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Ma Z, Qu Y, Ma H, Zhang Y, Wang M, Huang N, Li X. Associations between resting heart rate and cognitive decline in Chinese oldest old individuals: a longitudinal cohort study. BMC Geriatr 2024; 24:14. [PMID: 38178031 PMCID: PMC10768207 DOI: 10.1186/s12877-023-04600-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Accepted: 12/14/2023] [Indexed: 01/06/2024] Open
Abstract
BACKGROUND The trajectories of cognitive function in the oldest old individuals is unclear, and the relationship between resting heart rate (RHR) and cognitive decline is controversial. METHODS 3300 participants who had cognitive function repeatedly measured 4 ~ 8 times were included, and latent class growth mixed models were used to identified the cognitive function trajectories. Cognitive decline was defined by the trajectory shapes, considering level and slope. After excluding individuals with sinus rhythm abnormal, 3109 subjects were remained and were divided into five groups by their RHR. Logistic regression models were used to estimate the relationship between RHR and cognitive decline. RESULTS Three distinct cognitive function trajectory groups were identified: high-stable (n = 1226), medium-decreasing (n = 1526), and rapid-decreasing (n = 357). Individuals of medium/rapid-decreasing group were defined as cognitive decline. Adjusting for covariates, the odds ratios (95% confidence intervals) of RHR sub-groups were 1.19 (0.69, 2.05), 1.27 (1.03, 1.56), 1.30 (1.01, 1.67) and 1.62 (1.07, 2.47) for those RHR < 60 bpm, 70 ~ 79 bpm, 80 ~ 89 bpm and > 90 bpm respectively, compared with those RHR 60 ~ 69 bpm. The interaction effect between RHR and physical activity (PA) on cognitive decline was found, and stratification analysis was presented that higher RHR would only show risk effects on cognitive decline in those with physical inactivity (P < 0.05 for all). CONCLUSIONS Our study demonstrates RHR more than 70 bpm present significant risk effect on cognitive decline, and this relationship is modified by PA. Elder population with physical inactivity and higher RHR should be paid more attention to prevent cognitive decline.
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Affiliation(s)
- Zhaoyin Ma
- Department of Neurology, Jinan Central Hospital, Shandong University, Jinan, Shandong, People's Republic of China
- Medical Integration and Practice Center, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, People's Republic of China
| | - Yanlin Qu
- Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- National Clinical Research Center for Eye Diseases, Shanghai, China
| | - Haibo Ma
- Department of Neurology, Jinan Central Hospital, Shandong University, Jinan, Shandong, People's Republic of China
- Department of Neurology, Shandong Provincial Third Hospital, Shandong University, Jinan, Shandong, People's Republic of China
| | - Yuanyuan Zhang
- Department of Neurology, Central Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, People's Republic of China
| | - Min Wang
- Department of Neurology, Central Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, People's Republic of China
| | - Nana Huang
- Department of Neurology, Central Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, People's Republic of China
| | - Xiaohong Li
- Medical Integration and Practice Center, Jinan Central Hospital, Shandong University, Jinan, Shandong, People's Republic of China.
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Büschges JC, Schmidt-Trucksäss A, Neuhauser H. Association of blood pressure and heart rate with carotid markers of vascular remodeling in the young: a case for early prevention. J Hypertens 2024; 42:153-160. [PMID: 37796164 DOI: 10.1097/hjh.0000000000003578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/06/2023]
Abstract
OBJECTIVE The association of childhood blood pressure (BP) and heart rate (HR) with intermediate markers of cardiovascular disease several decades later has been shown, but studies on more short-term outcomes are scarce. Using population-based data, this study investigates the association of four BP parameters and HR in childhood with three carotid markers for vascular remodeling one decade later. METHODS At the 11-year follow-up, 4607 participants of the nationwide KiGGS cohort aged 14 to 28 years had semi-automated sonographic carotid intima media thickness (CIMT) measurements. We investigated associations of baseline (age 3-17 years) and follow-up SBP, DBP, mean arterial pressure (MAP), pulse pressure (PP) and resting heart rate (RHR), with CIMT and lumen diameter at or above the 90th percentile and distensibility coefficient at or below the tenth percentile in logistic regressions. Analyses were further adjusted using a composite cardiovascular risk (CVR) score of BMI, triglycerides, total/HDL-cholesterol-ratio and HbA1c. RESULTS SBP, DBP, MAP and RHR were significantly and similarly associated with all carotid measures 11 years later, for example an odds ratio (OR) of 1.17 [confidence interval (CI) 1.06-1.29] for one standard deviation SBP increase with elevated CIMT when adjusting for sex, age and CVR score. Cross-sectionally, the strongest association was found for MAP with reduced distensibility coefficient (OR 1.76; CI 1.59-1.94). CONCLUSION This population-based cohort study shows robust and consistent associations between childhood BP and RHR and three carotid measures of vascular remodeling only one decade later, clearly underscoring the potential importance of preventing high BP already early in the life course.
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Affiliation(s)
- Julia C Büschges
- Robert Koch Institute, Department of Epidemiology and Health Monitoring
- DZHK (German Centre for Cardiovascular Research), partner site Berlin
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Arno Schmidt-Trucksäss
- Department of Sport, Exercise and Health, Division Sports and Exercise Medicine
- Department of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland
| | - Hannelore Neuhauser
- Robert Koch Institute, Department of Epidemiology and Health Monitoring
- DZHK (German Centre for Cardiovascular Research), partner site Berlin
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Wenting W, Yeran J, Wenfeng Z, Faping L, Pingyou Z, Hongxuan Z. Increased resting heart rate and glucose metabolism in a community population. J Int Med Res 2021; 49:3000605211053754. [PMID: 34814744 PMCID: PMC8647235 DOI: 10.1177/03000605211053754] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objective Resting heart rate (RHR) independently predicts cardiovascular death.
Increased RHR is related to chronic diseases, but community-based studies
are rare. We investigated this population and factors related to RHR. Methods In total, 374 participants underwent medical examinations from March 2019 to
December 2019. Participants were divided into groups with low RHR (LRHR;
<65 beats/minute) and high RHR (HRHR; ≥65 beats/minute). RHR was judged
using resting electrocardiogram at physical examination. We conducted
laboratory examinations, including glycosylated hemoglobin (HbA1c), fasting
plasma glucose (FPG), and blood lipids, among participants with chronic
diseases. We used Cox proportional risk regression and multivariate analyses
for the following covariates: previous chronic diseases, body mass index
(BMI), smoking, blood lipids, and FPG. Results The incidence of type 2 diabetes mellitus (T2DM) and HbA1c values were both
significantly higher in the HRHR group than in the LRHR group. Spearman
correlation analysis showed RHR had a positive correlation with low-density
lipoprotein, BMI, FPG, and HbA1c (r = 0.104574, 0.117266, 0.116041, and
0.311761, respectively). Multiple linear regression analysis showed age,
hypertension, T2DM, and HbA1c were factors influencing RHR. Conclusion RHR showed strong correlation with T2DM and HbA1c in our community
population, suggesting that RHR may be a risk factor for cardiovascular
disease.
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Affiliation(s)
- Wei Wenting
- Guangdong Civil Servant Health Examination Center, Guangdong Provincial People's Hospital, Guangzhou, China.,Guangdong Academy of Medical Sciences, Guangzhou, China
| | - Jia Yeran
- Guangdong Civil Servant Health Examination Center, Guangdong Provincial People's Hospital, Guangzhou, China.,Guangdong Academy of Medical Sciences, Guangzhou, China
| | - Zhan Wenfeng
- Guangdong Civil Servant Health Examination Center, Guangdong Provincial People's Hospital, Guangzhou, China.,Guangdong Academy of Medical Sciences, Guangzhou, China
| | - Li Faping
- Guangdong Civil Servant Health Examination Center, Guangdong Provincial People's Hospital, Guangzhou, China.,Guangdong Academy of Medical Sciences, Guangzhou, China
| | - Zhang Pingyou
- Guangdong Civil Servant Health Examination Center, Guangdong Provincial People's Hospital, Guangzhou, China.,Guangdong Academy of Medical Sciences, Guangzhou, China
| | - Zhang Hongxuan
- Guangdong Civil Servant Health Examination Center, Guangdong Provincial People's Hospital, Guangzhou, China.,Guangdong Academy of Medical Sciences, Guangzhou, China
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Lee JH, Han D, Park HE, Choi SY, Sung J, Park SH, Han HW, Jung HO, Chun EJ, Chang HJ. Coronary Artery Calcification in the Asian Population: An Overview of the Results from the Korea Initiatives on Coronary Artery Calcification Registry. ACTA ACUST UNITED AC 2017. [DOI: 10.22468/cvia.2016.00150] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Ji Hyun Lee
- Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, Seoul, Korea
- Dalio Institute of Cardiovascular Imaging, New York-Presbyterian Hospital and Weill Cornell Medical College, New York, NY, USA
| | - Donghee Han
- Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, Seoul, Korea
- Dalio Institute of Cardiovascular Imaging, New York-Presbyterian Hospital and Weill Cornell Medical College, New York, NY, USA
| | - Hyo Eun Park
- Division of Cardiology, Department of Internal Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea
| | - Su-Yeon Choi
- Division of Cardiology, Department of Internal Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea
| | - Jidong Sung
- Division of Cardiology, Heart Stroke & Vascular Institute, Samsung Medical Center, Seoul, Korea
| | - Sung Hak Park
- Department of Radiology, Gangnam Heartscan Clinic, Seoul, Korea
| | - Hae-Won Han
- Department of Internal Medicine, Gangnam Heartscan Clinic, Seoul, Korea
| | - Hae Ok Jung
- Division of Cardiology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Eun Ju Chun
- Division of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Hyuk-Jae Chang
- Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, Seoul, Korea
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