Cardiovascular risk factors and global risk of fatal cardiovascular disease are positively correlated between partners of 802 married couples from different European countries

被引:25
作者
Di Castelnuovo, Augusto
Quacquaruccio, Gianni
Arnout, Jozef
Cappuccio, Francesco Paolo
de Lorgeril, Michel
Dirckx, Carla
Donati, Maria Benedetta
Krogh, Vittorio
Siani, Alfonso
van Dongen, Marten C. J. M.
Zito, Francesco
de Gaetano, Giovanni
Iacoviello, Licia
机构
[1] Catholic Univ, John Paul II Ctr High Technol Res & Educ Biomed S, Lab Genet & Environm Epidemiol, Res Labs, I-86100 Campobasso, Italy
[2] Katholieke Univ Leuven, Ctr Mol & Vasc Biol, B-3000 Louvain, Belgium
[3] Warwick Med Sch, Clin Sci Res Inst, Coventry, W Midlands, England
[4] NVMCV, UFR Med, La Tronche, France
[5] Natl Canc Inst, Nutr Epidemiol Unit, I-20133 Milan, Italy
[6] CNR, Unit Epidemiol & Populat Genet, Inst Food Sci, Avellino, Italy
[7] Natl Canc Inst, Nutr Epidemiol Unit, I-20133 Milan, Italy
[8] Maastricht Univ, Dept Epidemiol, Maastricht, Netherlands
关键词
epidemiology; prevention; risk factors; cardiovascular disease;
D O I
10.1160/TH07-01-0024
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Shared environmental factors may confer to spouses a similar risk for cardiovascular disease. We aimed at investigating in pairs the concordance in risk factors for cardiovascular disease and in global risk of cardiovascular events. In the framework of the IMMIDIET Project, married couples, recruited randomly from general practice, were studied. One thousand six hundred and four apparently healthy subjects aged 25-74 years from three different European populations were enrolled. Individual cardiovascular risks were estimated using SCORE risk equations. Age was strongly correlated within couples (r=0.86, P < 0.000 1). In multivariate model, within-pair correlation was high for social status (r=0-49; percentage of explained variation=24%) and percent of calories from lipids (r=0.34; 12%). Concerning conventional metabolic risk factors, percentage of explained variation varied from 0.5% (triglycerides) to 11% (glucose). Among new risk factors, activated factor VII showed the strongest correlation (r=0.28) and C-reactive protein the lowest (r=0.13). Either total, coronary or non-coronary risk estimates at 10 years were strongly correlated within pairs: the risk of a member explained about two thirds of the cardiovascular risk of the partner. Spouse pairs share common lifestyle habits, common and new metabolic risk factors and the predicted global risk of cardiovascular events. If the individual risk of a person is influenced by the risk of his/her partner, decreasing the risk in a member of the pair should also decrease the risk in the partner. These concepts may have important public health consequences in targeting screening or disease prevention measures towards partners of people with cardiovascular risk.
引用
收藏
页码:648 / 655
页数:8
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