Simple cardiovascular risk stratification by replacing total serum cholesterol with anthropometric measures: the MORGAM prospective cohort project

To assess whether anthropometric measures (body mass index [BMI], waist-hip ratio [WHR], and estimated fat mass [EFM]) are independently associated with major adverse cardiovascular events (MACE), and to assess their added prognostic value compared with serum total-cholesterol. The study population...

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Hauptverfasser: Rosberg, Victoria (VerfasserIn) , Vishram-Nielsen, Julie KK (VerfasserIn) , Kristensen, Anna M. Dyrvig (VerfasserIn) , Pareek, Manan (VerfasserIn) , Sehested, Thomas S. G. (VerfasserIn) , Nilsson, Peter M (VerfasserIn) , Linneberg, Allan (VerfasserIn) , Palmieri, Luigi (VerfasserIn) , Giampaoli, Simona (VerfasserIn) , Donfrancesco, Chiara (VerfasserIn) , Kee, Frank (VerfasserIn) , Mancia, Giuseppe (VerfasserIn) , Cesana, Giancarlo (VerfasserIn) , Veronesi, Giovanni (VerfasserIn) , Grassi, Guido (VerfasserIn) , Kuulasmaa, Kari (VerfasserIn) , Salomaa, Veikko (VerfasserIn) , Palosaari, Tarja (VerfasserIn) , Sans, Susana (VerfasserIn) , Ferrieres, Jean (VerfasserIn) , Dallongeville, Jean (VerfasserIn) , Söderberg, Stefan (VerfasserIn) , Moitry, Marie (VerfasserIn) , Drygas, Wojciech (VerfasserIn) , Tamosiunas, Abdonas (VerfasserIn) , Peters, Annette (VerfasserIn) , Brenner, Hermann (VerfasserIn) , Schöttker, Ben (VerfasserIn) , Grimsgaard, Sameline (VerfasserIn) , Biering-Sørensen, Tor (VerfasserIn) , Olsen, Michael H (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 27 January 2022
In: Preventive Medicine Reports
Year: 2022, Jahrgang: 26, Pages: 1-9
ISSN:2211-3355
DOI:10.1016/j.pmedr.2022.101700
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.pmedr.2022.101700
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S2211335522000079
Volltext
Verfasserangaben:Victoria Rosberg, Julie KK Vishram-Nielsen, Anna M. Dyrvig Kristensen, Manan Pareek, Thomas S.G. Sehested, Peter M. Nilsson, Allan Linneberg, Luigi Palmieri, Simona Giampaoli, Chiara Donfrancesco, Frank Kee, Giuseppe Mancia, Giancarlo Cesana, Giovanni Veronesi, Guido Grassi, Kari Kuulasmaa, Veikko Salomaa, Tarja Palosaari, Susana Sans, Jean Ferrieres, Jean Dallongeville, Stefan Söderberg, Marie Moitry, Wojciech Drygas, Abdonas Tamosiunas, Annette Peters, Hermann Brenner, Ben Schöttker, Sameline Grimsgaard, Tor Biering-Sørensen, Michael H. Olsen

MARC

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520 |a To assess whether anthropometric measures (body mass index [BMI], waist-hip ratio [WHR], and estimated fat mass [EFM]) are independently associated with major adverse cardiovascular events (MACE), and to assess their added prognostic value compared with serum total-cholesterol. The study population comprised 109,509 individuals (53% men) from the MORGAM-Project, aged 19-97 years, without established cardiovascular disease, and not on antihypertensive treatment. While BMI was reported in all, WHR and EFM were reported in ∼52,000 participants. Prognostic importance of anthropometric measurements and total-cholesterol was evaluated using adjusted Cox proportional-hazards regression, logistic regression, area under the receiver-operating-characteristic curve (AUCROC), and net reclassification improvement (NRI). The primary endpoint was MACE, a composite of stroke, myocardial infarction, or death from coronary heart disease. Age interacted significantly with anthropometric measures and total-cholesterol on MACE (P ≤ 0.003), and therefore age-stratified analyses (<50 versus ≥ 50 years) were performed. BMI, WHR, EFM, and total-cholesterol were independently associated with MACE (P ≤ 0.003) and resulted in significantly positive NRI when added to age, sex, smoking status, and systolic blood pressure. Only total-cholesterol increased discrimination ability (AUCROC difference; P < 0.001). In subjects < 50 years, the prediction model with total-cholesterol was superior to the model including BMI, but not superior to models containing WHR or EFM, while in those ≥ 50 years, the model with total-cholesterol was superior to all models containing anthropometric variables, whether assessed individually or combined. We found a potential role for replacing total-cholesterol with anthropometric measures for MACE-prediction among individuals < 50 years when laboratory measurements are unavailable, but not among those ≥ 50 years. 
650 4 |a Adipose tissue 
650 4 |a Assessment, risk 
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