TY - JOUR AU - Reinikainen, Jaakko AU - Kuulasmaa, Kari AU - Oskarsson, Viktor AU - Amouyel, Philippe AU - Biasch, Katia AU - Brenner, Hermann AU - De Ponti, Roberto AU - Donfrancesco, Chiara AU - Drygas, Wojciech AU - Ferrieres, Jean AU - Grassi, Guido AU - Grimsgaard, Sameline AU - Iacoviello, Licia AU - Jousilahti, Pekka AU - Kårhus, Line L AU - Kee, Frank AU - Linneberg, Allan AU - Luksiene, Dalia AU - Mariño, Joany AU - Moitry, Marie AU - Palmieri, Luigi AU - Peters, Annette AU - Piwonska, Aleksandra AU - Quarti-Trevano, Fosca AU - Salomaa, Veikko AU - Sans, Susana AU - Schmidt, Carsten Oliver AU - Schöttker, Ben AU - Söderberg, Stefan AU - Tamosiunas, Abdonas AU - Thorand, Barbara AU - Tunstall-Pedoe, Hugh AU - Vanuzzo, Diego AU - Veronesi, Giovanni AU - Woodward, Mark AU - Lekadir, Karim AU - Niiranen, Teemu TI - Regional and temporal differences in the associations between cardiovascular disease and its classic risk factors: An analysis of 49 cohorts from 11 European countries. JO - European journal of preventive cardiology VL - 31 IS - 5 SN - 2047-4873 CY - Oxford PB - Oxford University Press M1 - DKFZ-2023-02389 SP - 569-577 PY - 2024 N1 - 2024 Mar 27;31(5):569-577 AB - The 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 KW - Cardiovascular disease (Other) KW - Coronary heart disease (Other) KW - Europe (Other) KW - Risk factor (Other) KW - Stroke (Other) LB - PUB:(DE-HGF)16 C6 - pmid:37976098 DO - DOI:10.1093/eurjpc/zwad359 UR - https://inrepo02.dkfz.de/record/285455 ER -