Perceived health modifies the effect of biomedical risk factors in the prediction of acute myocardial infarction. An incident case–control study from northern Sweden
Objectives To assess the importance of biomedical risk factors, social factors and self‐reported health in the prediction of the first event of acute myocardial infarction (AMI) in an apparently healthy middle‐aged population. Design An incident case–control study. Setting The study was nested withi...
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crwiley:10.1046/j.1365-2796.1998.00201.x 2024-06-09T07:48:36+00:00 Perceived health modifies the effect of biomedical risk factors in the prediction of acute myocardial infarction. An incident case–control study from northern Sweden Weinehall Johnson Jansson Boman Huhtasaari Hallmans Dahlen Wall 1998 http://dx.doi.org/10.1046/j.1365-2796.1998.00201.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1365-2796.1998.00201.x https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2796.1998.00201.x en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Journal of Internal Medicine volume 243, issue 2, page 99-107 ISSN 0954-6820 1365-2796 journal-article 1998 crwiley https://doi.org/10.1046/j.1365-2796.1998.00201.x 2024-05-16T14:26:41Z Objectives To assess the importance of biomedical risk factors, social factors and self‐reported health in the prediction of the first event of acute myocardial infarction (AMI) in an apparently healthy middle‐aged population. Design An incident case–control study. Setting The study was nested within the Västerbotten Intervention Program and the Northern Sweden MONICA cohorts. Subjects The study consists of 78 AMI cases with two randomly selected controls per case from the same study cohorts. Results Significant odds ratios were found for history of diabetes, daily smoking, cholesterol, body–mass index, hypertension, lower education and perceived ill health. In multivariate logistic regression smoking, hypertension and cholesterol of ≥7.8 mmol L −1 remained significant. An interaction was observed between number of biomedical risk factors and perceived health. Conclusions Smoking, hypertension and hypercholesterolaemia explain a major share of incident AMI events in a Swedish middle‐aged population. The study further illustrates that perceived ill health negatively modifies the impact of these risk factors. Article in Journal/Newspaper Northern Sweden Wiley Online Library Journal of Internal Medicine 243 2 99 107 |
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Open Polar |
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Wiley Online Library |
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crwiley |
language |
English |
description |
Objectives To assess the importance of biomedical risk factors, social factors and self‐reported health in the prediction of the first event of acute myocardial infarction (AMI) in an apparently healthy middle‐aged population. Design An incident case–control study. Setting The study was nested within the Västerbotten Intervention Program and the Northern Sweden MONICA cohorts. Subjects The study consists of 78 AMI cases with two randomly selected controls per case from the same study cohorts. Results Significant odds ratios were found for history of diabetes, daily smoking, cholesterol, body–mass index, hypertension, lower education and perceived ill health. In multivariate logistic regression smoking, hypertension and cholesterol of ≥7.8 mmol L −1 remained significant. An interaction was observed between number of biomedical risk factors and perceived health. Conclusions Smoking, hypertension and hypercholesterolaemia explain a major share of incident AMI events in a Swedish middle‐aged population. The study further illustrates that perceived ill health negatively modifies the impact of these risk factors. |
format |
Article in Journal/Newspaper |
author |
Weinehall Johnson Jansson Boman Huhtasaari Hallmans Dahlen Wall |
spellingShingle |
Weinehall Johnson Jansson Boman Huhtasaari Hallmans Dahlen Wall Perceived health modifies the effect of biomedical risk factors in the prediction of acute myocardial infarction. An incident case–control study from northern Sweden |
author_facet |
Weinehall Johnson Jansson Boman Huhtasaari Hallmans Dahlen Wall |
author_sort |
Weinehall |
title |
Perceived health modifies the effect of biomedical risk factors in the prediction of acute myocardial infarction. An incident case–control study from northern Sweden |
title_short |
Perceived health modifies the effect of biomedical risk factors in the prediction of acute myocardial infarction. An incident case–control study from northern Sweden |
title_full |
Perceived health modifies the effect of biomedical risk factors in the prediction of acute myocardial infarction. An incident case–control study from northern Sweden |
title_fullStr |
Perceived health modifies the effect of biomedical risk factors in the prediction of acute myocardial infarction. An incident case–control study from northern Sweden |
title_full_unstemmed |
Perceived health modifies the effect of biomedical risk factors in the prediction of acute myocardial infarction. An incident case–control study from northern Sweden |
title_sort |
perceived health modifies the effect of biomedical risk factors in the prediction of acute myocardial infarction. an incident case–control study from northern sweden |
publisher |
Wiley |
publishDate |
1998 |
url |
http://dx.doi.org/10.1046/j.1365-2796.1998.00201.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1365-2796.1998.00201.x https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1365-2796.1998.00201.x |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Journal of Internal Medicine volume 243, issue 2, page 99-107 ISSN 0954-6820 1365-2796 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1046/j.1365-2796.1998.00201.x |
container_title |
Journal of Internal Medicine |
container_volume |
243 |
container_issue |
2 |
container_start_page |
99 |
op_container_end_page |
107 |
_version_ |
1801380372994326528 |