Prevention & lipids

Risk of incident cardiovascular disease among patients with gastrointestinal disorder: a prospective cohort study of 330 751 individuals

Eur Heart J Qual Care Clin OutcomesPublished Prospective cohort study

Main finding · Incident CVDResult — go to the resultHazard ratio 1.37 95% CI 1.34–1.41

Authors' conclusion

This large-scale prospective cohort study revealed the associations of GIs with an increased risk of incident CVD, in particular CHD and PAD.

Study context

Population
Individuals without baseline cardiovascular disease (CVD) from the UK Biobank cohort31,605 incident CVD cases
Participants
330,751 individuals
Exposure
GIs vs no GIs
Outcome
Incident CVD (coronary heart disease (CHD), cerebrovascular disease, heart failure (HF), peripheral artery disease (PAD))
Follow-up
Median 11.8 years
Methodological detailsUK Biobank
  • UK Biobank

Main finding

Incident CVD

Hazard ratio

1.37

95% CI 1.34–1.41

P < 0.001

GIsvs No GIs
HR 1.37 (95% CI 1.34–1.41); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

Incident CVD, by individual GI

11 of 15 GIs associated with increased CVD risk after Bonferroni correction: cirrhosis, non-alcoholic fatty liver disease, gastritis and duodenitis, irritable bowel syndrome, Barrett's esophagus, gastroesophageal reflux disease, peptic ulcer, celiac disease, diverticulum, appendicitis, biliary disease

Incident CVD, by sex, age and BMI (subgroups)

Associations stronger among women, individuals aged ≤60 years and those with BMI ≥25 kg/m²

Original publication

Risk of incident cardiovascular disease among patients with gastrointestinal disorder: a prospective cohort study of 330 751 individuals. Eur Heart J Qual Care Clin Outcomes. Published 30 September 2023. doi:10.1093/ehjqcco/qcad059

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