Cardiometabolic & kidney

Risk factor variability and cardiovascular risk among patients with diabetes: a nationwide observational study

Eur J Prev CardiolPublished Retrospective cohort study

Authors' conclusion

Combined high variability of two risk factors, particularly body weight and blood pressure, is associated with cardiovascular risk among patients with T2DM.

Study context

Population
People with T2DM without cardiovascular disease (CVD) at baseline and with at least five risk-factor measurements
Participants
29,471 people
Exposure
Recursive partitioning and amalgamation (RECPAM) risk classes defined by risk-factor variability vs low variability of both body weight and total cholesterol
Outcome
MI, stroke and all-cause mortality
Follow-up
4.80 (2.40-6.70) years following the exposure phase
Methodological detailsnationwide, registry-derived
  • Nationwide
  • Registry-derived

Main finding

As reported in the abstract

Each group vs class 1Hazard ratio (95% CI)
Class 6
1.81(1.61–2.05)
Class 5
1.57(1.28–1.68)
Class 4
1.33(1.20–1.49)
Class 3
1.12(1.00–1.25)
Class 2
1.14(1.00–1.30)

Observational data: associations, not effects.

Original publication

Risk factor variability and cardiovascular risk among patients with diabetes: a nationwide observational study. Eur J Prev Cardiol. Published 10 March 2023. doi:10.1093/eurjpc/zwad072

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