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Potentially modifiable classic risk factors and their impact on incident myocardial infarction: results from the EPIC-Potsdam study.
Eur J Cardiovasc Prev Rehabil. 2007 Feb; 14(1):65-71.EJ

Abstract

BACKGROUND

Prospective data on the importance of established risk factors for myocardial infarction in Germany are sparse.

DESIGN

The population-based cohort study European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam with 159 incident cases of myocardial infarction (120 men, 39 women) occurring among 26 954 participants (10 463 men, 16 491 women) during an average follow-up time of 4.6 years.

METHODS

We examined the classic, potentially modifiable risk factors smoking, hypertension, hyperlipidemia, diabetes mellitus, abdominal obesity, and sporting inactivity, both individually and in combination, by estimating their prevalence and their relative and population-attributable risks of incident myocardial infarction.

RESULTS

After adjusting for age, sex, educational attainment, alcohol intake, and the respective other classic risk factors the relative risks of myocardial infarction were 3.18 for smoking [95% confidence interval (CI) 2.31, 4.38], 1.84 for hypertension (95% CI 1.27, 2.65), 1.81 for sporting inactivity (95% CI 1.04, 3.15), 1.64 for diabetes (95% CI 1.05, 2.56), 1.62 for abdominal obesity (95% CI 1.03, 2.56), and 1.15 for hyperlipidemia (95% CI 0.84, 1.59). Participants with four or all five significant risk factors had an approximately 11.5-fold higher risk of the coronary event than participants with none or one risk factor. Altogether, 84.3% of myocardial infarctions in the study population were attributable to the presence of the five risk factors smoking, hypertension, diabetes, sporting inactivity, and abdominal obesity.

CONCLUSION

The majority of myocardial infarctions in the EPIC-Potsdam cohort were explainable by potentially modifiable classic risk factors. Therefore, besides efforts to investigate novel coronary risk factors, the prevention of coronary disease should focus on strategies to reduce the prevalence of established risk factors.

Authors+Show Affiliations

Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany. heidemann@dife.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

17301629

Citation

Heidemann, Christin, et al. "Potentially Modifiable Classic Risk Factors and Their Impact On Incident Myocardial Infarction: Results From the EPIC-Potsdam Study." European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, vol. 14, no. 1, 2007, pp. 65-71.
Heidemann C, Hoffmann K, Klipstein-Grobusch K, et al. Potentially modifiable classic risk factors and their impact on incident myocardial infarction: results from the EPIC-Potsdam study. Eur J Cardiovasc Prev Rehabil. 2007;14(1):65-71.
Heidemann, C., Hoffmann, K., Klipstein-Grobusch, K., Weikert, C., Pischon, T., Hense, H. W., & Boeing, H. (2007). Potentially modifiable classic risk factors and their impact on incident myocardial infarction: results from the EPIC-Potsdam study. European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, 14(1), 65-71.
Heidemann C, et al. Potentially Modifiable Classic Risk Factors and Their Impact On Incident Myocardial Infarction: Results From the EPIC-Potsdam Study. Eur J Cardiovasc Prev Rehabil. 2007;14(1):65-71. PubMed PMID: 17301629.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Potentially modifiable classic risk factors and their impact on incident myocardial infarction: results from the EPIC-Potsdam study. AU - Heidemann,Christin, AU - Hoffmann,Kurt, AU - Klipstein-Grobusch,Kerstin, AU - Weikert,Cornelia, AU - Pischon,Tobias, AU - Hense,Hans-Werner, AU - Boeing,Heiner, PY - 2007/2/16/pubmed PY - 2007/5/18/medline PY - 2007/2/16/entrez SP - 65 EP - 71 JF - European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology JO - Eur J Cardiovasc Prev Rehabil VL - 14 IS - 1 N2 - BACKGROUND: Prospective data on the importance of established risk factors for myocardial infarction in Germany are sparse. DESIGN: The population-based cohort study European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam with 159 incident cases of myocardial infarction (120 men, 39 women) occurring among 26 954 participants (10 463 men, 16 491 women) during an average follow-up time of 4.6 years. METHODS: We examined the classic, potentially modifiable risk factors smoking, hypertension, hyperlipidemia, diabetes mellitus, abdominal obesity, and sporting inactivity, both individually and in combination, by estimating their prevalence and their relative and population-attributable risks of incident myocardial infarction. RESULTS: After adjusting for age, sex, educational attainment, alcohol intake, and the respective other classic risk factors the relative risks of myocardial infarction were 3.18 for smoking [95% confidence interval (CI) 2.31, 4.38], 1.84 for hypertension (95% CI 1.27, 2.65), 1.81 for sporting inactivity (95% CI 1.04, 3.15), 1.64 for diabetes (95% CI 1.05, 2.56), 1.62 for abdominal obesity (95% CI 1.03, 2.56), and 1.15 for hyperlipidemia (95% CI 0.84, 1.59). Participants with four or all five significant risk factors had an approximately 11.5-fold higher risk of the coronary event than participants with none or one risk factor. Altogether, 84.3% of myocardial infarctions in the study population were attributable to the presence of the five risk factors smoking, hypertension, diabetes, sporting inactivity, and abdominal obesity. CONCLUSION: The majority of myocardial infarctions in the EPIC-Potsdam cohort were explainable by potentially modifiable classic risk factors. Therefore, besides efforts to investigate novel coronary risk factors, the prevention of coronary disease should focus on strategies to reduce the prevalence of established risk factors. SN - 1741-8267 UR - https://www.unboundmedicine.com/medline/citation/17301629/Potentially_modifiable_classic_risk_factors_and_their_impact_on_incident_myocardial_infarction:_results_from_the_EPIC_Potsdam_study_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=17301629.ui DB - PRIME DP - Unbound Medicine ER -