Abstract P402: Cardiovascular Diseases and Cancer: Is it Possible a Unique Prevention?
Background: Cardiovascular diseases (CVD) and cancer together cause more than 70% of all deaths. Both the pathologies are caused by the interaction of environmental, behavioral and genetic risk factors. For some recognized CVD risk factors (e.g. smoking and obesity) recent studies found a relation also with several cancers. It’s rare to find studies including both CVD and cancer, fatal and non fatal events.
Aim: To pool data from CVD longitudinal study and cancer register to investigate possible common risk factors and verify if cardiovascular favourable risk profile is protective also for cancer in order to implement common preventive strategies at population and individual level.
Methods: Men and women (ages 20–75 years) data from the Italian Progetto CUORE cohorts and from the Cancer Register implemented in the area of Latina, were pooled. Risk factors were measured and collected using the same standardized procedures and methodologies: body mass index (BMI), diabetes, metabolic syndrome (MS) (ATP-III definition), total and HDL cholesterol, triglycerides, systolic and diastolic blood pressure, smoking habit, alcohol consumption, educational level. In women, menopausal status and parity were included. Follow-up was conducted until December 2004 for both CVD and cancer, fatal and non fatal events. All Cox regression Hazard Ratios (HR) were adjusted by age, gender, educational level, and study.
Results: In 9752 persons (5153 women and 4599 men without cardiovascular events and cancer at baseline) 628 cancer events in men and 531 in women, 504 cardiovascular events in men and 274 in women were identified during a median f-u of 18 years. Smoking resulted significantly associated with cancer risk, also when adjusted by BMI, alcohol, and MS in men (current smokers HR=1.74). In women, MS was positively associated with cancer risk, but not significantly. Persons with favorable risk profile (no smoking, BMI<25 kg/m2, Total Cholesterol<200 mg/dl, Blood Pressure<120/80 mmHg, no diabetes) resulted at low risk for all cause, CVD and cancer mortality.
Conclusions: There are important common risk factors for cardiovascular diseases and cancers. People with favourable risk profile live longer and cost less to the Heath System. This could be a first step to identify and implement common preventive actions at population and individual level in order to reduce both cardiovascular and cancer diseases.
- © 2012 by American Heart Association, Inc.