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Coronary heart disease and risk factors as predictors of trajectories of psychological distress from midlife to old age

ObjectiveTo examine coronary heart disease (CHD) and its risk factors as predictors of long-term trajectories of psychological distress from midlife to old age.MethodsIn the Whitehall II cohort study, 6890 participants (4814 men, 2076 women; mean age 49.5 years) had up to seven repeat assessments of... Full description

Journal Title: Heart 2017-05, Vol.103 (9), p.659-665
Main Author: Virtanen, Marianna
Other Authors: Elovainio, Marko , Josefsson, Kim , Batty, G David , Singh-Manoux, Archana , Kivimäki, Mika
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: England: British Medical Association
ID: ISSN: 1355-6037
Link: https://www.ncbi.nlm.nih.gov/pubmed/27864318
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title: Coronary heart disease and risk factors as predictors of trajectories of psychological distress from midlife to old age
format: Article
creator:
  • Virtanen, Marianna
  • Elovainio, Marko
  • Josefsson, Kim
  • Batty, G David
  • Singh-Manoux, Archana
  • Kivimäki, Mika
subjects:
  • 1506
  • 1507
  • 3121 Internal medicine
  • 3142 Public health care science
  • Abridged Index Medicus
  • Adult
  • Age Factors
  • Aging - physiology
  • Cardiovascular disease
  • Comorbidity
  • Complications and side effects
  • Coronary Artery Disease
  • Coronary Disease - diagnosis
  • Coronary Disease - epidemiology
  • Coronary Disease - psychology
  • Coronary heart disease
  • Disease prevention
  • environmental
  • Female
  • Health aspects
  • Health risk assessment
  • Humans
  • Life Style
  • London - epidemiology
  • Longitudinal Studies
  • Male
  • Mental depression
  • Mental illness
  • Middle Aged
  • Mortality
  • Multivariate Analysis
  • Nonlinear Dynamics
  • Obesity
  • Obesity - epidemiology
  • Obesity - psychology
  • occupational health
  • Odds Ratio
  • Prevalence
  • Prospective Studies
  • Risk Assessment
  • Risk Factors
  • Smoking
  • Smoking - adverse effects
  • Smoking - epidemiology
  • Smoking - psychology
  • Stress, Psychological - diagnosis
  • Stress, Psychological - epidemiology
  • Stress, Psychological - psychology
  • Studies
  • Surveys and Questionnaires
  • Time Factors
ispartof: Heart, 2017-05, Vol.103 (9), p.659-665
description: ObjectiveTo examine coronary heart disease (CHD) and its risk factors as predictors of long-term trajectories of psychological distress from midlife to old age.MethodsIn the Whitehall II cohort study, 6890 participants (4814 men, 2076 women; mean age 49.5 years) had up to seven repeat assessments of psychological distress over 21 years (mean follow-up 19 years). CHD and its risk factors (lifestyle-related risk factors, diabetes, hypertension and cholesterol) were assessed at baseline. Group-based trajectory modelling was used to identify clusters of individuals with a similar pattern of psychological distress over time.ResultsWe identified four trajectories of psychological distress over the follow-up: ‘persistently low’ (69% of the participants), ‘persistently intermediate’ (13%), ‘intermediate to low’ (12%) and ‘persistently high’ (7%). The corresponding proportions were 60%, 16%, 13% and 11% among participants with CHD; 63%, 15%, 12% and 10% among smokers and 63%, 16%, 12% and 10% among obese participants. In multivariable adjusted multinomial regression analyses comparing other trajectories to persistently low trajectory, prevalent CHD was associated with intermediate to low (OR 1.70, 95% CI 1.08 to 2.68) and persistently high (OR 1.92, 95% CI 1.16 to 3.19) trajectories. Smoking (OR 1.33, 95% CI 1.07 to 1.64; OR 1.55, 95% CI 1.19 to 2.04) and obesity (OR 1.33, 95% CI 1.04 to 1.70; OR 1.47, 95% CI 1.07 to 2.01) were associated with persistently intermediate and persistently high trajectories, respectively.ConclusionCHD, smoking and obesity may have a role in the development of long-lasting psychological distress from midlife to old age.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 1355-6037
fulltext: fulltext
issn:
  • 1355-6037
  • 1468-201X
url: Link


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titleCoronary heart disease and risk factors as predictors of trajectories of psychological distress from midlife to old age
sourceAlma/SFX Local Collection
creatorVirtanen, Marianna ; Elovainio, Marko ; Josefsson, Kim ; Batty, G David ; Singh-Manoux, Archana ; Kivimäki, Mika
creatorcontribVirtanen, Marianna ; Elovainio, Marko ; Josefsson, Kim ; Batty, G David ; Singh-Manoux, Archana ; Kivimäki, Mika
descriptionObjectiveTo examine coronary heart disease (CHD) and its risk factors as predictors of long-term trajectories of psychological distress from midlife to old age.MethodsIn the Whitehall II cohort study, 6890 participants (4814 men, 2076 women; mean age 49.5 years) had up to seven repeat assessments of psychological distress over 21 years (mean follow-up 19 years). CHD and its risk factors (lifestyle-related risk factors, diabetes, hypertension and cholesterol) were assessed at baseline. Group-based trajectory modelling was used to identify clusters of individuals with a similar pattern of psychological distress over time.ResultsWe identified four trajectories of psychological distress over the follow-up: ‘persistently low’ (69% of the participants), ‘persistently intermediate’ (13%), ‘intermediate to low’ (12%) and ‘persistently high’ (7%). The corresponding proportions were 60%, 16%, 13% and 11% among participants with CHD; 63%, 15%, 12% and 10% among smokers and 63%, 16%, 12% and 10% among obese participants. In multivariable adjusted multinomial regression analyses comparing other trajectories to persistently low trajectory, prevalent CHD was associated with intermediate to low (OR 1.70, 95% CI 1.08 to 2.68) and persistently high (OR 1.92, 95% CI 1.16 to 3.19) trajectories. Smoking (OR 1.33, 95% CI 1.07 to 1.64; OR 1.55, 95% CI 1.19 to 2.04) and obesity (OR 1.33, 95% CI 1.04 to 1.70; OR 1.47, 95% CI 1.07 to 2.01) were associated with persistently intermediate and persistently high trajectories, respectively.ConclusionCHD, smoking and obesity may have a role in the development of long-lasting psychological distress from midlife to old age.
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0ISSN: 1355-6037
1EISSN: 1468-201X
2DOI: 10.1136/heartjnl-2016-310207
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languageeng
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subject1506 ; 1507 ; 3121 Internal medicine ; 3142 Public health care science ; Abridged Index Medicus ; Adult ; Age Factors ; Aging - physiology ; Cardiovascular disease ; Comorbidity ; Complications and side effects ; Coronary Artery Disease ; Coronary Disease - diagnosis ; Coronary Disease - epidemiology ; Coronary Disease - psychology ; Coronary heart disease ; Disease prevention ; environmental ; Female ; Health aspects ; Health risk assessment ; Humans ; Life Style ; London - epidemiology ; Longitudinal Studies ; Male ; Mental depression ; Mental illness ; Middle Aged ; Mortality ; Multivariate Analysis ; Nonlinear Dynamics ; Obesity ; Obesity - epidemiology ; Obesity - psychology ; occupational health ; Odds Ratio ; Prevalence ; Prospective Studies ; Risk Assessment ; Risk Factors ; Smoking ; Smoking - adverse effects ; Smoking - epidemiology ; Smoking - psychology ; Stress, Psychological - diagnosis ; Stress, Psychological - epidemiology ; Stress, Psychological - psychology ; Studies ; Surveys and Questionnaires ; Time Factors
ispartofHeart, 2017-05, Vol.103 (9), p.659-665
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0Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing
1Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
2Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/2016This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See:http://creativecommons.org/licenses/by/4.0
3Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2016
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descriptionObjectiveTo examine coronary heart disease (CHD) and its risk factors as predictors of long-term trajectories of psychological distress from midlife to old age.MethodsIn the Whitehall II cohort study, 6890 participants (4814 men, 2076 women; mean age 49.5 years) had up to seven repeat assessments of psychological distress over 21 years (mean follow-up 19 years). CHD and its risk factors (lifestyle-related risk factors, diabetes, hypertension and cholesterol) were assessed at baseline. Group-based trajectory modelling was used to identify clusters of individuals with a similar pattern of psychological distress over time.ResultsWe identified four trajectories of psychological distress over the follow-up: ‘persistently low’ (69% of the participants), ‘persistently intermediate’ (13%), ‘intermediate to low’ (12%) and ‘persistently high’ (7%). The corresponding proportions were 60%, 16%, 13% and 11% among participants with CHD; 63%, 15%, 12% and 10% among smokers and 63%, 16%, 12% and 10% among obese participants. In multivariable adjusted multinomial regression analyses comparing other trajectories to persistently low trajectory, prevalent CHD was associated with intermediate to low (OR 1.70, 95% CI 1.08 to 2.68) and persistently high (OR 1.92, 95% CI 1.16 to 3.19) trajectories. Smoking (OR 1.33, 95% CI 1.07 to 1.64; OR 1.55, 95% CI 1.19 to 2.04) and obesity (OR 1.33, 95% CI 1.04 to 1.70; OR 1.47, 95% CI 1.07 to 2.01) were associated with persistently intermediate and persistently high trajectories, respectively.ConclusionCHD, smoking and obesity may have a role in the development of long-lasting psychological distress from midlife to old age.
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19Health aspects
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22Life Style
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24Longitudinal Studies
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titleCoronary heart disease and risk factors as predictors of trajectories of psychological distress from midlife to old age
authorVirtanen, Marianna ; Elovainio, Marko ; Josefsson, Kim ; Batty, G David ; Singh-Manoux, Archana ; Kivimäki, Mika
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abstractObjectiveTo examine coronary heart disease (CHD) and its risk factors as predictors of long-term trajectories of psychological distress from midlife to old age.MethodsIn the Whitehall II cohort study, 6890 participants (4814 men, 2076 women; mean age 49.5 years) had up to seven repeat assessments of psychological distress over 21 years (mean follow-up 19 years). CHD and its risk factors (lifestyle-related risk factors, diabetes, hypertension and cholesterol) were assessed at baseline. Group-based trajectory modelling was used to identify clusters of individuals with a similar pattern of psychological distress over time.ResultsWe identified four trajectories of psychological distress over the follow-up: ‘persistently low’ (69% of the participants), ‘persistently intermediate’ (13%), ‘intermediate to low’ (12%) and ‘persistently high’ (7%). The corresponding proportions were 60%, 16%, 13% and 11% among participants with CHD; 63%, 15%, 12% and 10% among smokers and 63%, 16%, 12% and 10% among obese participants. In multivariable adjusted multinomial regression analyses comparing other trajectories to persistently low trajectory, prevalent CHD was associated with intermediate to low (OR 1.70, 95% CI 1.08 to 2.68) and persistently high (OR 1.92, 95% CI 1.16 to 3.19) trajectories. Smoking (OR 1.33, 95% CI 1.07 to 1.64; OR 1.55, 95% CI 1.19 to 2.04) and obesity (OR 1.33, 95% CI 1.04 to 1.70; OR 1.47, 95% CI 1.07 to 2.01) were associated with persistently intermediate and persistently high trajectories, respectively.ConclusionCHD, smoking and obesity may have a role in the development of long-lasting psychological distress from midlife to old age.
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