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2017-09-28

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cc-by (c) Degano, Irene R. et al., 2017
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/232343

The association between education and cardiovascular disease incidence is mediated by hypertension, diabetes, and body mass index

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Education and cardiovascular disease (CVD) are inversely associated but the mediating factors have not been totally elucidated. Our aim was to analyze the mediating role of modifiable risk factors. Cohort study using the REGICOR population cohorts. Participants without previous CVD were included (n = 9226). Marginal structural models were used to analyze the association between education and CVD incidence at 6 years of follow-up. Mediation by modifiable risk factors (diabetes, dyslipidemia, hypertension, smoking, body mass index, and physical activity) was assessed using the counterfactual framework. Participants with a university degree had a CVD incidence hazard ratio (HR) of 0.51 (95% confidence interval (CI) = 0.30, 0.85), compared to those with primary or lower education. Only hypertension, BMI, and diabetes mediated the association between education and CVD incidence, accounting for 26% of the association (13.9, 6.9, and 5.2%, respectively). Sensitivity analyses showed that hypertension was the strongest mediator (average causal mediation effect [95% CI] = increase of 2170 days free of CVD events [711, 4520]). The association between education and CVD incidence is partially mediated by hypertension, BMI, and diabetes. Interventions to decrease the prevalence of these risk factors could contribute to diminish the CVD inequalities associated with educational level.

Recurs relacionat

https://doi.org/10.1038/s41598-017-10775-3

Matèries

Malalties cardiovasculars, Factors de risc en les malalties, Persones de mitjana edat

Matèries (anglès)

Cardiovascular diseases, Risk factors in diseases, Middle aged persons

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Articles publicats en revistes (Medicina)

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DEGANO, Irene R., et al. The association between education and cardiovascular disease incidence is mediated by hypertension, diabetes, and body mass index. Scientific Reports. 2017. Vol. 7, num. 1. ISSN 2045-2322. [consulted: 13 of November of 2026]. Available at: https://hdl.handle.net/2445/232343

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