Table 2.
Baseline antecedents (at age 18–30 years) of subsequent heart failure among 2637 black CARDIA participants
| Cardiovascular risk factor at baseline | Bivariate models |
Multivariate model1 |
|||
|---|---|---|---|---|---|
| Hazard Ratio | p-value | Hazard Ratio | p-value | ||
| Age (years) (per SD, 3.8 years) | 1.5 (1.0–2.3) | 0.05 | |||
| Sex (% male) | 0.9 (0.4–2.0) | 0.81 | |||
| Education | Less than high school | 2.6 (1.0–7.2) | 0.06 | ||
| High school graduate | 1.4 (0.6–3.4) | 0.42 | |||
| More than high school | --- | --- | |||
| Diastolic blood pressure (mmHg)2 (per SD, 10.0 mmHg) | 2.5 (1.8–3.5) | < 0.001 | 2.1 (1.4–3.1) | <0.001 | |
| Systolic blood pressure (mmHg)2 (per SD, 10.9 mmHg) | 1.9 (1.4–2.6) | < 0.001 | |||
| Body mass index (kg/m2) (per SD, 5.7 kg/m2) | 2.0 (1.6–2.5) | < 0.001 | 1.4 (1.0–1.9) | 0.02 | |
| Diabetes | 6.7(2.0–22) | 0.002 | |||
| HDL cholesterol (mg/dL) (per SD, 13.3 mg/dL) | 0.4 (0.2–0.7) | < 0.001 | 0.6 (0.4–1.0) | 0.05 | |
| LDL cholesterol (mg/dL) (per SD, 32.4 mg/dL) | 1.1(0.7–1.6) | 0.70 | |||
| Chronic kidney disease | 13.8 (3.2–59) | < 0.001 | 19.8 (4.5–87) | < 0.001 | |
| Family history premature coronary disease | 1.6 (0.5–4.6) | 0.40 | |||
| Current tobacco use | 1.4 (0.6–3.1) | 0.41 | |||
| Excessive alcohol use | 0.9 (0.2–3.8) | 0.88 | |||
| Prior pregnancy (among women) | 1.3 (0.4–3.7) | 0.63 | |||
Variables selected by forward selection and retained if associated with heart failure at p<0.05
Systolic blood pressure and diastolic blood pressure are collinear. Each is significant in the multivariate models without the other present. When both are presented for forward selection (as they are in the multivariable models above) diastolic blood pressure is retained in the final model. Replacing diastolic blood pressure with systolic blood pressure would leave the hazard ratios for the other covariates unchanged; the adjusted HR for systolic blood pressure per 10.9 mmHg = 1.5, 95% CI 1.1–2.1, p=0.01