Self-Rated Health and Standard Risk Factors for Myocardial Infarction: A Cohort Study

Abstract

Outcome measures: Cox regression analysis was used to estimate HRs for the end point of first non-fatal or fatal myocardial infarction. HR were adjusted for age, sex, systolic blood pressure, total cholesterol, smoking, diabetes, body mass index, education, physical activity and self-rated health in the categories very good; pretty good; somewhat good; pretty poor or poor.Results: In the cohort, 2062 persons were diagnosed with fatal or non-fatal myocardial infarction. Poor selfrated health adjusted for sex and age was associated with the outcome with HR 2.03 (95% CI 1.45 to 2.84). All categories of self-rated health worse than very good were statistically significant and showed a dose-response relationship. In a multivariable analysis with standard risk factors (not including physical activity and education) HR was attenuated to 1.61 (95% CI 1.13 to 2.31) for poor self-rated health. All categories of self-rated health remained statistically significant. We found no interaction between self-rated health and standard risk factors except for poor self-rated health and diabetes.Conclusions: This study supports the use of self-rated health as a standard risk factor among others for myocardial infarction. It remains to demonstrate whether self-rated health adds predictive value for myocardial infarction in combined algorithms with standard risk factors.

Self‐Reported Health and Outcomes in Patients With Stable Coronary Heart Disease

“…Meta‐analyses of smaller studies have also been consistent in reporting associations between poorer self‐reported health and cardiovascular and all‐cause mortality . In a large Swedish general population cohort, poorer self‐reported health was associated with a higher prevalance of multiple cardiovascular risk factors, and with an increased risk of myocardial infarction during follow‐up over ≈13 years …”

“…A number of large studies have evaluated associations between self‐reported health and mortality in general populations . In the UK Biobank cohort, which included nearly 500 000 volunteers and evaluated multiple clinical, biomarker, and genetic risk factors, self‐reported health was the strongest single predictor of all‐cause mortality in men and the third strongest mortality predictor in women after a cancer diagnosis and illness or injury .…”

“…Both psychosocial and conventional cardiovascular risk factors have been associated with self‐reported health in previous studies . In these studies, however, information on multiple covariates was more limited, and a detailed analysis of the relative importance of different factors was not undertaken.…”

Integrating a diet quality screener into a cardiology practice: assessment of nutrition counseling, cardiometabolic risk factors and patient/provider satisfaction

“…Single-item measures of self-rated health (box 1) are widely used as inexpensive tools that are powerful and consistent independent predictors of health outcomes 10 11. In a prospective cohort of over 75 000 Swedish adults, those with poor self-rated health were twice as likely to suffer from myocardial infarction compared with those with better self-rated health 12. A single-item self-rating of diet quality was positively associated with household availability of dark green vegetables and low-fat milk, and negatively associated with availability of sugary drinks and the frequency of fast-food and food-away-from-home consumption 13.…”

Self‐rated health in mothers of children hospitalised for severe illnesses and mothers of healthy children: cross‐sectional study

“…It has also been demonstrated that SRH is an independent predictor of 6-week mortality in older patients hospitalised for an acute condition (7). Poor SRH is associated with an increased incidence of diabetes (8), myocardial infarction (9) and stroke in patients without this disease in their medical history. Interestingly, poor SRH is not correlated with stroke-related mortality (10).…”