Evidence map›Paper›PMID 36628975›Full record

ArticleJournal of the American Heart Association2023

Age-Dependent Association Between Modifiable Risk Factors and Incident Cardiovascular Disease.

Hidehiro Kaneko, Yuichiro Yano, Akira Okada, Hidetaka Itoh, Yuta Suzuki, Isao Yokota, Kojiro Morita, Katsuhito Fujiu, Nobuaki Michihata, Taisuke Jo and 11 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Hidehiro KanekoDepartment of Cardiovascular Medicine The University of Tokyo Japan.ORCID 0000-0003-2553-6170
Yuichiro YanoYCU Center for Novel and Exploratory Clinical Trials Yokohama City University Hospital Yokohama Japan.ORCID 0000-0002-2565-7290
Akira OkadaDepartment of Prevention of Diabetes and Lifestyle-Related Diseases, Graduate School of Medicine The University of Tokyo Japan.ORCID 0000-0001-6480-3388
Hidetaka ItohDepartment of Cardiovascular Medicine The University of Tokyo Japan.ORCID 0000-0001-6610-6201
Yuta SuzukiDepartment of Cardiovascular Medicine The University of Tokyo Japan.
Isao YokotaDepartment of Biostatistics, Faculty of Medicine Hokkaido University Sapporo Japan.
Kojiro MoritaGlobal Nursing Research Center, Graduate School of Medicine The University of Tokyo Japan.
Katsuhito FujiuDepartment of Cardiovascular Medicine The University of Tokyo Japan.
Nobuaki MichihataDepartment of Health Services Research The University of Tokyo Japan.ORCID 0000-0003-3091-114X
Taisuke JoDepartment of Health Services Research The University of Tokyo Japan.
Satoko YamaguchiDepartment of Prevention of Diabetes and Lifestyle-Related Diseases, Graduate School of Medicine The University of Tokyo Japan.
Norifumi TakedaDepartment of Cardiovascular Medicine The University of Tokyo Japan.
Hiroyuki MoritaDepartment of Cardiovascular Medicine The University of Tokyo Japan.
Koichi NodeDepartment of Cardiovascular Medicine Saga University Saga Japan.ORCID 0000-0002-2534-0939
Toshimasa YamauchiDepartment of Diabetes and Metabolic Diseases, Graduate School of Medicine The University of Tokyo Japan.ORCID 0000-0003-4827-6404
Masaomi NangakuDivision of Nephrology and Endocrinology The University of Tokyo Graduate School of Medicine Tokyo Japan.ORCID 0000-0001-7401-2934
Takashi KadowakiDepartment of Diabetes and Metabolic Diseases, Graduate School of Medicine The University of Tokyo Japan.
John W McEvoyNational Institute for Prevention and Cardiovascular Health National University of Ireland Galway Ireland.ORCID 0000-0001-6530-5479
Carolyn S P LamNational Heart Centre Singapore Singapore.ORCID 0000-0003-1903-0018
Hideo YasunagaDepartment of Clinical Epidemiology and Health Economics, School of Public Health The University of Tokyo Japan.ORCID 0000-0002-6017-469X
Issei KomuroDepartment of Cardiovascular Medicine The University of Tokyo Japan.ORCID 0000-0002-0714-7182

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background There have been limited data examining the age-dependent relationship of wide-range risk factors with the incidence of each subtype of cardiovascular disease (CVD) event. We assessed age-related associations between modifiable risk factors and the incidence of CVD. Methods and Results We analyzed 3 027 839 participants without a CVD history enrolled in the JMDC Claims Database (mean age, 44.8±11.0 years; 57.6% men). Each participant was categorized as aged 20 to 49 years (n=2 008 559), 50 to 59 years (n=712 273), and 60 to 75 years (n=307 007). Using Cox proportional hazards models and the relative risk reduction, we identified associations between risk factors and incident CVD, consisting of myocardial infarction, angina pectoris, stroke, and heart failure (HF). We assessed whether the association of risk factors for developing CVD would be modified by age category. Over a mean follow-up of 1133 days, 6315 myocardial infarction, 56 447 angina pectoris, 28 079 stroke, and 56 369 HF events were recorded. The incidence of myocardial infarction, angina pectoris, stroke, and HF increased with age category. Hazard ratios of obesity, hypertension, and diabetes in the multivariable Cox regression analyses for myocardial infarction, angina pectoris, stroke, and HF decreased with age category. The relative risk reduction of obesity, hypertension, and diabetes for CVD events decreased with age category. For example, the relative risk reduction of hypertension for HF decreased from 59.2% in participants aged 20 to 49 years to 38.1% in those aged 60 to 75 years. Conclusions The contribution of modifiable risk factor to the development of CVD is greater in younger compared with older individuals. Preventive efforts for risk factor modification may be more effective in younger people.

Indexed as

Cardiovascular DiseasesDiabetes MellitusHeart FailureHypertensionMyocardial InfarctionStrokeAdultAngina PectorisFemaleHumansIncidenceMaleMiddle AgedObesityProportional Hazards ModelsRisk Factorsagecardiovascular diseasepreventionrisk factors

Identifiers

PMID36628975
PMCPMC9939069

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.