Кардиоваскулярная терапия и профилактика (Oct 2017)
DO ALL TRADITIONAL RISK FACTORS ASSOCIATE SAME WITH MORTALITY IN SENIOR POPULATION?
Abstract
Aim. To evaluate the impact of traditional risk factors (RF) to overall and cardiovascular mortality of the population ≥75 year old.Material and methods. The results are acquired in the prospective cohort study “Stress, ageing and health”. Totally, 455 Moscovites assessed, age ≥75 y.o. The traditional RF were evaluated: arterial hypertension, smoking, obesity and dyslipidemia. The follow up on mortality lasted for 8 years. Totally, 239 deaths registered, of those 169 cardiovascular. Statistics was done with STATA 14.1.Results. After stratification by sex and age, with the mortality from all cases in the 75-79 y.o. cohort, only current smoking status associated significantly (p=0,0001), and with cardiovascular mortality — current smoking and abdominal obesity, with relative risks 2,91 and 1,92, respectively. Also, in the ≥80 y.o. group, there were no RF influencing significantly the mortality.Conclusion. Among all traditional RF, in the age strata 75-79 y.o., only current smoking associated significantly with the all-cause mortality, and with cardiovascular — also abdominal obesity. Among the persons of ≥80 y.o., traditional RF lose their impact for both all-cause and cardiovascular mortality.
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