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Comparing the impact of personal and parental risk factors, and parental lifespan on all-cause mortality and cardiovascular disease: findings from the Midspan Family cohort study

BackgroundWe aimed to identify which personal and parental factors best explained all-cause mortality and cardiovascular disease (CVD).MethodsIn 1996, data were collected on 2338 adult offspring of the participants in the 1972–1976 Renfrew and Paisley prospective cohort study. Recorded risk factors... Full description

Journal Title: Journal of epidemiology and community health (1979) 2015-10, Vol.69 (10), p.950-957
Main Author: Hart, Carole
Other Authors: McCartney, Gerry , Gruer, Laurence , Watt, Graham
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: England: BMJ Publishing Group Ltd
ID: ISSN: 0143-005X
Link: https://www.ncbi.nlm.nih.gov/pubmed/26022058
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title: Comparing the impact of personal and parental risk factors, and parental lifespan on all-cause mortality and cardiovascular disease: findings from the Midspan Family cohort study
format: Article
creator:
  • Hart, Carole
  • McCartney, Gerry
  • Gruer, Laurence
  • Watt, Graham
subjects:
  • Adult
  • Adult Children - statistics & numerical data
  • Aged
  • Aged, 80 and over
  • Cardiovascular disease
  • Cardiovascular diseases
  • Cardiovascular Diseases - epidemiology
  • Cardiovascular Diseases - etiology
  • Cardiovascular Diseases - mortality
  • Cause of Death
  • Cohort analysis
  • Female
  • Health Behavior
  • Health risk assessment
  • Humans
  • Intergenerational factors and health
  • Longevity
  • Male
  • Middle Aged
  • Mortality
  • Parents
  • Proportional Hazards Models
  • Prospective Studies
  • Risk Factors
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • United Kingdom - epidemiology
  • Usage
  • Womens health
ispartof: Journal of epidemiology and community health (1979), 2015-10, Vol.69 (10), p.950-957
description: BackgroundWe aimed to identify which personal and parental factors best explained all-cause mortality and cardiovascular disease (CVD).MethodsIn 1996, data were collected on 2338 adult offspring of the participants in the 1972–1976 Renfrew and Paisley prospective cohort study. Recorded risk factors were assigned to 5 groups: mid-life biological and behavioural (BB), mid-life socioeconomic, parental BB, early-life socioeconomic and parental lifespan. Participants were followed up for mortality and hospital admissions to the end of 2011. Cox proportional hazards models were used to analyse how well each group explained all-cause mortality or CVD. Akaike's Information Criterion (AIC), a measure of goodness-of-fit, identified the most important groups.ResultsFor all-cause mortality (1997 participants with complete data, 111 deaths), decreases in AIC from the null model (adjusting for age and sex) to models including mid-life BB, mid-life socioeconomic, parental BB, early-life socioeconomic and parental lifespan were 55.8, 21.6, 10.3, 7.3 and 5.9, respectively. For the CVD models (1736 participants, 276 with CVD), decreases were 37.8, 3.7, 6.7, 17.3 and 0.4. Mid-life BB factors were the most important for both all-cause mortality and CVD; mid-life socioeconomic factors were important for all-cause mortality, and early-life socioeconomic factors were important for CVD. Parental lifespan was the weakest factor.ConclusionsAs mid-life BB risk factors best explained all-cause mortality and CVD, continued action to reduce these is warranted. Targeting adverse socioeconomic factors in mid-life and early life may contribute to reducing all-cause mortality and CVD risk, respectively.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0143-005X
fulltext: fulltext
issn:
  • 0143-005X
  • 1470-2738
url: Link


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titleComparing the impact of personal and parental risk factors, and parental lifespan on all-cause mortality and cardiovascular disease: findings from the Midspan Family cohort study
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creatorHart, Carole ; McCartney, Gerry ; Gruer, Laurence ; Watt, Graham
creatorcontribHart, Carole ; McCartney, Gerry ; Gruer, Laurence ; Watt, Graham
descriptionBackgroundWe aimed to identify which personal and parental factors best explained all-cause mortality and cardiovascular disease (CVD).MethodsIn 1996, data were collected on 2338 adult offspring of the participants in the 1972–1976 Renfrew and Paisley prospective cohort study. Recorded risk factors were assigned to 5 groups: mid-life biological and behavioural (BB), mid-life socioeconomic, parental BB, early-life socioeconomic and parental lifespan. Participants were followed up for mortality and hospital admissions to the end of 2011. Cox proportional hazards models were used to analyse how well each group explained all-cause mortality or CVD. Akaike's Information Criterion (AIC), a measure of goodness-of-fit, identified the most important groups.ResultsFor all-cause mortality (1997 participants with complete data, 111 deaths), decreases in AIC from the null model (adjusting for age and sex) to models including mid-life BB, mid-life socioeconomic, parental BB, early-life socioeconomic and parental lifespan were 55.8, 21.6, 10.3, 7.3 and 5.9, respectively. For the CVD models (1736 participants, 276 with CVD), decreases were 37.8, 3.7, 6.7, 17.3 and 0.4. Mid-life BB factors were the most important for both all-cause mortality and CVD; mid-life socioeconomic factors were important for all-cause mortality, and early-life socioeconomic factors were important for CVD. Parental lifespan was the weakest factor.ConclusionsAs mid-life BB risk factors best explained all-cause mortality and CVD, continued action to reduce these is warranted. Targeting adverse socioeconomic factors in mid-life and early life may contribute to reducing all-cause mortality and CVD risk, respectively.
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subjectAdult ; Adult Children - statistics & numerical data ; Aged ; Aged, 80 and over ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - mortality ; Cause of Death ; Cohort analysis ; Female ; Health Behavior ; Health risk assessment ; Humans ; Intergenerational factors and health ; Longevity ; Male ; Middle Aged ; Mortality ; Parents ; Proportional Hazards Models ; Prospective Studies ; Risk Factors ; Socioeconomic Factors ; Surveys and Questionnaires ; United Kingdom - epidemiology ; Usage ; Womens health
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descriptionBackgroundWe aimed to identify which personal and parental factors best explained all-cause mortality and cardiovascular disease (CVD).MethodsIn 1996, data were collected on 2338 adult offspring of the participants in the 1972–1976 Renfrew and Paisley prospective cohort study. Recorded risk factors were assigned to 5 groups: mid-life biological and behavioural (BB), mid-life socioeconomic, parental BB, early-life socioeconomic and parental lifespan. Participants were followed up for mortality and hospital admissions to the end of 2011. Cox proportional hazards models were used to analyse how well each group explained all-cause mortality or CVD. Akaike's Information Criterion (AIC), a measure of goodness-of-fit, identified the most important groups.ResultsFor all-cause mortality (1997 participants with complete data, 111 deaths), decreases in AIC from the null model (adjusting for age and sex) to models including mid-life BB, mid-life socioeconomic, parental BB, early-life socioeconomic and parental lifespan were 55.8, 21.6, 10.3, 7.3 and 5.9, respectively. For the CVD models (1736 participants, 276 with CVD), decreases were 37.8, 3.7, 6.7, 17.3 and 0.4. Mid-life BB factors were the most important for both all-cause mortality and CVD; mid-life socioeconomic factors were important for all-cause mortality, and early-life socioeconomic factors were important for CVD. Parental lifespan was the weakest factor.ConclusionsAs mid-life BB risk factors best explained all-cause mortality and CVD, continued action to reduce these is warranted. Targeting adverse socioeconomic factors in mid-life and early life may contribute to reducing all-cause mortality and CVD risk, respectively.
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abstractBackgroundWe aimed to identify which personal and parental factors best explained all-cause mortality and cardiovascular disease (CVD).MethodsIn 1996, data were collected on 2338 adult offspring of the participants in the 1972–1976 Renfrew and Paisley prospective cohort study. Recorded risk factors were assigned to 5 groups: mid-life biological and behavioural (BB), mid-life socioeconomic, parental BB, early-life socioeconomic and parental lifespan. Participants were followed up for mortality and hospital admissions to the end of 2011. Cox proportional hazards models were used to analyse how well each group explained all-cause mortality or CVD. Akaike's Information Criterion (AIC), a measure of goodness-of-fit, identified the most important groups.ResultsFor all-cause mortality (1997 participants with complete data, 111 deaths), decreases in AIC from the null model (adjusting for age and sex) to models including mid-life BB, mid-life socioeconomic, parental BB, early-life socioeconomic and parental lifespan were 55.8, 21.6, 10.3, 7.3 and 5.9, respectively. For the CVD models (1736 participants, 276 with CVD), decreases were 37.8, 3.7, 6.7, 17.3 and 0.4. Mid-life BB factors were the most important for both all-cause mortality and CVD; mid-life socioeconomic factors were important for all-cause mortality, and early-life socioeconomic factors were important for CVD. Parental lifespan was the weakest factor.ConclusionsAs mid-life BB risk factors best explained all-cause mortality and CVD, continued action to reduce these is warranted. Targeting adverse socioeconomic factors in mid-life and early life may contribute to reducing all-cause mortality and CVD risk, respectively.
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