Prevention & lipidsMeta-analysis

Regional and temporal differences in the associations between cardiovascular disease and its classic risk factors: an analysis of 49 cohorts from 11 European countries

Eur J Prev CardiolPublished

  • Pooled analysis of cohort studies
  • multicentre
  • 49 cohorts
  • 11 European countries
  • meta-regression

Authors' conclusion

The results demonstrate that all classic CVD risk factors are still relevant in Europe, irrespective of regional area.

Study context

Population
Individuals from 49 cohorts in 11 European countries (baseline 1982–2012)
Participants
553,818 individuals · 49 cohorts
Comparison
Cardiovascular disease (CVD) risk factor associations across European regions and over time
Outcome
CVD events:
  • CHD
  • Stroke
Follow-up
Maximum of 10 years

Pooled result

As reported in the abstract

Risk factor-CVD associations by region and by decade
Men: slightly higher HR in southern Europe vs other regions
P = 0.043 for overall difference
Diabetes: slightly lower HR in central Europe vs other regions
P = 0.022 for overall difference
HR decrease per decade, non-HDL cholesterol (per mmol/L)
7% (95% CI, 3-10%)
HR decrease per decade, SBP (per 20 mmHg)
4% (95% CI, 1-8%)
HR increase per decade, body mass index (BMI) (per 10 kg/m²)
7% (95% CI, 1-13%)

Original publication

Regional and temporal differences in the associations between cardiovascular disease and its classic risk factors: an analysis of 49 cohorts from 11 European countries. Eur J Prev Cardiol. Published 17 November 2023. doi:10.1093/eurjpc/zwad359

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