Evidence map›Paper›PMID 38632605›Full record

ArticleBMC public health2024

Inter-leg systolic blood pressure difference has been associated with all-cause and cardiovascular mortality: analysis of NHANES 1999-2004.

Geng Shen, Zhihao Liu, Leyi Wang, Jianping Li

Abstract read
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Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Geng Shen *Division of Cardiology, Peking University First Hospital, No. 8 Xishiku St, Xicheng District, 100034, Beijing, China.
Zhihao Liu *Division of Cardiology, Peking University First Hospital, No. 8 Xishiku St, Xicheng District, 100034, Beijing, China.
Leyi WangDivision of Cardiology, Peking University First Hospital, No. 8 Xishiku St, Xicheng District, 100034, Beijing, China.
Jianping LiDivision of Cardiology, Peking University First Hospital, No. 8 Xishiku St, Xicheng District, 100034, Beijing, China. lijianping03455@pkufh.com.

Funding

Beijing Municipal Science and Technology Project Z191100006619039Capital's Funds for Health Improvement and Research 2020-2Z-40714Projects of National Natural Science Foundation of China grant 82070458
6 · The paper itself

Abstract

backgroundInter-leg systolic blood pressure difference (ILSBPD) has emerged as a novel cardiovascular risk factor. This study aims to investigate the predictive value of ILSBPD on all-cause and cardiovascular mortality in general population.

methodsWe combined three cycles (1999-2004) of the National Health and Nutrition Examination Survey (NHANES) data. Levels of ILSBPD were calculated and divided into four groups based on three cut-off values of 5, 10 and 15mmHg. Time-to-event curves were estimated with the use of the Kaplan-Meier method, and two multivariable Cox proportional hazards regression models were conducted to assess the hazard ratios (HRs) and 95% confidence intervals (CIs) of all-cause and cardiovascular mortality associated with ILSBPD.

resultsA total of 6 842 subjects were included, with the mean (SD) age of 59.5 (12.8) years. By December 31, 2019, 2 544 and 648 participants were identified all-cause and cardiovascular mortality respectively during a median follow-up of 16.6 years. Time-to-event analyses suggested that higher ILSBPD was associated with increased all-cause and cardiovascular mortality (logrank, p < 0.001). Every 5mmHg increment of ILSBPD brings about 5% and 7% increased risk of all-cause and cardiovascular mortality, and individuals with an ILSBPD ≥ 15mmHg were significantly associated with higher incidence of all-cause mortality (HR 1.43, 95%CI 1.18-1.52, p < 0.001) and cardiovascular mortality (HR 1.73, 95%CI 1.36-2.20, p < 0.001) when multiple confounding factors were adjusted. Subgroup and sensitivity analysis confirmed the relationship.

conclusionsOur findings suggest that the increment of ILSBPD was significantly associated with higher risk of all-cause and cardiovascular mortality in general population.

Indexed as

Cardiovascular DiseasesBlood PressureHumansLegMiddle AgedNutrition SurveysRisk FactorsAll-cause mortalityCardiovascular mortalityCenters for Disase Control and PreventionInter-leg systolic blood pressure differenceNational Health and Nutrition Examination Survey

Identifiers

PMID38632605
PMCPMC11025152

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