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Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease logoLink to Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
. 2017 Dec 23;6(12):e004215. doi: 10.1161/JAHA.117.004215

Twenty‐Year Predictors of Peripheral Arterial Disease Compared With Coronary Heart Disease in the Scottish Heart Health Extended Cohort (SHHEC)

PMCID: PMC5778989  PMID: 31305790

Correction

In the article by Tunstall‐Pedoe, et al, “Twenty‐Year Predictors of Peripheral Arterial Disease Compared With Coronary Heart Disease in the Scottish Heart Health Extended Cohort (SHHEC),” which published online September 18, 2017, and appeared in the September 2017 issue of the journal (J Am Heart Assoc. 2017; 6:e005967. DOI: 10.1161/JAHA.117.005967), the results in Table 4 for Apolipoprotein A and Apolipoprotein B were inconsistent and incorrect between pages 8 and 9. The age‐adjusted hazard ratios on page 8 were correctly shown as their reciprocal for Apolipoprotein A and not so for Apoliporotein B. Those additionally adjusted for ASSIGN variables on page 9 erroneously showed Apolipoprotein B as the reciprocal and not Apolipoprotein A. The corrected Table is presented below with the hazard ratio for Apolipoprotein A shown as the reciprocal for both its appearances, and that for Apolipoprotein B not so for both.

Table 4.

Hazard Ratios and 95% Confidence Limits by Individual Factors for CHD and PAD, Adjusted First for Age and Then Additionally for ASSIGN Factors (Which are Excluded), for the Sexes Separately

Adjusted for Age Coronary Heart Disease Peripheral Arterial Disease
Men 1847 Women 1251 Men 291 Women 208
Personal
Age 1.57 (1.50; 1.65)* 1.84 (1.73; 1.95)* 1.75 (1.54; 1.99)* 1.96 (1.69; 2.28)*
Years of education R 1.16 (1.11; 1.22)* 1.32 (1.23; 1.43)* R 1.27 (1.11; 1.45)* 1.35 (1.12; 1.61)*
Family history CHD 1.45 (1.31; 1.60)* 1.69 (1.51; 1.89)* 1.57 (1.23; 2.01)* 1.48 (1.12; 1.95)*
SIMD score (SES) 1.18 (1.12; 1.23)* 1.30 (1.23; 1.37)* 1.48 (1.33; 1.65)* 1.56 (1.38; 1.77)*
ASSIGN CV risk score 1.44 (1.39; 1.50)* 1.50 (1.44; 1.56)* 1.76 (1.62; 1.92)* 1.79 (1.66; 1.93)*
Smoking
Current smoker Y/N 1.60 (1.46; 1.76)* 1.86 (1.66; 2.07)* 3.96 (3.01; 5.21)* 7.08 (5.07; 9.88)*
Cigs/day equivalent 1.29 (1.24; 1.34)* 1.40 (1.33; 1.48)* 1.68 (1.54; 1.82)* 2.01 (1.85; 2.19)*
Expired CO 1.26 (1.22; 1.31)* 1.28 (1.21; 1.34)* 1.61 (1.49; 1.73)* 1.88 (1.73; 2.04)*
Thiocyanate 1.28 (1.22; 1.34)* 1.30 (1.22; 1.37)* 2.05 (1.81; 2.33)* 2.44 (2.09; 2.85)*
Cotinine 1.33 (1.27; 1.38)* 1.37 (1.30; 1.44)* 1.76 (1.59; 1.95)* 2.09 (1.87; 2.34)*
Physical
Height R 1.15 (1.08; 1.22)* 1.28 (1.19; 1.41)* R 1.18 (1.01; 1.37)* 1.20 (0.98; 1.49)
Weight 1.14 (1.08; 1.20)* 1.21 (1.14; 1.28)* 0.93 (0.81; 1.07) 1.15 (0.99; 1.33)
Body mass index 1.24 (1.17; 1.30)* 1.24 (1.18; 1.29)* 0.99 (0.86; 1.14) 1.17 (1.04; 1.31)*
Waist circumference. 1.27 (1.19; 1.36)* 1.36 (1.27; 1.45)* 1.09 (0.93; 1.29) 1.37 (1.16; 1.61)*
Waist‐to‐hip ratio 1.16 (1.09; 1.22)* 1.27 (1.18; 1.37)* 1.14 (0.98; 1.33) 1.42 (1.17; 1.71)*
Systolic BP 1.23 (1.18; 1.29)* 1.26 (1.19; 1.32)* 1.47 (1.33; 1.63)* 1.44 (1.28; 1.61)*
Diastolic BP 1.19 (1.14; 1.25)* 1.19 (1.13; 1.26)* 1.18 (1.06; 1.32)* 1.12 (0.97; 1.29)
Pulse pressure 1.05 (1.02; 1.08)* 1.05 (1.02; 1.08)* 1.09 (1.05; 1.14)* 1.08 (1.03; 1.12)*
Pulse rate 1.09 (1.05; 1.13)* 1.09 (1.05; 1.13)* 1.23 (1.14; 1.34)* 1.23 (1.14; 1.34)*
Diabetes
Diabetes mellitus 2.26 (1.72; 2.96)* 3.24 (2.42; 4.32)* 6.31 (4.08; 9.76)* 7.39 (4.55; 12.00)*
Glucose (non‐fasting) 1.09 (1.04; 1.13)* 1.15 (1.09; 1.21)* 1.24 (1.17; 1.32)* 1.23 (1.13; 1.34)*
Insulin (non‐fasting) 1.07 (1.03; 1.10)* 1.15 (1.11; 1.19)* 1.06 (0.96; 1.16) 1.20 (1.12; 1.29)*
C‐peptide 1.05 (0.98; 1.13)* 1.01 (0.91; 1.12) 1.00 (0.86; 1.17) 0.98 (0.81; 1.18)
Lipids
Total cholesterol 1.30 (1.24; 1.36)* 1.23 (1.16; 1.29)* 1.13 (0.99; 1.28) 1.23 (1.07; 1.41)*
HDL cholesterol R 1.15 (1.09; 1.20)* 1.20 (1.14; 1.27)* R 1.02 (0.91; 1.15) 1.37 (1.15; 1.64)*
Non‐HDL cholesterol 1.36 (1.30; 1.43)* 1.31 (1.24; 1.38)* 1.14 (1.00; 1.28)* 1.37 (1.20; 1.56)*
LDL cholesterol 1.13 (1.08; 1.18)* 1.15 (1.09; 1.22)* 1.10 (0.98; 1.24) 1.11 (0.98; 1.26)
Triglycerides 1.30 (1.23; 1.36)* 1.45 (1.36; 1.55)* 1.26 (1.12; 1.42)* 1.85 (1.58; 2.18)*
Apolipoprotein A R 1.18 (1.12; 1.25)* 1.27 (1.19; 1.35)* R 1.20 (1.04; 1.39)* 1.28 (1.05; 1.54)*
Apolipoprotein B 1.38 (1.31; 1.46)* 1.29 (1.24; 1.35)* 1.28 (1.15; 1.44)* 1.35 (1.23; 1.50)*
Lipoprotein (a) 1.01 (0.97; 1.06) 1.10 (0.98; 1.24) 1.12 (0.94; 1.34) 1.59 (0.97; 2.61)
Inflammatory
hsC‐reactive protein 1.32 (1.24; 1.40)* 1.47 (1.37; 1.58)* 1.73 (1.53; 1.95)* 1.95 (1.70; 2.24)*
Fibrinogen 1.17 (1.12; 1.22)* 1.20 (1.13; 1.27)* 1.32 (1.23; 1.42)* 1.29 (1.15; 1.44)*
Homocysteine 1.16 (1.11; 1.21)* 1.14 (1.06; 1.22)* 1.20 (1.09; 1.32)* 1.22 (1.08; 1.39)*
Ferritin 1.04 (0.98; 1.11) 1.12 (1.01; 1.23)* 1.21 (0.97; 1.50) 1.26 (0.83; 1.91)
Cardiac
hsTroponin I 1.68 (1.39; 1.98)* 1.57 (1.41; 1.73)* 2.13 (1.12; 3.14)* 1.64 (1.04; 2.24)*
NT‐pro‐BNP 1.23 (1.17; 1.30)* 1.27 (1.17; 1.38)* 1.44 (1.27; 1.63)* 1.32 (1.07; 1.64)*
Diet related
25OH‐vitamin D raw R 1.19 (1.10; 1.28)* 1.16 (1.09; 1.25)* R 1.67 (1.43; 1.96)* 1.52 (1.14; 2.00)*
25OH‐vitamin D adj R 1.16 (1.09; 1.25)* 1.20 (1.11; 1.30)* R 1.61 (1.37; 1.89)* 1.59 (1.16; 2.17)*
Vitamin B12 1.03 (0.97; 1.09) 1.00 (0.94; 1.06) 1.07 (0.95; 1.21) 1.03 (0.90; 1.18)
Gamma glutamyl TF 1.17 (1.11; 1.23)* 1.27 (1.19; 1.35)* 1.32 (1.18; 1.48)* 1.54 (1.36; 1.76)*
Renal related
Uric Acid 1.02 (0.97; 1.09) 1.19 (1.11; 1.27)* 0.91 (0.78; 1.06) 1.21 (1.03; 1.42)*
Creatinine 0.99 (0.93; 1.06) 1.05 (0.97; 1.12) 0.99 (0.85; 1.15) 1.02 (0.82; 1.26)
Cystatin ‐C 1.20 (1.14; 1.26)* 1.14 (1.12; 1.17)* 1.26 (1.15; 1.40)* 1.17 (1.12; 1.23)*
Adjusted Additionally for ASSIGN Variables (Which are Omitted)
Coronary Heart Disease Peripheral Artery Disease
Men 1847 Women 1251 Men 291 Women 208
Personal
Years of education R 1.10 (1.04; 1.16)* 1.15 (1.08; 1.23)* R 1.11 (0.96; 1.28) 1.04 (0.87; 1.25)
Smoking
Expired CO 1.09 (1.03; 1.14)* 1.08 (1.01; 1.15)* 1.33 (1.20; 1.47)* 1.56 (1.40; 1.73)*
Thiocyanate 1.05 (0.99; 1.12) 1.07 (1.00; 1.15)* 1.63 (1.38; 1.92)* 1.94 (1.62; 2.32)*
Cotinine 1.18 (1.11; 1.27)* 1.19 (1.12; 1.28)* 1.42 (1.22; 1.66)* 1.72 (1.48; 1.99)*
Physical
Height R 1.08 (1.01; 1.14)* 1.16 (1.08; 1.27)* R 1.03 (0.89; 1.22) 1.00 (0.81; 1.23)
Weight 1.09 (1.04; 1.15)* 1.12 (1.05; 1.19)* 0.91 (0.80; 1.04) 1.03 (0.89; 1.19)
Body mass index 1.14 (1.09; 1.21)* 1.14 (1.09; 1.20)* 0.90 (0.79; 1.04) 1.02 (0.91; 1.15)
Waist circumference 1.17 (1.08; 1.26)* 1.20 (1.11; 1.30)* 0.97 (0.82; 1.15) 1.11 (0.93; 1.33)
Waist‐to‐hip ratio 1.07 (0.99; 1.16) 1.12 (1.02; 1.23)* 1.03 (0.87; 1.23) 1.17 (0.91; 1.51)
Diastolic BP 1.06 (1.00; 1.12)* 1.03 (0.97; 1.10) 0.91 (0.81; 1.03) 0.88 (0.78; 1.00)*
Pulse pressure R 1.11 (1.00; 1.23)* 1.09 (0.99; 1.20) R 0.99 (0.91; 1.09) 1.03 (0.94; 1.12)
Pulse rate 1.00 (0.96; 1.03) 1.00 (0.96; 1.03) 1.06 (0.97; 1.15) 1.06 (0.97; 1.15)
Diabetes
Glucose (non‐fasting) 1.03 (0.99; 1.07) 1.08 (1.03; 1.13)* 1.19 (1.10; 1.28)* 1.14 (1.04; 1.24)*
Insulin (non‐fasting) 1.05 (1.01; 1.08)* 1.09 (1.04; 1.14)* 1.04 (0.93; 1.16) 1.09 (0.98; 1.20)
C‐peptide 1.03 (0.98; 1.10) 1.01 (0.94; 1.08) 1.05 (0.93; 1.20) 1.01 (0.90; 1.13)
Lipids
LDL cholesterol R 1.00 (0.94; 1.05) 1.02 (0.95; 1.09) R 1.00 (0.88; 1.15) 1.04 (0.90; 1.20)
Triglycerides 1.12 (1.06; 1.18)* 1.15 (1.07; 1.24)* 1.08 (0.95; 1.22) 1.41 (1.19; 1.67)*
Apolipoprotein A R 1.11 (1.04; 1.18)* 1.18 (1.08; 1.27)* R 1.11 (0.93; 1.32) 1.12 (0.92; 1.37)
Apolipoprotein B 1.21 (1.11; 1.31)* 1.10 (1.02; 1.18)* 1.14 (0.96; 1.36) 1.15 (0.98; 1.36)
Lipoprotein (a) 1.01 (0.97; 1.05) 1.02 (0.93; 1.12) 1.13 (0.95; 1.33) 1.47 (0.89; 2.41)
Inflammatory
hsC‐reactive protein 1.17 (1.08; 1.26)* 1.28 (1.19; 1.38)* 1.41 (1.23; 1.62)* 1.57 (1.35; 1.82)*
Fibrinogen 1.09 (1.04; 1.14)* 1.09 (1.02; 1.16)* 1.21 (1.10; 1.34)* 1.12 (0.99; 1.27)
Homocysteine 1.10 (1.05; 1.14)* 1.05 (0.98; 1.13) 1.06 (0.96; 1.17) 1.08 (0.94; 1.25)
Ferritin 1.01 (0.95; 1.07) 1.03 (0.95; 1.12) 1.08 (0.90; 1.31) 1.07 (0.80; 1.43)
Cardiac
hsTroponin I 1.33 (1.14; 1.41)* 1.28 (1.16; 1.40)* 1.51 (0.79; 2.23) 1.24 (0.85; 1.63)
NT‐pro‐BNP 1.21 (1.15; 1.27)* 1.23 (1.13; 1.34)* 1.27 (1.13; 1.44)* 1.20 (0.97; 1.49)
Diet related
25OH‐vitamin D raw R 1.05 (0.99; 1.12) 1.04 (0.96; 1.11) R 1.35 (1.12; 1.61)* 1.16 (0.89; 1.54)
25OH‐vitamin D adj. R 1.06 (1.00; 1.14)* 1.02 (0.94; 1.09) R 1.28 (1.09; 1.52)* 1.20 (0.89; 1.61)
Vitamin B12 R 1.00 (0.93; 1.05)* 1.03 (0.97; 1.10) R 0.97 (0.85; 1.10) 0.99 (0.86; 1.14)
Gamma glutamyl TF 1.05 (1.00; 1.11)* 1.11 (1.03; 1.20)* 1.13 (1.00; 1.28)* 1.30 (1.13; 1.49)*
Renal related
Uric Acid 1.02 (0.96; 1.08) 1.08 (1.01; 1.16)* 0.96 (0.82; 1.13) 1.14 (0.96; 1.34)
Creatinine 1.03 (0.97; 1.10) 1.03 (0.96; 1.10) 1.09 (0.97; 1.22) 1.06 (0.87; 1.30)
Cystatin‐C 1.14 (1.09; 1.20)* 1.12 (1.07; 1.16)* 1.18 (1.07; 1.30)* 1.18 (1.10; 1.27)*

These are sex‐specific results equivalent to the sexes combined results in Table 3. Missing values are imputed using multiple imputation by chained equation (m=5, i=10). Hazard ratios are per standard deviation for continuous variables, some are log transformed (see Table 1). R‐Hazard ratios <1.0 are converted to their reciprocal to facilitate comparison (using CHD both sexes as the criterion from Table 3).

*Hazard ratios significant at 5%. ASSIGN risk score factors.

The publisher regrets the errors.

The online version of the article has been updated and is available at http://jaha.ahajournals.org/content/6/9/e005967

J Am Heart Assoc. 2017;6:e004215 DOI: 10.1161/JAHA.117.004215


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