Association between coeliac disease and cardiovascular disease (CVD) outcomes, with progressive adjustments
Cases in participants with coeliac disease (n=2083) | Cases in participants with no coeliac disease (n=467 012) | Hazard ratio (95% CI) | P value | χ2 | |
All CVD disease: | |||||
Standard adjustments | 218 | 40 469 | 1.27 (1.11 to 1.45) | <0.001 | 11.1 |
Lifestyle factors | 218 | 40 469 | 1.27 (1.11 to 1.45) | <0.001 | 11.2 |
Major CVD risk factors | 218 | 40 469 | 1.44 (1.26 to 1.65) | <0.001 | 25.3 |
Ischaemic heart disease: | |||||
Standard adjustments | 182 | 33 374 | 1.30 (1.12 to 1.50) | <0.001 | 11.3 |
Lifestyle factors | 182 | 33 374 | 1.30 (1.12 to 1.50) | <0.001 | 11.2 |
Major CVD risk factors | 182 | 33 374 | 1.5 (1.30 to 1.75) | <0.001 | 26.5 |
Myocardial Infarction: | |||||
Standard adjustments | 70 | 12 783 | 1.34 (1.06 to 1.70) | 0.01 | 5.5 |
Lifestyle factors | 70 | 12 783 | 1.35 (1.07 to 1.71) | 0.01 | 5.8 |
Major CVD risk factors | 70 | 12 783 | 1.59 (1.25 to 2.01) | <0.001 | 12.7 |
Stroke: | |||||
Standard adjustments | 46 | 8813 | 1.13 (0.85 to 1.52) | 0.39 | 0.7 |
Lifestyle factor | 46 | 8813 | 1.15 (0.86 to 1.53) | 0.35 | 0.8 |
Major CVD risk factors | 46 | 8813 | 1.20 (0.89 to 1.60) | 0.23 | 1.4 |
Hazard ratios are progressively adjusted for a standard set of adjustments, lifestyle factors, and major CVD risk factors. Standard adjustments are for region, sex, Townsend deprivation index score, education, year of birth, year of recruitment and ethnicity, with age as underlying time variable; lifestyle factors adjustments are for physical activity, smoking, and alcohol consumption; and major cardiovascular risk factors adjustments are for body mass index, total cholesterol, glucose, blood pressure, antihypertensive medication, cholesterol lowering medication, family history of heart disease, and diabetes. CI=confidence interval.