10.08.2016 | Original Article
The association of resting heart rate and mortality by gender in a rural adult Chinese population: a cohort study with a 6-year follow-up
Erschienen in: Journal of Public Health | Ausgabe 1/2017
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Aim
Although previous studies have reported an association between resting heart rate (RHR) and cancer mortality, the association is contradictory. The relationship between RHR and disease-specific mortality has not been explored in the Chinese population. We examined this relationship in a rural adult Chinese population from a cohort study with a 6-year follow-up.
Subjects and methods
The RHR of a cohort of 20,069 participants was measured between July–August of 2007 and July–August of 2008, and 17,151 participants (85.5 %) were followed up between July–August of 2013 and July –October of 2014. Cox proportional hazards regression models were used to estimate hazard ratios (HRs) and 95 % confidence intervals (95 % CIs) for deaths due to all causes, cardiovascular disease (CVD), stroke, cancer, and other causes in RHR groups.
Results
Males and females with RHR ≥ 90 showed the highest all-cause mortality (33,27 and 1,226/100,000 person-years) and adjusted HR for all-cause deaths—2.20 (95 % CI 1.64–2.93) and 1.99 (1.43–2.77). A similar association was observed for deaths due to CVD, stroke and cancer (except for females), and other causes of mortality.
Conclusions
Elevated RHR may be an independent marker of all-cause, CVD and other causes of death for both sexes and stroke and cancer deaths for males.
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