Cardiometabolic & kidneyCohort study

Differences in the association of lifestyle-related modifiable risk factors with incident cardiovascular disease between individuals with and without diabetes

Eur J Prev CardiolPublished

  • Retrospective cohort study
  • nationwide claims database
  • multivariable Cox regression

Authors' conclusion

Our analysis utilizing a nationwide epidemiological dataset presented that the relationship of lifestyle-related factors with incident CVD would be pronounced in people having diabetes

Study context

Population
Individuals in the JMDC Claims Database (median age 44 years, 57.5% men)173,262 (4.2%) with diabetes
Participants
4,132,006 individuals
Exposure
Diabetes vs Non-diabetes
  • Diabetesn = 173,262
Outcome
Incident CVD

Main finding

As reported in the abstract

Incident CVD per 1-point increase in non-ideal lifestyle-related factors
per 1-point increase in non-ideal lifestyle-related factors
Hazard ratio (95% CI)
Non-diabetes
1.03(1.03–1.04)
Diabetes
1.09(1.07–1.11)

Per 1-point increase in non-ideal lifestyle-related factors, as printed

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Incident CVD for increase of lifestyle-related factors after 1-year follow-up — Non-diabetes vs Non-diabetes1.02 (1.01–1.04)
Incident CVD for increase of lifestyle-related factors after 1-year follow-up — Diabetes vs Non-diabetes1.09 (1.04–1.13)
  • Incident cardiovascular disease (CVD) for increase of lifestyle-related factors after 1-year follow-up: interaction P 0.007

Original publication

Differences in the association of lifestyle-related modifiable risk factors with incident cardiovascular disease between individuals with and without diabetes. Eur J Prev Cardiol. Published 1 July 2024. doi:10.1093/eurjpc/zwae221

Summarised from the published abstract; every number is checked against it