Cognitive ability, lifestyle risk factors, and two-year survival in first myocardial infarction men: A Swedish National Registry study

Wallert, John; Madison, Guy; Held, Claes; Olsson, Erik

doi:10.1016/j.ijcard.2016.12.144

Cited by 6 publications

(3 citation statements)

References 36 publications

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“…Results of our study con rm that new CVD events are associated with diabetes mellitus, arterial hypertension, obesity, higher levels of systolic and diastolic blood pressure, triglycerides, fasting glucose level and lower HDL cholesterol level. It is believed that cognitive functions may take a signi cant part in the accumulation of cardiovascular risk factors [24]. As cognitive decline is being associated with hypertension, diabetes, obesity, dyslipidaemia [25].…”

Section: Discussionmentioning

confidence: 99%

Lowered Cognitive Function and the Risk of the First Events of Cardiovascular Diseases: Findings from the Cohort Study in Lithuania

Lukšienė

Sapranaviciute-Zabazlajeva

Tamošiūnas

et al. 2021

Preprint

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Background: The purpose of this prospective cohort study was to examine whether the level of cognitive function at the baseline expressed as a cognitive function composite score and score of specific domains predict the risk of first cardiovascular diseases (CVD) events in the middle-aged and older population.Methods: 7,087 participants, men and women aged 45-72 years, were assessed in the baseline survey of the Health Alcohol Psychosocial Factors in Eastern Europe (HAPIEE) study in 2006–2008 in Kaunas city, Lithuania. During 10 years of follow-up, the risk of first non-fatal events of CVD and death from CVD (excluding those participants with a documented history of CVD and/or ischemic heart disease (IHD) diagnosed at baseline survey) was evaluated. Results: During the follow-up, there were 156 deaths from CVD (49 women and 107 men) and 464 first non-fatal CVD events (195 women and 269 men) registered. The total number of first CVD events was 620 (11.5%). After adjustment for sociodemographic factors, biological and lifestyle risk factors, and illnesses, a decrease per 1 standard deviation in different cognitive function scores significantly increased risk of the first event of CVD (immediate verbal recall score - by 17% in men and 32% in women; delayed verbal recall score – by 17% in men and 24% in women; and a composite score of cognitive function – by 15% in men and 29% in women). Kaplan-Meier survival curves for the probability of the first cardiovascular event according to the categories of a composite score of cognitive function, revealed that the lowered cognitive function predicts a higher probability of the events compared to normal cognitive function (p < 0.05).Conclusions: The findings of this follow-up study suggest that men and women with lower cognitive functions have an increased risk for the first event of CVD compared to participants with a higher level of cognitive functions.

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Section: Discussionmentioning

confidence: 99%

Lowered Cognitive Function and the Risk of the First Events of Cardiovascular Diseases: Findings from the Cohort Study in Lithuania

Lukšienė

Sapranaviciute-Zabazlajeva

Tamošiūnas

et al. 2021

Preprint

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“…Despite these statistical control efforts, there may be remaining unobserved heterogeneity between the two groups causing differences in goal attainment. One such possible residual confounder is the patients' cognitive ability [30,31], however, much of such confounding from cognitive ability is controlled for indirectly through matching that included the three major SES covariates educational attainment, income, and occupation status. It is also possible that patients with DM have additional risk factors and comorbidities, including a less healthy diet, greater alcohol consumption, greater stress, greater inflammation, small vessels disease, clotting factors, infarct location, infarct severity and more that are not measured directly in the present study.…”

Section: Limitations and Strengthsmentioning

confidence: 99%

Cardiac rehabilitation goal attainment after myocardial infarction with versus without diabetes: A nationwide registry study

Wallert

Mitchell

Held

et al. 2019

International Journal of Cardiology

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Background: Patients with first-time myocardial infarction (MI) and diabetes mellitus (DM) constitute a vulnerable subgroup of cardiovascular (CV) patients for which secondary prevention is particularly important. We investigated if patients with versus without DM differ in attaining four main lifestyle-related cardiac rehabilitation (CR) targets, one-year post-MI. Methods: This national cohort study (2006-2015) identified individuals with and without DM at hospital admission in the Swedish cardiac registry, SWEDEHEART. CR goal attainment was assessed one year later. The study population included 47,907 unique patients with first-time MI b75 years at baseline (61.8 mean age, 26.7% women, 14.6% with DM). After imputation, propensity score matching was performed. Analyses were conducted with logistic regression. Results: In the matched population, having DM was associated (OR [95% CI]) with lower odds of attaining the oneyear post-MI CR goal for both smoking cessation (0.90 [0.81, 0.99]) and attendance in exercise training (0.88 [0.83, 0.95]), yet with higher odds of the b1.8 mmol LDL-C target (1.28 [1.19, 1.36]), and similar odds for the b140 mm Hg systolic blood pressure target (0.97 [0.91, 1.04]). In addition, women with DM were particularly unlikely to attend exercise training. Conclusions: Patients with first-time MI and DM are less likely to attain two of four selected CR goals compared to those without DM. The particularly low exercise training attendance by women with DM is of concern. Possibilities for tailored interventions targeting behavioural change for this high-risk group, including focused efforts to increase exercise training attendance in women with DM, should be investigated.

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“…Behavioural changes following an MI are critical for addressing the risk of future morbidity and mortality (Gaalema, Elliott, Morford, Higgins, & Ades, ). Adherence to secondary prevention guidelines that include the modification of lifestyle behaviours such as quitting smoking, improving diet and increasing moderate physical activity can significantly reduce the risk of recurrent events or deaths after MI (Sharifi, Eftekhari, Ostovan, & Rezaianazadeh, ; Wallert, Madison, Held, & Olsson, ).…”

Section: Introductionmentioning

confidence: 99%

The dissimilarity between myocardial infarction patients’ and spouses’ illness perception and its relation to patients’ lifestyle

Qin

Chen

Suo

et al. 2020

Journal of Clinical Nursing

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Aim and objectives To examine the dissimilarity between Chinese myocardial infarction (MI) patients’ and spouses’ illness perceptions (IPs), and to explore the relationship between patients’ IP, differences in couples’ IP and patients’ lifestyle after discharge. Background An individual's IP is affected and moderated by several factors, including the social context. One of the most influential members of the social network of patients is the spouse. Design Cross‐sectional design. Methods From April 2016–April 2017, 111 MI patients and their spouses were recruited. Before discharge from hospital, revised Illness Perception Questionnaire was administered to MI patients and their spouses separately. Two months after discharge, patients’ lifestyle was assessed using Health Promoting Lifestyle Profile II. The manuscript was organised according to STROBE guidelines. Results Spouses were more likely to believe that the illness would last for a long time, and patients perceived MI as being more controllable than their spouses did. The patient–spouse dissimilarity in the perception of consequences was negatively correlated with both nutrition and stress control behaviours. Patients in couples with more dissimilar perception of environmental factors as a cause were more likely to choose a healthy diet, while patients in couples with more dissimilar perceived treatment control were more able to control stress. Conclusion There are both similarities and dissimilarities between MI patients’ and spouses’ IP, and these dissimilarities contributed the majority of the explained variance in patients’ lifestyle after discharge. Relevance to clinical practice We should consider both couples when examining how a patient copes with a chronic illness.

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Cognitive ability, lifestyle risk factors, and two-year survival in first myocardial infarction men: A Swedish National Registry study

Cited by 6 publications

References 36 publications

Lowered Cognitive Function and the Risk of the First Events of Cardiovascular Diseases: Findings from the Cohort Study in Lithuania

Lowered Cognitive Function and the Risk of the First Events of Cardiovascular Diseases: Findings from the Cohort Study in Lithuania

Cardiac rehabilitation goal attainment after myocardial infarction with versus without diabetes: A nationwide registry study

The dissimilarity between myocardial infarction patients’ and spouses’ illness perception and its relation to patients’ lifestyle

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