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Published in: Journal of Public Health 1/2017

01-02-2017 | Original Article

The association of resting heart rate and mortality by gender in a rural adult Chinese population: a cohort study with a 6-year follow-up

Authors: Chengyi Han, Ming Zhang, Xinping Luo, Chongjian Wang, Junmei Zhou, Lu Zhang, Yongcheng Ren, Bingyuan Wang, Xiangyu Yang, Hongyan Zhang, Yang Zhao, Yanxia Shen, Dongting Wu, Chao Pang, Lei Yin, Tianping Feng, Dongsheng Hu, Jingzhi Zhao

Published in: Journal of Public Health | Issue 1/2017

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Abstract

Aim

Although previous studies have reported an association between resting heart rate (RHR) and cancer mortality, the association is contradictory. The relationship between RHR and disease-specific mortality has not been explored in the Chinese population. We examined this relationship in a rural adult Chinese population from a cohort study with a 6-year follow-up.

Subjects and methods

The RHR of a cohort of 20,069 participants was measured between July–August of 2007 and July–August of 2008, and 17,151 participants (85.5 %) were followed up between July–August of 2013 and July –October of 2014. Cox proportional hazards regression models were used to estimate hazard ratios (HRs) and 95 % confidence intervals (95 % CIs) for deaths due to all causes, cardiovascular disease (CVD), stroke, cancer, and other causes in RHR groups.

Results

Males and females with RHR ≥ 90 showed the highest all-cause mortality (33,27 and 1,226/100,000 person-years) and adjusted HR for all-cause deaths—2.20 (95 % CI 1.64–2.93) and 1.99 (1.43–2.77). A similar association was observed for deaths due to CVD, stroke and cancer (except for females), and other causes of mortality.

Conclusions

Elevated RHR may be an independent marker of all-cause, CVD and other causes of death for both sexes and stroke and cancer deaths for males.
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Metadata
Title
The association of resting heart rate and mortality by gender in a rural adult Chinese population: a cohort study with a 6-year follow-up
Authors
Chengyi Han
Ming Zhang
Xinping Luo
Chongjian Wang
Junmei Zhou
Lu Zhang
Yongcheng Ren
Bingyuan Wang
Xiangyu Yang
Hongyan Zhang
Yang Zhao
Yanxia Shen
Dongting Wu
Chao Pang
Lei Yin
Tianping Feng
Dongsheng Hu
Jingzhi Zhao
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 1/2017
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-016-0760-5

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