Arrhythmias & electrophysiology

Interaction of genetic risk and lifestyle on the incidence of atrial fibrillation

HeartPublished Case-cohort study

Main finding · AF incidence per 1000 person-years, high genetic riskResult — go to the resultRelative excess risk due to interaction 0.86 95% CI 0.68–1.03

Authors' conclusion

The rates of AF increased gradually with worse lifestyle within each category of genetic risk. We found a positive interaction on an additive scale between genetic risk and lifestyle

Study context

Population
Danish Diet, Cancer and Health cohort; genetic risk score of 142 variants: low (quintile 1), intermediate (quintiles 2–4), high (quintile 5)3,094 atrial fibrillation (AF) cases
Exposure
Lifestyle by genetic risk
Outcome
Incident AF; interaction between lifestyle and genetic risk
Follow-up
Median 12.9 years
Methodological detailsrandomly drawn subcohort
  • Randomly drawn subcohort

Main finding

As reported in the abstract

AF incidence per 1000 person-years, high genetic risk

Relative excess risk due to interaction

0.86

95% CI 0.68–1.03

P < 0.001

By group

Observational data: associations, not effects.

Original publication

Interaction of genetic risk and lifestyle on the incidence of atrial fibrillation. Heart. Published 28 November 2023. doi:10.1136/heartjnl-2023-323333

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