Risk Factors of CVD Mortality among the Elderly in Beijing, 1992 – 2009: An 18-year Cohort Study

Zhou, Tao; Li, Xia; Tang, Zhe; Xie, Changchun; Tao, Lixin; Pan, Lei; Huo, Da; Sun, Fei; Luo, Yanxia; Wang, Wei; Yan, Aoshuang; Guo, Xiuhua

doi:10.3390/ijerph110202193

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Risk Factors of CVD Mortality among the Elderly in Beijing, 1992 – 2009: An 18-year Cohort Study

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School of Public Health, Capital Medical University, 10 Xitoutiao, Youanmen, Beijing 100069, China

Beijing Municipal Key Laboratory of Clinical Epidemiology, 10 Xitoutiao, Youanmen, Beijing 100069, China

Epidemiology and Public Health, University College Cork, Western Road, Cork 78746, Ireland

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Xuan Wu Hospital, Capital Medical University, 45 Changchun Street, Beijing 100069, China

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Division of Epidemiology and Biostatistics, Department of Environmental Health, University of Cincinnati, Ohio, OH 45267, USA

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Institute for Infectious Disease and Endemic Disease Control, Beijing Center for Disease Prevention and Control, No. 16 Hepingli Middle Street, Dongcheng District, Beijing 100013, China

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School of Medical Science, Edith Cowan University, 2 Bradford Street, Mount Lawley, Massachusetts, WA 6050, Australia

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Beijing Municipal Science and Technology Commission, Sijiqing Street, Beijing 100195, China

Authors to whom correspondence should be addressed.

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These authors contributed equally to this work.

Int. J. Environ. Res. Public Health 2014, 11(2), 2193-2208; https://doi.org/10.3390/ijerph110202193

Received: 11 November 2013 / Revised: 14 January 2014 / Accepted: 21 January 2014 / Published: 21 February 2014

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Abstract

Few researchers have examined the effects of multiple risk factors of cardiovascular disease (CVD) mortality simultaneously. This study was to determine the associations of combined lifestyle and other factors with CVD mortality among the elderly (n = 3,257), in Beijing, China, through data mining of the Beijing Longitudinal Study of Aging (BLSA). BLSA is a representative cohort study from 1992 to 2009, hosted by Xuan Wu Hospital. Competing risk survival analysis was conducted to explore the association between risk factors and CVD mortality. The factors focused mainly on lifestyle, physical condition, and the model was adjusted for age and gender. There were 273 of the 1,068 recorded deaths caused by CVD among the 2010 participants. Living in a suburban area (HR = 0.614, 95% CI: 0.410-0.921) was associated with lower CVD mortality. Increasing age (66–75: HR = 1.511, 95% CI: 1.111–2.055; ≥76: HR = 1.847, 95% CI: 1.256–2.717), high blood pressure (HR = 1.407, 95% CI: 1.031–1.920), frequent consumption of meat (HR = 1.559, 95% CI: 1.079–2.254) and physical inactivity (p = 0.046) were associated with higher CVD mortality. The study provides an instructional foundation for the control and prevention of CVD in Beijing, China. View Full-Text

Keywords: cardiovascular disease; competing risk model; Fine and Gray’s test; risk factors

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Zhou, T.; Li, X.; Tang, Z.; Xie, C.; Tao, L.; Pan, L.; Huo, D.; Sun, F.; Luo, Y.; Wang, W.; Yan, A.; Guo, X. Risk Factors of CVD Mortality among the Elderly in Beijing, 1992 – 2009: An 18-year Cohort Study. Int. J. Environ. Res. Public Health 2014, 11, 2193-2208. https://doi.org/10.3390/ijerph110202193

AMA Style

Zhou T, Li X, Tang Z, Xie C, Tao L, Pan L, Huo D, Sun F, Luo Y, Wang W, Yan A, Guo X. Risk Factors of CVD Mortality among the Elderly in Beijing, 1992 – 2009: An 18-year Cohort Study. International Journal of Environmental Research and Public Health. 2014; 11(2):2193-2208. https://doi.org/10.3390/ijerph110202193

Chicago/Turabian Style

Zhou, Tao, Xia Li, Zhe Tang, Changchun Xie, Lixin Tao, Lei Pan, Da Huo, Fei Sun, Yanxia Luo, Wei Wang, Aoshuang Yan, and Xiuhua Guo. 2014. "Risk Factors of CVD Mortality among the Elderly in Beijing, 1992 – 2009: An 18-year Cohort Study" International Journal of Environmental Research and Public Health 11, no. 2: 2193-2208. https://doi.org/10.3390/ijerph110202193

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Risk Factors of CVD Mortality among the Elderly in Beijing, 1992 – 2009: An 18-year Cohort Study

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