike.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

BMC cardiovascular disorders - 14(2014) vom: 03. Mai, Seite 61

Sprache:

Englisch

Beteiligte Personen:

Huxley, Rachel R [VerfasserIn]
Barzi, Federica [VerfasserIn]
Woo, Jean [VerfasserIn]
Giles, Graham [VerfasserIn]
Lam, Tai Hing [VerfasserIn]
Rahimi, Kazem [VerfasserIn]
Konety, Suma [VerfasserIn]
Ohkubo, Takayoshi [VerfasserIn]
Jee, Sun Ha [VerfasserIn]
Fang, Xianghua [VerfasserIn]
Woodward, Mark [VerfasserIn]
Asia Pacific Cohort Studies Collaboration [VerfasserIn]
Woodward, M [Sonstige Person]
Fang, X [Sonstige Person]
Gu, D F [Sonstige Person]
Huxley, R [Sonstige Person]
Imai, Y [Sonstige Person]
Kim, H C [Sonstige Person]
Lam, T H [Sonstige Person]
Pan, W H [Sonstige Person]
Rodgers, A [Sonstige Person]
Suh, I [Sonstige Person]
Ueshima, H [Sonstige Person]
Okayama, A [Sonstige Person]
Ueshima, H [Sonstige Person]
Maegawa, H [Sonstige Person]
Nakamura, M [Sonstige Person]
Aoki, N [Sonstige Person]
Wu, Z S [Sonstige Person]
Yao, C H [Sonstige Person]
Wu, Z S [Sonstige Person]
Luszcz, Mary [Sonstige Person]
Welborn, T A [Sonstige Person]
Tang, Z [Sonstige Person]
Liu, L S [Sonstige Person]
Xie, J X [Sonstige Person]
Norton, R [Sonstige Person]
Ameratunga, S [Sonstige Person]
MacMahon, S [Sonstige Person]
Whitlock, G [Sonstige Person]
Knuiman, M W [Sonstige Person]
Christensen, H [Sonstige Person]
Wu, X G [Sonstige Person]
Zhou, J [Sonstige Person]
Yu, X H [Sonstige Person]
Tamakoshi, A [Sonstige Person]
Pan, W H [Sonstige Person]
Wu, Z L [Sonstige Person]
Chen, L Q [Sonstige Person]
Shan, G L [Sonstige Person]
Sritara, P [Sonstige Person]
Gu, D F [Sonstige Person]
Duan, X F [Sonstige Person]
MacMahon, S [Sonstige Person]
Norton, R [Sonstige Person]
Whitlock, G [Sonstige Person]
Jackson, R [Sonstige Person]
Li, Y H [Sonstige Person]
Lam, T H [Sonstige Person]
Jiang, C Q [Sonstige Person]
Kiyohara, Y [Sonstige Person]
Arima, H [Sonstige Person]
Iida, M [Sonstige Person]
Woo, J [Sonstige Person]
Ho, S C [Sonstige Person]
Hong, Z [Sonstige Person]
Huang, M S [Sonstige Person]
Zhou, B [Sonstige Person]
Fuh, J L [Sonstige Person]
Ueshima, H [Sonstige Person]
Kita, Y [Sonstige Person]
Choudhury, S R [Sonstige Person]
Suh, I [Sonstige Person]
Jee, S H [Sonstige Person]
Kim, I S [Sonstige Person]
Giles, G G [Sonstige Person]
Hashimoto, T [Sonstige Person]
Sakata, K [Sonstige Person]
Dobson, A [Sonstige Person]
Imai, Y [Sonstige Person]
Ohkubo, T [Sonstige Person]
Hozawa, A [Sonstige Person]
Jamrozik, K [Sonstige Person]
Hobbs, M [Sonstige Person]
Broadhurst, R [Sonstige Person]
Nakachi, K [Sonstige Person]
Fang, X H [Sonstige Person]
Li, S C [Sonstige Person]
Yang, Q D [Sonstige Person]
Chen, Z M [Sonstige Person]
Tanaka, H [Sonstige Person]
Kita, Y [Sonstige Person]
Nozaki, A [Sonstige Person]
Ueshima, H [Sonstige Person]
Horibe, H [Sonstige Person]
Matsutani, Y [Sonstige Person]
Kagaya, M [Sonstige Person]
Hughes, K [Sonstige Person]
Lee, J [Sonstige Person]
Heng, D [Sonstige Person]
Chew, S K [Sonstige Person]
Zhou, B F [Sonstige Person]
Zhang, H Y [Sonstige Person]
Shimamoto, K [Sonstige Person]
Saitoh, S [Sonstige Person]
Li, Z Z [Sonstige Person]
Zhang, H Y [Sonstige Person]
Norman, P [Sonstige Person]
Jamrozik, K [Sonstige Person]
He, Y [Sonstige Person]
Lam, T H [Sonstige Person]
Yao, S X [Sonstige Person]

Links:

Volltext

Themen:

Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 20.01.2015

Date Revised 07.12.2022

published: Electronic

Citation Status MEDLINE

doi:

10.1186/1471-2261-14-61

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM238753425