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Humbert X, Rabiaza A, Fedrizzi S, Alexandre J, Menotti A, Touzé E, Laurenzi M, Terradura-Vagnarelli O, Puddu PE. Marital status and long-term cardiovascular risk in general population (Gubbio, Italy). Sci Rep 2023; 13:6723. [PMID: 37185571 PMCID: PMC10130019 DOI: 10.1038/s41598-023-33943-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Accepted: 04/21/2023] [Indexed: 05/17/2023] Open
Abstract
To investigate whether marital status is associated to long-term major fatal and non-fatal cardiovascular events in men and women from the Gubbio Population Study. The incidence of cardiovascular disease (CVD), including stroke and coronary heart disease (CHD) and CVD death together with all-cause mortality were analyzed. The analysis included 2832 persons (44% men, 54 ± 11 years old). Marital status was defined at entry as married (married or living conjugally) versus unmarried subjects (widowed, separated, divorced or single). Married and unmarried subjects did not differ concerning socio-demographic, anthropometric and biological variables at baseline. Over 191 months median follow-up, the incidence of CHD was lower among married versus unmarried women [HR: 0.63 (95% CI 0.41-0.96)] only; the same was true for CHD mortality [HR: 0.43 (95% CI 0.22-0.84)] and all-cause mortality [HR: 0.75 (95% CI 0.59-0.96)] independently of traditional risk factors (age, SBP, total and HDL cholesterol, cigarette smoke and BMI). In men, marital status was not associated to any of the investigated outcomes. In primary care, marital status should be investigated as it can be associated with long-term CHD and all-cause incidence and mortality risks among women.
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Affiliation(s)
- Xavier Humbert
- Département de medecine generale, Normandie Université, UNICAEN, 14000, Caen, France.
- INSERM U1086 ANTICIPE, Normandie Université, UNICAEN, 14000, Caen, France.
- Département de medecine generale, Pôle de formation et de recherche en sante, 2, rue des Rochambelles, 14000, Caen, France.
| | - Andry Rabiaza
- Département de medecine generale, Normandie Université, UNICAEN, 14000, Caen, France
| | - Sophie Fedrizzi
- EA 4650, Signalisation, électrophysiologie et imagerie des lesions d'ischémie reperfusion myocardique, UNICAEN, 14000, Caen, France
- Service de Pharmacologie, Normandie Université, UNICAEN, CHU Caen Normandie, 14000, Caen, France
| | - Joachim Alexandre
- INSERM U1086 ANTICIPE, Normandie Université, UNICAEN, 14000, Caen, France
- Service de Pharmacologie, Normandie Université, UNICAEN, CHU Caen Normandie, 14000, Caen, France
| | | | - Emmanuel Touzé
- Service de Neurologie, Normandie Université, UNICAEN, CHU Caen Normandie, 14000, Caen, France
- INSERM U1237 PhIND, Normandie Université, UNICAEN, 14000, Caen, France
| | - Martino Laurenzi
- Centro Studi Epidemiologici di Gubbio (CeSEG), 06024, Gubbio, Perugia, Italy
| | | | - Paolo E Puddu
- EA 4650, Signalisation, électrophysiologie et imagerie des lesions d'ischémie reperfusion myocardique, UNICAEN, 14000, Caen, France
- Association for Cardiac Research, 00198, Rome, Italy
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Humbert X, Licaj I, Fedrizzi S, Alexandre J, Menotti A, Manrique A, Allouche S, Touzé E, Terradura-Vagnarelli O, Puddu PE. Relationship between lifestyle factors and hypertension: a cross-sectional analysis from the Gubbio study. Acta Cardiol 2022:1-9. [PMID: 35727257 DOI: 10.1080/00015385.2022.2088170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
BACKGROUND Hypertension (HTN) is a well-established and a major risk factor for cardiovascular disease. Lifestyle behaviours for its prevention and control are recommended within worldwide guidelines. Their relationship with HTN need more investigations. AIM We aimed to investigate the associations between lifestyle, anthropometric and biological measurements and BP in the Gubbio residential study. METHODS Cross-sectional analyses were performed using data from Gubbio study. Information concerning lifestyle factors were collected using self-reported questionnaire and were further completed with a baseline clinical examination and blood exams. Three BP measurements were performed following a standard protocol. Age-adjusted and multivariable logistic regressions were used to examine the relationships between lifestyle parameters and HTN separately for each sex. We used heterogeneity test to observe sex differences. RESULTS There were 3,183 persons included (48% men, 43 ± 17 years old). Mean systolic BP (SBP) was 119 ± 16 mmHg and 10.6% were hypertensives. Age [OR: 129.70 (95%CI: 18.57-905.79) in women and OR: 8.37 (95%CI: 4.01-17.48) (p < 0.0001) in men] and BMI [OR: 2.14 (95%CI: 1.32-3.46) (p = 0.006) in women and OR: 1.81 (95%CI: 1.05-3.12), p = 0.03 in men], were positively associated with SBP in both sexes. Serum uric acid [OR: 3.86 (95%CI: 2.03-7.26), p = 0.04] was positively associated with HTN in women while fasting blood glucose [OR: 3.04 (95%CI: 1.55-5.97), p < 0.001] were associated to HTN only in men. DISCUSSION In addition to age, BMI is associated with HTN in both sexes while sex differences were observed in the associations between serum uric acid, fasting blood glucose and HTN.
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Affiliation(s)
- Xavier Humbert
- Department of General Medicine, Medical School, UNICAEN, Normandie Université, Caen, France
| | - Idlir Licaj
- Department of Community Medicine, Faculty of Health Sciences, The UiT Arctic University of Norway, Tromsø, Norway
| | - Sophie Fedrizzi
- Department of Pharmacology, UNICAEN, Normandie Université, Caen, France
| | - Joachim Alexandre
- Department of Pharmacology, UNICAEN, Normandie Université, Caen, France
| | | | - Alain Manrique
- Department of Nuclear Medicine, CHU Caen, EA 4650UNICAEN, Normandie Université, Caen, France
| | - Stéphane Allouche
- Department of Biochemistry, CHU Caen, EA 4650, UNICAEN, Normandie Université, Caen, France
| | - Emmanuel Touzé
- Department of Neurology, CHU Caen, INSERM U 1237. UNICAEN, Normandie Université, Caen, France
| | | | - Paolo E Puddu
- EA 4650, UNICAEN, Normandie Université, Caen, France
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Relation of Alcohol Intake to Kidney Function and Mortality Observational, Population-Based, Cohort Study. Nutrients 2022; 14:nu14061297. [PMID: 35334954 PMCID: PMC8954827 DOI: 10.3390/nu14061297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 03/13/2022] [Accepted: 03/16/2022] [Indexed: 12/10/2022] Open
Abstract
Data are conflicting about the effects of alcohol intake on kidney function. This population-based study investigated associations of alcohol intake with kidney function and mortality. The study cohort included adult participants in Exam-1, Exam-2 (6-year follow-up), and Exam-3 (20-year follow-up) of the Gubbio study. Kidney function was evaluated as estimated glomerular filtration rate (eGFR, CKD-Epi equation, mL/min × 1.73 m2). Daily habitual alcohol intake was assessed by questionnaires. Wine intake accounted for >94% of total alcohol intake at all exams. Alcohol intake significantly tracked over time (R > 0.66, p < 0.001). Alcohol intake distribution was skewed at all exams (skewness > 2) and was divided into four strata for analyses (g/day = 0, 1−24, 25−48, and >48). Strata of alcohol intake differed substantially for lab markers of alcohol intake (p < 0.001). In multivariable regression, strata of alcohol intake related cross-sectionally to eGFR at all exams (Exam-1: B = 1.70, p < 0.001; Exam-2: B = 1.03, p < 0.001; Exam-3: B = 0.55, p = 0.010) and related longitudinally to less negative eGFR change from Exam-1 to Exam-2 (B = 0.133, p = 0.002) and from Exam-2 to Exam-3 (B = 0.065, p = 0.004). In multivariable Cox models, compared to no intake, intakes > 24 g/day were not associated with different mortality while an intake of 1−24 g/day was associated with lower mortality in the whole cohort (HR = 0.77, p = 0.003) and in the subgroup with eGFR < 60 mL/min × 1.73 m2 (HR = 0.69, p = 0.033). These data indicate a positive independent association of alcohol intake with kidney function not due to a mortality-related selection.
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