Heart failure & cardiomyopathies

Population attributable risk of traditional, under-recognised and female-specific factors for heart failure in women

HeartPublished Cox regression models and population attributable fractions

Authors' conclusion

A combination of modifiable, psychosocial, environmental and reproductive risk factors accounts for two-thirds of HF cases in women. Tailored, life course-oriented prevention strategies are essential to reduce this burden.

Study context

Population
Women from the UK Biobankwomen, median follow-up 13.7 years
Participants
233,125 women
Comparison
22 risk factors grouped as well-established, under-recognised or female-specific, and their contribution to incident heart failure (HF)
Outcome
Incident HF
Follow-up
Median 13.7 years
Methodological detailsPopulation attributable fractions (PAFs), UK Biobank, stratified by age and obesity
  • PAFs
  • UK Biobank
  • Stratified by age and obesity

Main finding

As reported in the abstract

Women who developed HF

6077

Further findings

Share of HF cases by risk-factor domain

Overall PAF for all risk factors

Overall PAF
66.0%

Largest individual contribution: hypertension

Hypertension PAF
25.3%

Key reproductive drivers

Chronic inflammatory diseases, early age at menopause and early age at first birth were key reproductive drivers

Age-stratified HF burden

Highest HF burden in women aged 55-59 years (PAF)
70.0%

Original publication

Population attributable risk of traditional, under-recognised and female-specific factors for heart failure in women. Heart. Published 4 August 2025. doi:10.1136/heartjnl-2025-326345

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