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Conference Paper: Arthritis: its prevalence, risk factors, and association with cardiovascular diseases in the United States National Health and Nutrition Examination Survey 1999-2008

TitleArthritis: its prevalence, risk factors, and association with cardiovascular diseases in the United States National Health and Nutrition Examination Survey 1999-2008
Authors
KeywordsCardiovascular disease
Epidemiology
Risk factors
Population science
Issue Date2011
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://circ.ahajournals.org
Citation
The 2011 Scientific Sessions of the American Heart Association - World Congress of Cardiology (WCC 2011), Orlando, FL., 12-16 November 2011. In Circulation, 2011, v. 124 n. 21, suppl., abstract 11040 How to Cite?
AbstractINTRODUCTION: Arthritis is associated with cardiovascular diseases (CVDs). However, there are limited studies on arthritis in a national representative sample. We therefore investigated the prevalence of arthritis, and whether cardiovascular risk factors were associated with arthritis. The results show an interaction effect on the association of arthritis with CVDs. METHODS: Data from 15888 subjects aged 40 years in the United States National Health and Nutrition Examination Survey 1999-2008 were analyzed. RESULTS: The overall prevalence of self-reported arthritis increased from 33.5% in 1999-2000 to 37.0% in 2007-2008 (P for trend=0.016), especially in subjects aged 40-49 years, men, non-Hispanic whites, and obese subjects (P=0.045, 0.015, 0.016, and 0.017 respectively). Among subjects with arthritis in 1999-2008, 35.3% had osteoarthritis (OA), 17.9% had rheumatoid arthritis (RA), and 10.2% had other types of arthritis, but 36.6% were unaware of their type of arthritis. Risk factors such as age, gender, BMI, smoking, hypertension, education, alcohol drinking, total cholesterol, CRP, and biomarkers of liver injury were associated with OA, RA, or both. Being non-Hispanic black was associated with higher odds of RA, but lower odds of OA (both P<0.01). About 20.9% and 27.2% of subjects with OA and RA had self-reported CVDs (heart attack, congestive heart failure, coronary heart disease, angina, and/or stroke) respectively. OA was associated with CVDs (adjusted OR=1.57, P<0.001), especially angina (adjusted OR=2.26, P<0.001), and showed interaction with total cholesterol (P=0.032) with adjusted ORs for CVDs being 1.09, 1.37, 2.07, and 2.50 in subjects with total cholesterol in sex-specific quartiles 1, 2, 3, and 4 respectively. RA was associated CVDs (adjusted OR=2.39, P<0.001), especially congestive heart failure (adjusted OR=3.62, P<0.001) and showed interaction with HDL cholesterol (P=0.012) with adjusted ORs for CVDs being 2.06, 2.42, 2.28, and 3.12 in subjects with HDL cholesterol in sex-specific quartiles 1, 2, 3, and 4 respectively. CONCLUSION: The prevalence of arthritis has increased significantly in recent years. Patients with arthritis and their doctors should be aware of the increased risk of cardiovascular disease.
DescriptionCore 2. Epidemiology and Prevention of CV Disease: Physiology, Pharmacology and Lifestyle - Session Title: CVD, Risk Factors and Trends in Populations - abstract 11040
This journal supplement is Abstracts from Scientific Sessions of WCC 2011
Persistent Identifierhttp://hdl.handle.net/10722/165431
ISSN
2015 Impact Factor: 17.047
2015 SCImago Journal Rankings: 7.853

 

DC FieldValueLanguage
dc.contributor.authorOng, KLen_US
dc.contributor.authorWu, BJen_US
dc.contributor.authorCheung, BMYen_US
dc.contributor.authorBarter, PJen_US
dc.contributor.authorRye, KAen_US
dc.date.accessioned2012-09-20T08:18:13Z-
dc.date.available2012-09-20T08:18:13Z-
dc.date.issued2011en_US
dc.identifier.citationThe 2011 Scientific Sessions of the American Heart Association - World Congress of Cardiology (WCC 2011), Orlando, FL., 12-16 November 2011. In Circulation, 2011, v. 124 n. 21, suppl., abstract 11040en_US
dc.identifier.issn0009-7322-
dc.identifier.urihttp://hdl.handle.net/10722/165431-
dc.descriptionCore 2. Epidemiology and Prevention of CV Disease: Physiology, Pharmacology and Lifestyle - Session Title: CVD, Risk Factors and Trends in Populations - abstract 11040-
dc.descriptionThis journal supplement is Abstracts from Scientific Sessions of WCC 2011-
dc.description.abstractINTRODUCTION: Arthritis is associated with cardiovascular diseases (CVDs). However, there are limited studies on arthritis in a national representative sample. We therefore investigated the prevalence of arthritis, and whether cardiovascular risk factors were associated with arthritis. The results show an interaction effect on the association of arthritis with CVDs. METHODS: Data from 15888 subjects aged 40 years in the United States National Health and Nutrition Examination Survey 1999-2008 were analyzed. RESULTS: The overall prevalence of self-reported arthritis increased from 33.5% in 1999-2000 to 37.0% in 2007-2008 (P for trend=0.016), especially in subjects aged 40-49 years, men, non-Hispanic whites, and obese subjects (P=0.045, 0.015, 0.016, and 0.017 respectively). Among subjects with arthritis in 1999-2008, 35.3% had osteoarthritis (OA), 17.9% had rheumatoid arthritis (RA), and 10.2% had other types of arthritis, but 36.6% were unaware of their type of arthritis. Risk factors such as age, gender, BMI, smoking, hypertension, education, alcohol drinking, total cholesterol, CRP, and biomarkers of liver injury were associated with OA, RA, or both. Being non-Hispanic black was associated with higher odds of RA, but lower odds of OA (both P<0.01). About 20.9% and 27.2% of subjects with OA and RA had self-reported CVDs (heart attack, congestive heart failure, coronary heart disease, angina, and/or stroke) respectively. OA was associated with CVDs (adjusted OR=1.57, P<0.001), especially angina (adjusted OR=2.26, P<0.001), and showed interaction with total cholesterol (P=0.032) with adjusted ORs for CVDs being 1.09, 1.37, 2.07, and 2.50 in subjects with total cholesterol in sex-specific quartiles 1, 2, 3, and 4 respectively. RA was associated CVDs (adjusted OR=2.39, P<0.001), especially congestive heart failure (adjusted OR=3.62, P<0.001) and showed interaction with HDL cholesterol (P=0.012) with adjusted ORs for CVDs being 2.06, 2.42, 2.28, and 3.12 in subjects with HDL cholesterol in sex-specific quartiles 1, 2, 3, and 4 respectively. CONCLUSION: The prevalence of arthritis has increased significantly in recent years. Patients with arthritis and their doctors should be aware of the increased risk of cardiovascular disease.-
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://circ.ahajournals.org-
dc.relation.ispartofCirculationen_US
dc.rightsThis is a non-final version of an article published in final form in (provide complete journal citation)-
dc.subjectCardiovascular disease-
dc.subjectEpidemiology-
dc.subjectRisk factors-
dc.subjectPopulation science-
dc.titleArthritis: its prevalence, risk factors, and association with cardiovascular diseases in the United States National Health and Nutrition Examination Survey 1999-2008en_US
dc.typeConference_Paperen_US
dc.identifier.emailOng, KL: okl2000@hku.hken_US
dc.identifier.emailCheung, BMY: mycheung@hku.hk-
dc.identifier.authorityCheung, BMY=rp01321en_US
dc.identifier.hkuros208478en_US
dc.identifier.volume124-
dc.identifier.issue21, suppl.-
dc.publisher.placeUnited States-
dc.description.otherThe 2011 Scientific Sessions of the American Heart Association - World Congress of Cardiology (WCC 2011), Orlando, FL., 12-16 November 2011. In Circulation, 2011, v. 124 n. 21, suppl., abstract 11040-

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