A Gendered Approach to Examine Cardiovascular Disease Modifiable Risk Changes Over the Life-Course for Middle-Aged and Older Australian Adults
Author(s)
Xu, X
Parker, D
Chang, S
Liu, G
Hall, J
Anderson, D
Inglis, S
Griffith University Author(s)
Year published
2020
Metadata
Show full item recordAbstract
There has been growing interest in using risk factor indices to evaluate risk of CVD. However, there are limited studies which examine the changes of overall risk indices over the life-course, and most of studies have failed to consider the gender difference.
We used the baseline (2006-2009) and follow-up (2012-2015) data from the 45 and Up Study. CVD modifiable risk factor scores (MRFS) were developed from the existing indices, with focus on “dietary behaviour”, “lifestyle behaviour” and “conditions or diseases”. ANOVA was used to compare the mean difference between baseline and follow-up survey. Mixed Linear Models were ...
View more >There has been growing interest in using risk factor indices to evaluate risk of CVD. However, there are limited studies which examine the changes of overall risk indices over the life-course, and most of studies have failed to consider the gender difference. We used the baseline (2006-2009) and follow-up (2012-2015) data from the 45 and Up Study. CVD modifiable risk factor scores (MRFS) were developed from the existing indices, with focus on “dietary behaviour”, “lifestyle behaviour” and “conditions or diseases”. ANOVA was used to compare the mean difference between baseline and follow-up survey. Mixed Linear Models were used to examine the changes of MRFS across three CVD groups. Of a total of 113,039 participants, 18.5% participants had CVD at baseline and 31.7% had CVD at follow-up. Among three MRFS components, lifestyle behaviour risks increased dramatically for both men and women over their life-course. Compared to men, women had lower MRFS, but had a greater increase across their life-course. Men and women with a long-term CVD diagnosis had lower dietary risk scores compared with those with no CVD. Compared to men with no CVD, men with long-term CVD diagnosis had 0.39 (95% CI: 0.34; 0.44) higher total MRFS; compared to women with no CVD, women with long-term CVD diagnosis had a 0.31 (95% CI: 0.26; 0.36) higher total MRFS. Middle-aged and older women had a lower CVD risk than men but had an increased risk over their life-course. Lifestyle behaviour interventions for women need to be the focus in CVD prevention.
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View more >There has been growing interest in using risk factor indices to evaluate risk of CVD. However, there are limited studies which examine the changes of overall risk indices over the life-course, and most of studies have failed to consider the gender difference. We used the baseline (2006-2009) and follow-up (2012-2015) data from the 45 and Up Study. CVD modifiable risk factor scores (MRFS) were developed from the existing indices, with focus on “dietary behaviour”, “lifestyle behaviour” and “conditions or diseases”. ANOVA was used to compare the mean difference between baseline and follow-up survey. Mixed Linear Models were used to examine the changes of MRFS across three CVD groups. Of a total of 113,039 participants, 18.5% participants had CVD at baseline and 31.7% had CVD at follow-up. Among three MRFS components, lifestyle behaviour risks increased dramatically for both men and women over their life-course. Compared to men, women had lower MRFS, but had a greater increase across their life-course. Men and women with a long-term CVD diagnosis had lower dietary risk scores compared with those with no CVD. Compared to men with no CVD, men with long-term CVD diagnosis had 0.39 (95% CI: 0.34; 0.44) higher total MRFS; compared to women with no CVD, women with long-term CVD diagnosis had a 0.31 (95% CI: 0.26; 0.36) higher total MRFS. Middle-aged and older women had a lower CVD risk than men but had an increased risk over their life-course. Lifestyle behaviour interventions for women need to be the focus in CVD prevention.
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Conference Title
Heart, Lung and Circulation
Volume
29
Issue
Supplement 2
Subject
Cardiorespiratory Medicine and Haematology
Public Health and Health Services