Thigh Circumference and Risk of All-Cause, Cardiovascular and Cerebrovascular Mortality: A Cohort Study
Chao-lei Chen,1,* Lin Liu,1,* Jia-yi Huang,1 Yu-ling Yu,1 Geng Shen,1 Kenneth Lo,1,2 Yu-qing Huang,1 Ying-qing Feng1 1Department of Cardiology, Hypertension Research Laboratory, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Pr...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2020-10-01
|
| Series: | Risk Management and Healthcare Policy |
| Subjects: | |
| Online Access: | https://www.dovepress.com/thigh-circumference-and-risk-of-all-cause-cardiovascular-and-cerebrova-peer-reviewed-article-RMHP |
| _version_ | 1818299304090009600 |
|---|---|
| author | Chen C Liu L Huang J Yu Y Shen G Lo K Huang Y Feng Y |
| author_facet | Chen C Liu L Huang J Yu Y Shen G Lo K Huang Y Feng Y |
| author_sort | Chen C |
| collection | DOAJ |
| description | Chao-lei Chen,1,* Lin Liu,1,* Jia-yi Huang,1 Yu-ling Yu,1 Geng Shen,1 Kenneth Lo,1,2 Yu-qing Huang,1 Ying-qing Feng1 1Department of Cardiology, Hypertension Research Laboratory, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, People’s Republic of China; 2Centre for Global Cardiometabolic Health, Department of Epidemiology, Brown University, Providence, RI, USA*These authors contributed equally to this workCorrespondence: Yu-qing Huang; Ying-qing Feng Department of Cardiology, Hypertension Research Laboratory, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular InstituteGuangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, No. 106, Zhongshan Second Road, Yuexiu District, Guangzhou 510080, People’s Republic of ChinaTel/Fax +86-20-83827812Email hyq513@126.com; 651792209@qq.comPurpose: The relationship between thigh circumference and all-cause and cause-specific mortality has not been consistent. We aimed to examine how thigh circumference associates with all-cause, cardiovascular, and cerebrovascular mortality among US adults.Patients and Methods: This cohort study included 19,885 US adults who participated in the 1999– 2006 National Health and Nutrition Examination Survey (NHANES) with thigh circumference being measured at baseline, and survival status was ascertained until 31 December 2015. We used Cox proportional hazards models to estimate adjusted hazard ratios (HRs) and 95% confidence intervals (CI) for mortality according to thigh circumference in quartiles. Kaplan–Meier survival curve and restricted cubic spline regression were performed to evaluate the prospective association. Finally, subgroup analyses by age, gender, body mass index (BMI), and medical history at baseline were conducted.Results: During a median follow-up of 11.9 years, 3513 cases of death, 432 death cases due to cardiovascular disease, and 143 death cases due to cerebrovascular disease have occurred. Multivariate Cox regression indicated that every 1cm increase in thigh circumference was related to 4% and 6% decreased risk of all-cause mortality and cardiovascular mortality, respectively. Compared to the reference group, the highest quartile of thigh circumference significantly decreased all-cause mortality by 21% (HR 0.79, 95% CI 0.62– 1.00, P< 0.05). However, the association of thigh circumference with cerebrovascular mortality was not significant. BMI was a significant effect modifier among individuals with a BMI of less than 25 kg/m2 (P< 0.0001).Conclusion: A low thigh circumference appears to be associated with increased risk of all-cause and cardiovascular mortality, but not cerebrovascular mortality.Keywords: thigh circumference, all-cause mortality, cardiovascular mortality, cerebrovascular mortality |
| first_indexed | 2024-12-13T04:49:05Z |
| format | Article |
| id | doaj.art-5e1b38a663bb42fe8b3daef6f4f778b7 |
| institution | Directory Open Access Journal |
| issn | 1179-1594 |
| language | English |
| last_indexed | 2024-12-13T04:49:05Z |
| publishDate | 2020-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Risk Management and Healthcare Policy |
| spelling | doaj.art-5e1b38a663bb42fe8b3daef6f4f778b72022-12-21T23:59:04ZengDove Medical PressRisk Management and Healthcare Policy1179-15942020-10-01Volume 131977198757870Thigh Circumference and Risk of All-Cause, Cardiovascular and Cerebrovascular Mortality: A Cohort StudyChen CLiu LHuang JYu YShen GLo KHuang YFeng YChao-lei Chen,1,* Lin Liu,1,* Jia-yi Huang,1 Yu-ling Yu,1 Geng Shen,1 Kenneth Lo,1,2 Yu-qing Huang,1 Ying-qing Feng1 1Department of Cardiology, Hypertension Research Laboratory, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, People’s Republic of China; 2Centre for Global Cardiometabolic Health, Department of Epidemiology, Brown University, Providence, RI, USA*These authors contributed equally to this workCorrespondence: Yu-qing Huang; Ying-qing Feng Department of Cardiology, Hypertension Research Laboratory, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular InstituteGuangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, No. 106, Zhongshan Second Road, Yuexiu District, Guangzhou 510080, People’s Republic of ChinaTel/Fax +86-20-83827812Email hyq513@126.com; 651792209@qq.comPurpose: The relationship between thigh circumference and all-cause and cause-specific mortality has not been consistent. We aimed to examine how thigh circumference associates with all-cause, cardiovascular, and cerebrovascular mortality among US adults.Patients and Methods: This cohort study included 19,885 US adults who participated in the 1999– 2006 National Health and Nutrition Examination Survey (NHANES) with thigh circumference being measured at baseline, and survival status was ascertained until 31 December 2015. We used Cox proportional hazards models to estimate adjusted hazard ratios (HRs) and 95% confidence intervals (CI) for mortality according to thigh circumference in quartiles. Kaplan–Meier survival curve and restricted cubic spline regression were performed to evaluate the prospective association. Finally, subgroup analyses by age, gender, body mass index (BMI), and medical history at baseline were conducted.Results: During a median follow-up of 11.9 years, 3513 cases of death, 432 death cases due to cardiovascular disease, and 143 death cases due to cerebrovascular disease have occurred. Multivariate Cox regression indicated that every 1cm increase in thigh circumference was related to 4% and 6% decreased risk of all-cause mortality and cardiovascular mortality, respectively. Compared to the reference group, the highest quartile of thigh circumference significantly decreased all-cause mortality by 21% (HR 0.79, 95% CI 0.62– 1.00, P< 0.05). However, the association of thigh circumference with cerebrovascular mortality was not significant. BMI was a significant effect modifier among individuals with a BMI of less than 25 kg/m2 (P< 0.0001).Conclusion: A low thigh circumference appears to be associated with increased risk of all-cause and cardiovascular mortality, but not cerebrovascular mortality.Keywords: thigh circumference, all-cause mortality, cardiovascular mortality, cerebrovascular mortalityhttps://www.dovepress.com/thigh-circumference-and-risk-of-all-cause-cardiovascular-and-cerebrova-peer-reviewed-article-RMHPthigh circumferenceall-cause mortalitycardiovascular mortalitycerebrovascular mortality |
| spellingShingle | Chen C Liu L Huang J Yu Y Shen G Lo K Huang Y Feng Y Thigh Circumference and Risk of All-Cause, Cardiovascular and Cerebrovascular Mortality: A Cohort Study Risk Management and Healthcare Policy thigh circumference all-cause mortality cardiovascular mortality cerebrovascular mortality |
| title | Thigh Circumference and Risk of All-Cause, Cardiovascular and Cerebrovascular Mortality: A Cohort Study |
| title_full | Thigh Circumference and Risk of All-Cause, Cardiovascular and Cerebrovascular Mortality: A Cohort Study |
| title_fullStr | Thigh Circumference and Risk of All-Cause, Cardiovascular and Cerebrovascular Mortality: A Cohort Study |
| title_full_unstemmed | Thigh Circumference and Risk of All-Cause, Cardiovascular and Cerebrovascular Mortality: A Cohort Study |
| title_short | Thigh Circumference and Risk of All-Cause, Cardiovascular and Cerebrovascular Mortality: A Cohort Study |
| title_sort | thigh circumference and risk of all cause cardiovascular and cerebrovascular mortality a cohort study |
| topic | thigh circumference all-cause mortality cardiovascular mortality cerebrovascular mortality |
| url | https://www.dovepress.com/thigh-circumference-and-risk-of-all-cause-cardiovascular-and-cerebrova-peer-reviewed-article-RMHP |
| work_keys_str_mv | AT chenc thighcircumferenceandriskofallcausecardiovascularandcerebrovascularmortalityacohortstudy AT liul thighcircumferenceandriskofallcausecardiovascularandcerebrovascularmortalityacohortstudy AT huangj thighcircumferenceandriskofallcausecardiovascularandcerebrovascularmortalityacohortstudy AT yuy thighcircumferenceandriskofallcausecardiovascularandcerebrovascularmortalityacohortstudy AT sheng thighcircumferenceandriskofallcausecardiovascularandcerebrovascularmortalityacohortstudy AT lok thighcircumferenceandriskofallcausecardiovascularandcerebrovascularmortalityacohortstudy AT huangy thighcircumferenceandriskofallcausecardiovascularandcerebrovascularmortalityacohortstudy AT fengy thighcircumferenceandriskofallcausecardiovascularandcerebrovascularmortalityacohortstudy |