Circulating Inflammatory and Hemostatic Biomarkers are Associated with All-Cause Death and Cancer Death in a Population of Community-Dwelling Japanese: The Tanushimaru Study

Background In patients with cardiovascular diseases, inflammatory and hemostatic biomarkers are significant indicators of prognosis. We investigated whether circulating inflammatory and hemostatic biomarkers were predictive markers for all-cause death and cancer death in a population of community-dw...

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Main Authors: Mika Enomoto, Hisashi Adachi, Ako Fukami, Ayako Yoshimura, Aya Obuchi, Sachiko Nakamura, Yume Nohara, Erika Nakao, Yoko Umeki, Kensuke Hori, Yoshihiro Fukumoto
Format: Article
Language:English
Published: SAGE Publishing 2014-01-01
Series:Clinical Medicine Insights: Cardiology
Online Access:https://doi.org/10.4137/CMC.S17065
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author Mika Enomoto
Hisashi Adachi
Ako Fukami
Ayako Yoshimura
Aya Obuchi
Sachiko Nakamura
Yume Nohara
Erika Nakao
Yoko Umeki
Kensuke Hori
Yoshihiro Fukumoto
author_facet Mika Enomoto
Hisashi Adachi
Ako Fukami
Ayako Yoshimura
Aya Obuchi
Sachiko Nakamura
Yume Nohara
Erika Nakao
Yoko Umeki
Kensuke Hori
Yoshihiro Fukumoto
author_sort Mika Enomoto
collection DOAJ
description Background In patients with cardiovascular diseases, inflammatory and hemostatic biomarkers are significant indicators of prognosis. We investigated whether circulating inflammatory and hemostatic biomarkers were predictive markers for all-cause death and cancer death in a population of community-dwelling Japanese. Methods We studied 1,920 healthy Japanese adults who underwent health examinations in 1999. Those who reported a history of inflammatory diseases and malignancy on a baseline questionnaire were excluded. Inflammatory and hemostatic biomarkers were measured in the remaining 1,862 participants, who were followed up periodically for 10 years. Multivariate proportional hazards regression analysis was used to estimate all-cause and cancer mortality. Results A total of 258 participants died during follow-up: 87 from cancer, 38 from cerebro-cardiovascular diseases, and 133 from other diseases. Mean C-reactive protein (CRP) levels at baseline were significantly higher in decedents than in survivors. Mean von Willebrand factor (vWF) levels at baseline were significantly higher in decedents than in survivors. The Cox proportional hazards model after adjustments for age and sex showed that CRP (hazard ratio [HR], 1.26; 95% confidence interval [CI], 1.06-1.51) and vWF (HR, 1.01; 95% CI, 1.00-1.01) were independent predictors of all-cause death. CRP (HR, 1.40; 95% CI, 1.06-1.86) and vWF (HR, 1.01; 95% CI, 1.00-1.02) were also independent predictive markers for cancer death. Conclusions Serum CRP and vWF were predictors of all-cause death and cancer death in the population of community dwelling Japanese.
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spelling doaj.art-4aa33fbe20bb4501ae7cc45f9c67f2d92022-12-21T18:22:12ZengSAGE PublishingClinical Medicine Insights: Cardiology1179-54682014-01-018s310.4137/CMC.S17065Circulating Inflammatory and Hemostatic Biomarkers are Associated with All-Cause Death and Cancer Death in a Population of Community-Dwelling Japanese: The Tanushimaru StudyMika Enomoto0Hisashi Adachi1Ako Fukami2Ayako Yoshimura3Aya Obuchi4Sachiko Nakamura5Yume Nohara6Erika Nakao7Yoko Umeki8Kensuke Hori9Yoshihiro Fukumoto10Department of Internal Medicine, Division of Cardio-Vascular Medicine.Department of Community Medicine, Kurume University School of Medicine, Kurume, Japan.Department of Internal Medicine, Division of Cardio-Vascular Medicine.Department of Internal Medicine, Division of Cardio-Vascular Medicine.Department of Internal Medicine, Division of Cardio-Vascular Medicine.Department of Internal Medicine, Division of Cardio-Vascular Medicine.Department of Internal Medicine, Division of Cardio-Vascular Medicine.Department of Internal Medicine, Division of Cardio-Vascular Medicine.Department of Community Medicine, Kurume University School of Medicine, Kurume, Japan.Department of Internal Medicine, Division of Cardio-Vascular Medicine.Department of Internal Medicine, Division of Cardio-Vascular Medicine.Background In patients with cardiovascular diseases, inflammatory and hemostatic biomarkers are significant indicators of prognosis. We investigated whether circulating inflammatory and hemostatic biomarkers were predictive markers for all-cause death and cancer death in a population of community-dwelling Japanese. Methods We studied 1,920 healthy Japanese adults who underwent health examinations in 1999. Those who reported a history of inflammatory diseases and malignancy on a baseline questionnaire were excluded. Inflammatory and hemostatic biomarkers were measured in the remaining 1,862 participants, who were followed up periodically for 10 years. Multivariate proportional hazards regression analysis was used to estimate all-cause and cancer mortality. Results A total of 258 participants died during follow-up: 87 from cancer, 38 from cerebro-cardiovascular diseases, and 133 from other diseases. Mean C-reactive protein (CRP) levels at baseline were significantly higher in decedents than in survivors. Mean von Willebrand factor (vWF) levels at baseline were significantly higher in decedents than in survivors. The Cox proportional hazards model after adjustments for age and sex showed that CRP (hazard ratio [HR], 1.26; 95% confidence interval [CI], 1.06-1.51) and vWF (HR, 1.01; 95% CI, 1.00-1.01) were independent predictors of all-cause death. CRP (HR, 1.40; 95% CI, 1.06-1.86) and vWF (HR, 1.01; 95% CI, 1.00-1.02) were also independent predictive markers for cancer death. Conclusions Serum CRP and vWF were predictors of all-cause death and cancer death in the population of community dwelling Japanese.https://doi.org/10.4137/CMC.S17065
spellingShingle Mika Enomoto
Hisashi Adachi
Ako Fukami
Ayako Yoshimura
Aya Obuchi
Sachiko Nakamura
Yume Nohara
Erika Nakao
Yoko Umeki
Kensuke Hori
Yoshihiro Fukumoto
Circulating Inflammatory and Hemostatic Biomarkers are Associated with All-Cause Death and Cancer Death in a Population of Community-Dwelling Japanese: The Tanushimaru Study
Clinical Medicine Insights: Cardiology
title Circulating Inflammatory and Hemostatic Biomarkers are Associated with All-Cause Death and Cancer Death in a Population of Community-Dwelling Japanese: The Tanushimaru Study
title_full Circulating Inflammatory and Hemostatic Biomarkers are Associated with All-Cause Death and Cancer Death in a Population of Community-Dwelling Japanese: The Tanushimaru Study
title_fullStr Circulating Inflammatory and Hemostatic Biomarkers are Associated with All-Cause Death and Cancer Death in a Population of Community-Dwelling Japanese: The Tanushimaru Study
title_full_unstemmed Circulating Inflammatory and Hemostatic Biomarkers are Associated with All-Cause Death and Cancer Death in a Population of Community-Dwelling Japanese: The Tanushimaru Study
title_short Circulating Inflammatory and Hemostatic Biomarkers are Associated with All-Cause Death and Cancer Death in a Population of Community-Dwelling Japanese: The Tanushimaru Study
title_sort circulating inflammatory and hemostatic biomarkers are associated with all cause death and cancer death in a population of community dwelling japanese the tanushimaru study
url https://doi.org/10.4137/CMC.S17065
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