Ten-year cardiovascular risk among cancer survivors: The National Health and Nutrition Examination Survey

Cancer survivors have a higher risk of developing and dying from cardiovascular disease (CVD) compared to the general population. We sought to determine whether 10-year risk of atherosclerotic CVD (ASCVD) is elevated among those with vs. without a cancer history in a nationally representative U.S. s...

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Published in:PloS one 2021-03, Vol.16 (3), p.e0247919
Main Authors: Zhang, Xiaochen, Pawlikowski, Meghan, Olivo-Marston, Susan, Williams, Karen Patricia, Bower, Julie K, Felix, Ashley S
Format: Article
Language:English
Subjects:
Adult
Age
Aged
Angina
Blood pressure
Cancer
Cancer Survivors
Cancer therapies
Cardiomyopathy
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - etiology
Cerebral infarction
Children
Complications and side effects
Congestive heart failure
Coronary artery
Coronary artery disease
Data analysis
Demographic aspects
Diabetes
Diet
Dietary intake
Editing
Epidemiology
Female
Food intake
Health risks
Heart attacks
Heart Disease Risk Factors
Heart diseases
Heart failure
Humans
Male
Malignancy
Marital status
Medical diagnosis
Medical personnel
Medicine and Health Sciences
Methodology
Middle Aged
Missing data
Myocardial infarction
Neoplasms - complications
Nursing
Nutrition
Nutrition research
Ovarian cancer
Physical activity
Physiological aspects
Population
Poverty
Prostate
Prostate cancer
Public health
Questionnaires
Reviews
Risk factors
Self Report
Stroke
Surveys and Questionnaires
Survival
Testicular cancer
Uterine cancer
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creator Zhang, Xiaochen
Pawlikowski, Meghan
Olivo-Marston, Susan
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Felix, Ashley S
description Cancer survivors have a higher risk of developing and dying from cardiovascular disease (CVD) compared to the general population. We sought to determine whether 10-year risk of atherosclerotic CVD (ASCVD) is elevated among those with vs. without a cancer history in a nationally representative U.S. sample. Participants aged 40-79 years with no CVD history were included from the 2007-2016 National Health and Nutrition Examination Survey. Cancer history was self-reported and 10-year risk of ASCVD was estimated using Pooled Cohort Equations. We used logistic regression to estimate associations between cancer history and odds of elevated (≥7.5%) vs. low (
doi_str_mv 10.1371/journal.pone.0247919
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We sought to determine whether 10-year risk of atherosclerotic CVD (ASCVD) is elevated among those with vs. without a cancer history in a nationally representative U.S. sample. Participants aged 40-79 years with no CVD history were included from the 2007-2016 National Health and Nutrition Examination Survey. Cancer history was self-reported and 10-year risk of ASCVD was estimated using Pooled Cohort Equations. We used logistic regression to estimate associations between cancer history and odds of elevated (≥7.5%) vs. low (&lt;7.5%) 10-year ASCVD risk. An interaction between age and cancer history was examined. A total of 15,095 participants were included (mean age = 55.2 years) with 12.3% (n = 1,604) reporting a cancer history. Individuals with vs. without a cancer history had increased odds of elevated 10-year ASCVD risk (OR = 3.42, 95% CI: 2.51-4.66). 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We sought to determine whether 10-year risk of atherosclerotic CVD (ASCVD) is elevated among those with vs. without a cancer history in a nationally representative U.S. sample. Participants aged 40-79 years with no CVD history were included from the 2007-2016 National Health and Nutrition Examination Survey. Cancer history was self-reported and 10-year risk of ASCVD was estimated using Pooled Cohort Equations. We used logistic regression to estimate associations between cancer history and odds of elevated (≥7.5%) vs. low (&lt;7.5%) 10-year ASCVD risk. An interaction between age and cancer history was examined. A total of 15,095 participants were included (mean age = 55.2 years) with 12.3% (n = 1,604) reporting a cancer history. Individuals with vs. without a cancer history had increased odds of elevated 10-year ASCVD risk (OR = 3.42, 95% CI: 2.51-4.66). 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ASCVD risk assessment and clinical surveillance of cardiovascular health following a cancer diagnosis could potentially reduce disease burden and prolong survival, especially for patients with specific cancers and high ASCVD risk.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Angina</subject><subject>Blood pressure</subject><subject>Cancer</subject><subject>Cancer Survivors</subject><subject>Cancer therapies</subject><subject>Cardiomyopathy</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cerebral infarction</subject><subject>Children</subject><subject>Complications and side effects</subject><subject>Congestive heart failure</subject><subject>Coronary artery</subject><subject>Coronary artery disease</subject><subject>Data analysis</subject><subject>Demographic aspects</subject><subject>Diabetes</subject><subject>Diet</subject><subject>Dietary intake</subject><subject>Editing</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Food intake</subject><subject>Health risks</subject><subject>Heart attacks</subject><subject>Heart Disease Risk Factors</subject><subject>Heart diseases</subject><subject>Heart failure</subject><subject>Humans</subject><subject>Male</subject><subject>Malignancy</subject><subject>Marital status</subject><subject>Medical diagnosis</subject><subject>Medical personnel</subject><subject>Medicine and Health Sciences</subject><subject>Methodology</subject><subject>Middle Aged</subject><subject>Missing data</subject><subject>Myocardial infarction</subject><subject>Neoplasms - complications</subject><subject>Nursing</subject><subject>Nutrition</subject><subject>Nutrition research</subject><subject>Ovarian cancer</subject><subject>Physical activity</subject><subject>Physiological 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cardiovascular risk among cancer survivors: The National Health and Nutrition Examination Survey</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-03-04</date><risdate>2021</risdate><volume>16</volume><issue>3</issue><spage>e0247919</spage><pages>e0247919-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Cancer survivors have a higher risk of developing and dying from cardiovascular disease (CVD) compared to the general population. We sought to determine whether 10-year risk of atherosclerotic CVD (ASCVD) is elevated among those with vs. without a cancer history in a nationally representative U.S. sample. Participants aged 40-79 years with no CVD history were included from the 2007-2016 National Health and Nutrition Examination Survey. Cancer history was self-reported and 10-year risk of ASCVD was estimated using Pooled Cohort Equations. We used logistic regression to estimate associations between cancer history and odds of elevated (≥7.5%) vs. low (&lt;7.5%) 10-year ASCVD risk. An interaction between age and cancer history was examined. A total of 15,095 participants were included (mean age = 55.2 years) with 12.3% (n = 1,604) reporting a cancer history. Individuals with vs. without a cancer history had increased odds of elevated 10-year ASCVD risk (OR = 3.42, 95% CI: 2.51-4.66). Specifically, those with bladder/kidney, prostate, colorectal, lung, melanoma, or testicular cancer had a 2.72-10.47 higher odds of elevated 10-year ASCVD risk. Additionally, age was an effect modifier: a cancer history was associated with 1.24 (95% CI: 1.19-4.21) times higher odds of elevated 10-year ASCVD risk among those aged 60-69, but not with other age groups. Adults with a history of self-reported cancer had higher 10-year ASCVD risk. ASCVD risk assessment and clinical surveillance of cardiovascular health following a cancer diagnosis could potentially reduce disease burden and prolong survival, especially for patients with specific cancers and high ASCVD risk.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33661978</pmid><doi>10.1371/journal.pone.0247919</doi><tpages>e0247919</tpages><orcidid>https://orcid.org/0000-0003-3086-1285</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Age
Aged
Angina
Blood pressure
Cancer
Cancer Survivors
Cancer therapies
Cardiomyopathy
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - etiology
Cerebral infarction
Children
Complications and side effects
Congestive heart failure
Coronary artery
Coronary artery disease
Data analysis
Demographic aspects
Diabetes
Diet
Dietary intake
Editing
Epidemiology
Female
Food intake
Health risks
Heart attacks
Heart Disease Risk Factors
Heart diseases
Heart failure
Humans
Male
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title Ten-year cardiovascular risk among cancer survivors: The National Health and Nutrition Examination Survey
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