ArticleInternational journal of cardiology2021
Health-related quality of life and incident cardiovascular disease events in community-dwelling older people: A prospective cohort study.
Article in International journal of cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Impact of physical activity and exercise training on health-related quality of life in older adults: an umbrella review.GeroScience · 2025Pooled it
- Evaluating the impact of communicating high polygenic risk for coronary artery disease on the health behaviour of young overweight adults: a pragmatic randomised controlled trial.Scientific reports · 2026Trial
- The effect of telehealth-based medical nutrition therapy on cardiovascular disease risk factors in a rural population: a secondary analysis of outcomes related to nutrition, health and well-being from the healthy rural hearts randomised controlled trial.The international journal of behavioral nutrition and physical activity · 2025Trial
- A Hearing Intervention and Health-Related Quality of Life in Older Adults: A Secondary Analysis of the ACHIEVE Randomized Clinical Trial.JAMA network open · 2024Trial
- Provider, researcher, and community perspectives on comorbidities affecting the health-related quality of life of people living with HIV in Spain.BMC public health · 2026Article
- Exploring the Relationship of Anxiety and Depressive Symptoms and Impulsiveness with the Quality of Life of Older Patients with Cardiovascular Disease: A Cross-Sectional Study.International journal of environmental research and public health · 2024Article
- Differential associations of sex and age with changes in HRQoL during outpatient cardiac rehabilitation.Journal of patient-reported outcomes · 2024Article
- Health-Related Quality of Life Scores and Values as Predictors of Mortality: A Scoping Review.Journal of general internal medicine · 2023Article
- Exercise-based training programs for patients with chronic Chagas cardiomyopathy: A systematic review andInternational journal of cardiology. Heart & vasculature · 2023Article
- Positivity and Health Locus of Control: Key Variables to Intervene on Well-Being of Cardiovascular Disease Patients.Journal of personalized medicine · 2023Article
- Impact of cardiovascular disease on health-related quality of life among older adults in eastern China: evidence from a national cross-sectional survey.Frontiers in public health · 2023Article
- Association between sarcopenia and quality of life among adults aged ≥ 65 years from low- and middle-income countries.Aging clinical and experimental research · 2022Article
- The Role of Perceived Social Support on Quality of Life in People with Cardiovascular Diseases.Ethiopian journal of health sciences · 2022Article
- The Impact of Physical Activity Levels and Functional Fitness Status on the Quality of Life Perceived by Older Adults Living in Rural and Urban Areas: The Portuguese Inland Case.Healthcare (Basel, Switzerland) · 2022Article
- Impact of economic factors, social health and stressful life events on physical health-related quality of life trajectories in older Australians.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- The role of health-related quality of life in risk prediction for developing cardiovascular disease, dementia and all-cause death among general older adults.Frontiers in public health · 2022Article
- Trajectories of physical health-related quality of life and the risk of incident cardiovascular disease events and all-cause mortality in older people.American heart journal plus : cardiology research and practice · 2022Article
- Dignity, Resilience, and Quality of Life in Patients With Cardiac Disease: A Partial Least Squares Structural Equation Modeling Approach.The Journal of cardiovascular nursingObservational
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Authors and funding
12 authors at 4 institutions in 4 countries.
Funding
Abstract
backgroundLower health-related quality of life (HRQoL) has been shown to predict a higher risk of hospital readmission and mortality in patients with cardiovascular disease (CVD). Few studies have explored the associations between HRQoL and incident CVD. We explored the associations between baseline HRQoL and incident and fatal CVD in community-dwelling older people in Australia and the United States.
methodsLongitudinal study using ASPirin in Reducing Events in the Elderly (ASPREE) trial data. This includes 19,106 individuals aged 65-98 years, initially free of CVD, dementia, or disability, and followed between March 2010 and June 2017. The physical (PCS) and mental component scores (MCS) of HRQoL were assessed using the SF-12 questionnaire. Incident major adverse CVD events included fatal CVD (death due to atherothrombotic CVD), hospitalizations for heart failure, myocardial infarction or stroke. Analyses were performed using Cox proportional-hazard regression.
resultsOver a median 4.7 follow-up years, there were 922 incident CVD events, 203 fatal CVD events, 171 hospitalizations for heart failure, 355 fatal or nonfatal myocardial infarction and 403 fatal or nonfatal strokes. After adjustment for sociodemographic, health-related behaviours and clinical measures, a 10-unit higher PCS, but not MCS, was associated with a 14% lower risk of incident CVD, 28% lower risk of hospitalization for heart failure and 15% lower risk of myocardial infarction. Neither PCS nor MCS was associated with fatal CVD events or stroke.
conclusionPhysical HRQoL can be used in combination with clinical data to identify the incident CVD risk among older individuals.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.