Free of clinically-apparent cardiovascular disease (n = 1096) | Has clinically-apparent cardiovascular disease (n = 303) | |||||||
---|---|---|---|---|---|---|---|---|
Robust (n = 341) | Pre-frail (n = 603) | Frail (n = 152) | p for trend* | Robust (n = 53) | Pre-frail (n = 168) | Frail (n = 82) | p for trend* | |
Age (years) | 77 (3.6) | 78 (4.5) | 81 (5.3) | < 0.0001 | 78 (4.4) | 78 (4.1) | 80 (5.4) | 0.003 |
Manual occupation | 146 (43%) | 263 (44%) | 73 (48%) | 0.37 | 25 (47%) | 74 (44%) | 46 (56%) | 0.20 |
Never smoked | 153 (45%) | 239 (40%) | 47 (31%) | 0.04 | 16 (30%) | 57 (34%) | 21 (26%) | 0.50 |
Long-term ex-smoker | 164 (48%) | 316 (52%) | 92 (61%) | 34 (64%) | 98 (58%) | 56 (68%) | ||
Recent ex-smoker | 13 (4%) | 26 (4%) | 9 (6%) | 3 (6%) | 6 (4%) | 2 (2%) | ||
Current smoker | 11 (3%) | 22 (4%) | 4 (3%) | 0 | 7 (4%) | 3 (4%) | ||
Physical measurements | ||||||||
Systolic blood pressure (mmHg) | 148 (18) | 147 (18) | 143 (20) | 0.07 | 145 (19) | 141 (20) | 136 (23) | 0.01 |
Diastolic blood pressure (mmHg) | 78 (11) | 77 (11) | 75 (12) | 0.10 | 75 (11) | 73 (11) | 69 (12) | 0.001 |
BMI < 20 kg/m2 | 3 (0.9%) | 13 (2%) | 6 (4%) | 0.007 | 0 | 3 (2%) | 6 (7%) | 0.01 |
BMI 20–24.9 kg/m2 | 118 (35%) | 162 (27%) | 41 (27%) | 17 (32%) | 36 (21%) | 16 (20%) | ||
BMI 25–29.9 kg/m2 | 174 (51%) | 311 (52%) | 76 (50%) | 28 (53%) | 92 *55%) | 38 (46%) | ||
BMI ≥ 30 kg/m2 | 46 (13%) | 117 (19%) | 29 (19%) | 9 (15%) | 37 (22%) | 22 (27%) | ||
Comorbidities | ||||||||
Mild cognitive impairment | 119 (35%) | 246 (41%) | 75 (49%) | 0.005 | 20 (38%) | 69 (41%) | 36 (44%) | 0.14 |
Severe cognitive impairment | 25 (7%) | 44 (7%) | 14 (9%) | 5 (9%) | 17 (10%) | 14 (17%) | ||
Diabetes mellitus | 42 (12%) | 83 (14%) | 36 (24%) | 0.007 | 10 (19%) | 34 (20%) | 21 (26%) | 0.30 |
eGFR | 77 (14) | 74 (18) | 69 (20) | < 0.0001 | 73 (16) | 68 (20) | 65 (19) | 0.05 |
Peripheral vascular disease | 2 (0.6%) | 24 (4%) | 7 (5%) | 0.006 | 2 (4%) | 8 (5%) | 10 (12%) | 0.03 |
Prior myocardial infarction | – | – | – | 37 (70%) | 114 (68%) | 50 (61%) | 0.24 | |
Heart failure | – | – | – | 9 (17%) | 37 (22%) | 34 (41%) | 0.0005 | |
Prior stroke | – | – | – | 14 (26%) | 49 (29%) | 27 (33%) | 0.40 | |
Total number of comorbidities (not including MI, HF or stroke) | ||||||||
Zero or one | 140 (41%) | 198 (33%) | 23 (15%) | < 0.0001 | 20 (38%) | 35 (21%) | 8 (10%) | < 0.0001 |
Two, three or four | 174 (51%) | 321 (56%) | 80 (53%) | 31 (58%) | 98 (58%) | 45 (55%) | ||
Five or more | 27 (8%) | 84 (14%) | 49 (32%) | 2 (4%) | 35 (21%) | 29 (35%) | ||
Taking five or more regular medications | 71 (21%) | 191 (32%) | 73 (48%) | < 0.0001 | 29 (55%) | 112 (67%) | 61 (74%) | 0.02 |
Inflammatory biomarkers | ||||||||
CRP (mg/L) | 1.0 (0.5–2.0) | 1.4 (0.7–3.1) | 1.9 (0.7–5.1) | < 0.0001† | 0.8 (0.3–1.9) | 1.5 (0.7–3.0) | 2.0 (0.7–5.2) | 0.0002† |
IL-6 (pg/mL) | 2.3 (1.5–3.4) | 3.1 (1.9–4.6) | 3.9 (2.2–6.2) | < 0.0001† | 2.7 (1.6–4.1) | 3.2 (1.8–4.7) | 4.6 (2.5–7.2) | < 0.0001† |
Coagulation biomarkers | ||||||||
tPA (ng/mL) | 8.3 (6.1–11) | 9.1 (6.7–12) | 10.0 (7.5–13) | < 0.0001† | 8.6 (6.6–10.8) | 9.5 (7.0–12.5) | 9.1 (6.4–12.8) | 0.36† |
D-dimer (ng/mL) | 198 (140–270) | 233 (158–314) | 263 (165–412) | < 0.0001† | 248 (143–337) | 239 (144–326) | 306 (218–434) | 0.03† |
Endothelial biomarkers | ||||||||
vWF (IU/dL) | 107 (79–133) | 119 (91–143) | 131 (101–177) | < 0.0001† | 120 (88–142) | 127 (91–177) | 144 (100–227) | 0.11† |
Cardiac biomarkers | ||||||||
hs-cTnT (pg/mL) | 8.4 (6.1–13) | 10.5 (7.2–15) | 15.0 (9.1–23) | < 0.0001† | 10 (6.5–16.4) | 11 (7.2–16.4) | 20 (12.8–32.5) | < 0.0001† |
NT-proBNP (pg/mL) | 87 (51–156) | 123 (64–244) | 198 (97–492) | < 0.0001† | 227 (115–516) | 196 (89–572) | 479 (162–1700) | 0.0001† |
Imaging | ||||||||
CIMT (mm) | 0.79 (0.2) | 0.80 (0.2) | 0.83 (0.2) | 0.001 | – | – | – | – |
cfPWV (m/s) | 9.9 (1.7) | 10.4 (1.6) | 10.5 (1.6) | 0.0002 | – | – | – | – |
DC (10−3 kPa) | 13.1 (4.1) | 12.1 (4.1) | 11.0 (3.6) | < 0.0001 | – | – | – | – |
ABPI < 0.9 | 65 (20%) | 142 (25%) | 40 (32%) | 0.007 | – | – | – | – |
ABPI > 1.4 | 10 (3%) | 10 (2%) | 2 (2%) | 0.20 | – | – | – | – |