Department of Population Health Sciences, Augusta University, Augusta, Georgia; Institute of Public and Preventive Health, Augusta University, Augusta, Georgia.
Department of Population Health Sciences, Augusta University, Augusta, Georgia; Institute of Public and Preventive Health, Augusta University, Augusta, Georgia.
Am J Cardiol. 2022 Sep 1;178:142-148. doi: 10.1016/j.amjcard.2022.05.027. Epub 2022 Jun 27.
With increasing prevalence, there is a growing population living with cardiovascular (CV) disease and cancer who are concurrently or at risk for developing these 2 disease states. We examined CV conditions and CV risk factors in cancer survivors in a cross-sectional analysis, using data from the 2019 Behavioral Risk Factor Surveillance System. Cancer survivors are more likely than participants without a cancer history to have multiple risk factors that increase their risk for CV disease and other chronic illnesses, including cigarette smoking, physical inactivity, and obesity. In contrast, cancer survivors are less likely to be heavy drinkers or to not consume fruits and vegetables. The odds of having a heart attack, coronary heart disease (CHD), diabetes, and hypertension were generally higher among cancer survivors. In multivariable analysis, the adjusted odds of having a heart attack, CHD, diabetes, hypertension, or high cholesterol were higher among cancer survivors than among participants without a history of cancer. Although the odds of obesity and physical inactivity were generally higher among cancer survivors across all socioeconomic status groups, the odds of having a heart attack or CHD were particularly high among Black and Hispanic cancer survivors and among younger participants. The odds of having diabetes were also higher among Black and Hispanic cancer survivors. In conclusion, cancer survivors are more likely than participants without a cancer history to have multiple risk factors that increase their risk of CV disease and other chronic illnesses, and they have a higher prevalence of heart attack, CHD, diabetes, and hypertension. Of particular concern are the higher prevalence of heart attack, CHD, and diabetes among Black and Hispanic cancer survivors.
随着发病率的增加，患有心血管疾病（CV）和癌症的人群不断增加，这些患者同时或有发展为这两种疾病的风险。我们使用 2019 年行为风险因素监测系统的数据进行了一项横断面分析，研究了癌症幸存者的 CV 状况和 CV 风险因素。与没有癌症病史的参与者相比，癌症幸存者更有可能同时存在多种增加 CV 疾病和其他慢性病风险的危险因素，包括吸烟、身体活动不足和肥胖。相比之下，癌症幸存者不太可能大量饮酒或不食用水果和蔬菜。癌症幸存者发生心脏病发作、冠心病（CHD）、糖尿病和高血压的几率通常更高。在多变量分析中，与没有癌症病史的参与者相比，癌症幸存者发生心脏病发作、CHD、糖尿病、高血压或高胆固醇的调整后几率更高。尽管在所有社会经济地位群体中，癌症幸存者的肥胖和身体活动不足的几率通常更高，但黑人或西班牙裔癌症幸存者以及年轻参与者发生心脏病或 CHD 的几率尤其高。黑人或西班牙裔癌症幸存者发生糖尿病的几率也更高。总之，与没有癌症病史的参与者相比，癌症幸存者更有可能同时存在多种增加 CV 疾病和其他慢性病风险的危险因素，并且心脏病发作、CHD、糖尿病和高血压的患病率更高。特别值得关注的是，黑人或西班牙裔癌症幸存者心脏病发作、CHD 和糖尿病的患病率更高。
