000285455 001__ 285455 000285455 005__ 20240402114520.0 000285455 0247_ $$2doi$$a10.1093/eurjpc/zwad359 000285455 0247_ $$2pmid$$apmid:37976098 000285455 0247_ $$2ISSN$$a2047-4873 000285455 0247_ $$2ISSN$$a2047-4881 000285455 037__ $$aDKFZ-2023-02389 000285455 041__ $$aEnglish 000285455 082__ $$a610 000285455 1001_ $$00000-0002-7825-5359$$aReinikainen, Jaakko$$b0 000285455 245__ $$aRegional and temporal differences in the associations between cardiovascular disease and its classic risk factors: An analysis of 49 cohorts from 11 European countries. 000285455 260__ $$aOxford$$bOxford University Press$$c2024 000285455 3367_ $$2DRIVER$$aarticle 000285455 3367_ $$2DataCite$$aOutput Types/Journal article 000285455 3367_ $$0PUB:(DE-HGF)16$$2PUB:(DE-HGF)$$aJournal Article$$bjournal$$mjournal$$s1712051077_3774 000285455 3367_ $$2BibTeX$$aARTICLE 000285455 3367_ $$2ORCID$$aJOURNAL_ARTICLE 000285455 3367_ $$00$$2EndNote$$aJournal Article 000285455 500__ $$a2024 Mar 27;31(5):569-577 000285455 520__ $$aThe regional and temporal differences in the associations between cardiovascular disease (CVD) and its classic risk factors are unknown. The current study examined these associations in different European regions over a 30-year period.The study sample comprised 553818 individuals from 49 cohorts in 11 European countries (baseline: 1982-2012) who were followed up for a maximum of 10 years. Risk factors (sex, smoking, diabetes, non-HDL [high-density lipoprotein] cholesterol, systolic blood pressure [BP], and body mass index [BMI]) and CVD events (coronary heart disease or stroke) were harmonized across cohorts. Risk factor-outcome associations were analysed using multivariable-adjusted Cox regression models, and differences in associations were assessed using meta-regression.The differences in the risk factor-CVD associations between central Europe, northern Europe, southern Europe, and the United Kingdom were generally small. Men had a slightly higher hazard ratio (HR) in southern Europe (p = 0.043 for overall difference) and those with diabetes had a slightly lower HR in central Europe (p = 0.022 for overall difference) compared with the other regions. Of the six CVD risk factors, minor HR decreases per decade were observed for non-HDL cholesterol (7% per mmol/L; 95% confidence interval [CI], 3-10%) and systolic BP (4% per 20 mmHg; 95% CI, 1-8%), while a minor HR increase per decade was observed for BMI (7% per 10 kg/m2; 95% CI, 1-13%).The results demonstrate that all classic CVD risk factors are still relevant in Europe, irrespective of regional area. Preventive strategies should focus on risk factors with the greatest population attributable risk. 000285455 536__ $$0G:(DE-HGF)POF4-313$$a313 - Krebsrisikofaktoren und Prävention (POF4-313)$$cPOF4-313$$fPOF IV$$x0 000285455 588__ $$aDataset connected to CrossRef, PubMed, , Journals: inrepo02.dkfz.de 000285455 650_7 $$2Other$$aCardiovascular disease 000285455 650_7 $$2Other$$aCoronary heart disease 000285455 650_7 $$2Other$$aEurope 000285455 650_7 $$2Other$$aRisk factor 000285455 650_7 $$2Other$$aStroke 000285455 7001_ $$00000-0003-2165-1411$$aKuulasmaa, Kari$$b1 000285455 7001_ $$aOskarsson, Viktor$$b2 000285455 7001_ $$00000-0001-9088-234X$$aAmouyel, Philippe$$b3 000285455 7001_ $$aBiasch, Katia$$b4 000285455 7001_ $$0P:(DE-He78)90d5535ff896e70eed81f4a4f6f22ae2$$aBrenner, Hermann$$b5$$udkfz 000285455 7001_ $$aDe Ponti, Roberto$$b6 000285455 7001_ $$00000-0002-8040-5571$$aDonfrancesco, Chiara$$b7 000285455 7001_ $$aDrygas, Wojciech$$b8 000285455 7001_ $$00000-0001-6144-1297$$aFerrieres, Jean$$b9 000285455 7001_ $$aGrassi, Guido$$b10 000285455 7001_ $$00000-0002-0601-0344$$aGrimsgaard, Sameline$$b11 000285455 7001_ $$00000-0003-0514-5885$$aIacoviello, Licia$$b12 000285455 7001_ $$aJousilahti, Pekka$$b13 000285455 7001_ $$aKårhus, Line L$$b14 000285455 7001_ $$aKee, Frank$$b15 000285455 7001_ $$00000-0002-0994-0184$$aLinneberg, Allan$$b16 000285455 7001_ $$00000-0002-7157-4090$$aLuksiene, Dalia$$b17 000285455 7001_ $$aMariño, Joany$$b18 000285455 7001_ $$aMoitry, Marie$$b19 000285455 7001_ $$00000-0002-4298-2642$$aPalmieri, Luigi$$b20 000285455 7001_ $$aPeters, Annette$$b21 000285455 7001_ $$aPiwonska, Aleksandra$$b22 000285455 7001_ $$00000-0002-7357-0931$$aQuarti-Trevano, Fosca$$b23 000285455 7001_ $$00000-0001-7563-5324$$aSalomaa, Veikko$$b24 000285455 7001_ $$00000-0002-0400-5197$$aSans, Susana$$b25 000285455 7001_ $$aSchmidt, Carsten Oliver$$b26 000285455 7001_ $$0P:(DE-He78)c67a12496b8aac150c0eef888d808d46$$aSchöttker, Ben$$b27$$udkfz 000285455 7001_ $$aSöderberg, Stefan$$b28 000285455 7001_ $$aTamosiunas, Abdonas$$b29 000285455 7001_ $$00000-0002-5667-6849$$aThorand, Barbara$$b30 000285455 7001_ $$00000-0001-8721-7058$$aTunstall-Pedoe, Hugh$$b31 000285455 7001_ $$aVanuzzo, Diego$$b32 000285455 7001_ $$00000-0002-4119-6615$$aVeronesi, Giovanni$$b33 000285455 7001_ $$aWoodward, Mark$$b34 000285455 7001_ $$00000-0002-9456-1612$$aLekadir, Karim$$b35 000285455 7001_ $$00000-0002-7394-7487$$aNiiranen, Teemu$$b36 000285455 773__ $$0PERI:(DE-600)2646239-4$$a10.1093/eurjpc/zwad359$$gp. zwad359$$n5$$p569-577$$tEuropean journal of preventive cardiology$$v31$$x2047-4873$$y2024 000285455 909CO $$ooai:inrepo02.dkfz.de:285455$$pVDB 000285455 9101_ $$0I:(DE-588b)2036810-0$$6P:(DE-He78)90d5535ff896e70eed81f4a4f6f22ae2$$aDeutsches Krebsforschungszentrum$$b5$$kDKFZ 000285455 9101_ $$0I:(DE-588b)2036810-0$$6P:(DE-He78)c67a12496b8aac150c0eef888d808d46$$aDeutsches Krebsforschungszentrum$$b27$$kDKFZ 000285455 9131_ $$0G:(DE-HGF)POF4-313$$1G:(DE-HGF)POF4-310$$2G:(DE-HGF)POF4-300$$3G:(DE-HGF)POF4$$4G:(DE-HGF)POF$$aDE-HGF$$bGesundheit$$lKrebsforschung$$vKrebsrisikofaktoren und Prävention$$x0 000285455 9141_ $$y2023 000285455 915__ $$0StatID:(DE-HGF)0420$$2StatID$$aNationallizenz$$d2023-08-24$$wger 000285455 915__ $$0StatID:(DE-HGF)0100$$2StatID$$aJCR$$bEUR J PREV CARDIOL : 2022$$d2023-08-24 000285455 915__ $$0StatID:(DE-HGF)0200$$2StatID$$aDBCoverage$$bSCOPUS$$d2023-08-24 000285455 915__ $$0StatID:(DE-HGF)0300$$2StatID$$aDBCoverage$$bMedline$$d2023-08-24 000285455 915__ $$0StatID:(DE-HGF)0199$$2StatID$$aDBCoverage$$bClarivate Analytics Master Journal List$$d2023-08-24 000285455 915__ $$0StatID:(DE-HGF)0113$$2StatID$$aWoS$$bScience Citation Index Expanded$$d2023-08-24 000285455 915__ $$0StatID:(DE-HGF)0150$$2StatID$$aDBCoverage$$bWeb of Science Core Collection$$d2023-08-24 000285455 915__ $$0StatID:(DE-HGF)0160$$2StatID$$aDBCoverage$$bEssential Science Indicators$$d2023-08-24 000285455 915__ $$0StatID:(DE-HGF)1110$$2StatID$$aDBCoverage$$bCurrent Contents - Clinical Medicine$$d2023-08-24 000285455 915__ $$0StatID:(DE-HGF)9905$$2StatID$$aIF >= 5$$bEUR J PREV CARDIOL : 2022$$d2023-08-24 000285455 9201_ $$0I:(DE-He78)C070-20160331$$kC070$$lC070 Klinische Epidemiologie und Alternf.$$x0 000285455 980__ $$ajournal 000285455 980__ $$aVDB 000285455 980__ $$aI:(DE-He78)C070-20160331 000285455 980__ $$aUNRESTRICTED