Prediction of Coronary Artery Calcium in Young Adults Using the Pathobiological Determinants of Atherosclerosis in Youth (PDAY) Risk Score: The CARDIA Study Export

@article{citeulike:5990406, abstract = {Background Using data from autopsied young people aged 15 to 34 years, the Pathobiological Determinants of Atherosclerosis in Youth (PDAY) study developed a risk score based on age, sex, smoking status, high-density lipoprotein and non-high-density lipoprotein cholesterol levels, and the presence of obesity, hyperglycemia, and hypertension to predict advanced coronary artery atherosclerosis. Methods The Coronary Artery Risk Development in Young Adults (CARDIA) study assessed coronary artery calcium (CAC) by computed tomography in young adults participating in the 15-year examination. The PDAY risk score was calculated from risk factors measured at the CARDIA examinations at years 0, 5, 10, and 15. Results Odds ratios for amount of CAC (6 ordinal categories) for a 1-point increase in risk score computed from the modifiable risk factors ranged from 1.10 to 1.16 (all statistically significant). Odds ratios for presence of any amount of CAC ranged from 1.09 to 1.15 (all statistically significant), with the highest odds ratio for the risk score at year 0. An increase in risk score between years 0 and 15 increased the odds of CAC, and a decrease in risk score decreased the odds of CAC. A positive family history of cardiovascular disease increased the odds of CAC. The c statistics ranged from 0.752 to 0.770, with the highest discrimination based on the year 0 revised PDAY risk score that included family history and increased the points for the sex differential. Conclusion The PDAY risk score predicts CAC up to 15 years before its assessment, and risk score change during 15 years affects the risk of CAC. 10.1001/archinte.166.21.2341}, author = {Gidding, Samuel S. and McMahan, C. Alex and McGill, Henry C. and Colangelo, Laura A. and Schreiner, Pamela J. and Williams, O. Dale and Liu, Kiang}, citeulike-article-id = {5990406}, citeulike-linkout-0 = {http://dx.doi.org/10.1001/archinte.166.21.2341}, citeulike-linkout-1 = {http://archinte.ama-assn.org/content/166/21/2341.abstract}, citeulike-linkout-2 = {http://archinte.ama-assn.org/content/166/21/2341.full.pdf}, citeulike-linkout-3 = {http://view.ncbi.nlm.nih.gov/pubmed/17130387}, citeulike-linkout-4 = {http://www.hubmed.org/display.cgi?uids=17130387}, day = {27}, doi = {10.1001/archinte.166.21.2341}, journal = {Arch Intern Med}, keywords = {atherosclerosis}, month = {November}, number = {21}, pages = {2341--2347}, posted-at = {2009-10-22 22:44:58}, priority = {5}, title = {Prediction of Coronary Artery Calcium in Young Adults Using the Pathobiological Determinants of Atherosclerosis in Youth (PDAY) Risk Score: The CARDIA Study}, url = {http://dx.doi.org/10.1001/archinte.166.21.2341}, volume = {166}, year = {2006} }

TY - JOUR ID - citeulike:5990406 L3 - citeulike-article-id:5990406 N2 - Background Using data from autopsied young people aged 15 to 34 years, the Pathobiological Determinants of Atherosclerosis in Youth (PDAY) study developed a risk score based on age, sex, smoking status, high-density lipoprotein and non-high-density lipoprotein cholesterol levels, and the presence of obesity, hyperglycemia, and hypertension to predict advanced coronary artery atherosclerosis. Methods The Coronary Artery Risk Development in Young Adults (CARDIA) study assessed coronary artery calcium (CAC) by computed tomography in young adults participating in the 15-year examination. The PDAY risk score was calculated from risk factors measured at the CARDIA examinations at years 0, 5, 10, and 15. Results Odds ratios for amount of CAC (6 ordinal categories) for a 1-point increase in risk score computed from the modifiable risk factors ranged from 1.10 to 1.16 (all statistically significant). Odds ratios for presence of any amount of CAC ranged from 1.09 to 1.15 (all statistically significant), with the highest odds ratio for the risk score at year 0. An increase in risk score between years 0 and 15 increased the odds of CAC, and a decrease in risk score decreased the odds of CAC. A positive family history of cardiovascular disease increased the odds of CAC. The c statistics ranged from 0.752 to 0.770, with the highest discrimination based on the year 0 revised PDAY risk score that included family history and increased the points for the sex differential. Conclusion The PDAY risk score predicts CAC up to 15 years before its assessment, and risk score change during 15 years affects the risk of CAC. 10.1001/archinte.166.21.2341 IS - 21 JF - Arch Intern Med EP - 2347 TI - Prediction of Coronary Artery Calcium in Young Adults Using the Pathobiological Determinants of Atherosclerosis in Youth (PDAY) Risk Score: The CARDIA Study VL - 166 SP - 2341 KW - atherosclerosis AU - Gidding, Samuel AU - McMahan, Alex AU - McGill, Henry AU - Colangelo, Laura AU - Schreiner, Pamela AU - Williams, Dale AU - Liu, Kiang PY - 2006/11/27/ UR - http://dx.doi.org/10.1001/archinte.166.21.2341 ER -