J 2022

All-cause and cardiovascular mortality in relation to lung function in the full range of distribution across four Eastern European cohorts

SARYCHEVA, Tatyana Vladimirovna; Nadezda CAPKOVA; Andrzej PAJAK; Sofia MALYUTINA; Abdonas TAMOSIUNAS et. al.

Basic information

Original name

All-cause and cardiovascular mortality in relation to lung function in the full range of distribution across four Eastern European cohorts

Authors

SARYCHEVA, Tatyana Vladimirovna; Nadezda CAPKOVA; Andrzej PAJAK; Sofia MALYUTINA; Abdonas TAMOSIUNAS; Martin BOBÁK and Hynek PIKHART

Edition

Scientific Reports, London, Nature Publishing Group, 2022, 2045-2322

Other information

Language

English

Type of outcome

Article in a journal

Country of publisher

Germany

Confidentiality degree

is not subject to a state or trade secret

References:

Organization

Přírodovědecká fakulta – Repository – Repository

UT WoS

000833071900069

EID Scopus

2-s2.0-85135156680

Keywords in English

PULMONARY-FUNCTION; INCREASED RISK; FEV1; SPIROMETRY; PREDICTOR; INDIVIDUALS; ASSOCIATION; OUTCOMES; VALUES

Links

EF17_043/0009632, research and development project. LX22NPO5104, research and development project. 857487, interní kód Repo. 857560, interní kód Repo.
Changed: 23/9/2022 03:39, RNDr. Daniel Jakubík

Abstract

V originále

It is unclear whether the dose-response relationship between lung function and all-cause and cardiovascular mortality in the Central and Eastern European populations differ from that reported in the Western European and American populations. We used the prospective population-based HAPIEE cohort that includes randomly selected people with a mean age of 59 +/- 7.3 years from population registers in Czech, Polish, Russian and Lithuanian urban centres. The baseline survey in 2002-2005 included 36,106 persons of whom 24,944 met the inclusion criteria. Cox proportional hazards models were used to estimate the dose-response relationship between lung function defined as FEV1 divided by height cubed and all-cause and cardiovascular mortality over 11-16 years of follow-up. Mortality rate increased in a dose-response manner from highest to lower FEV1/height(3) deciles. Adjusted hazard ratios (HR) of all-cause mortality for persons in the 8th best, the 5th and the worst deciles were 1.27 (95% CI 1.08-1.49), 1.37 (1.18-1.60) and 2.15 (1.86-2.48), respectively; for cardiovascular mortality, the respective HRs were 1.84 (1.29-2.63), 2.35 (1.67-3.28) and 3.46 (2.50-4.78). Patterns were similar across countries, with some statistically insignificant variation. FEV1/height(3) is a strong predictor of all-cause and cardiovascular mortality, across full distribution of values, including persons with preserved lung function.

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