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Heart rate and risk of cancer death in healthy men
Xavier Jouven1, Sylvie Escolano, David Celermajer
1INSERM PARCC University Paris Descartes UMR-S970, Paris, France. xavier.jouven@inserm.fr
Insights
Higher resting and exercise heart rate are linked to increased cancer mortality risk in men. This study highlights heart rate as a significant predictor of cancer death, even after accounting for other risk factors.
Area of Science:
- Cardiology
- Oncology
- Epidemiology
Background:
- Previous studies suggest a link between heart rate and non-cardiac mortality.
- This research systematically investigates heart rate's predictive value for cancer mortality.
Purpose of the Study:
- To determine if resting and exercise heart rate parameters predict cancer mortality.
- To assess the association between heart rate variability and cancer death risk.
Main Methods:
- Analysis of data from 6101 French working men (aged 42-53) in the Paris Prospective Study I.
- Measurement of resting heart rate, heart rate during exercise, recovery heart rate, and change in resting heart rate over 5 years.
- 25-year follow-up for mortality, including 758 cancer deaths, with adjustments for age, tobacco, and cardiovascular risk factors.
Main Results:
- Strong, graded, and significant associations found between all heart rate parameters and cancer deaths.
- Men in the highest quartile of resting heart rate had a 2.4-fold increased risk of cancer death (p<0.0001) after adjustments.
- Poor heart rate increase during exercise, poor decrease during recovery, and greater heart rate increase over time were also significantly linked to cancer death (p<0.0001 for all).
Conclusions:
- Resting and exercise heart rate show consistent, graded, and highly significant associations with subsequent cancer mortality in men.
- Heart rate parameters are significant predictors of cancer mortality, independent of traditional cardiovascular risk factors.
Background:
Data from several previous studies examining heart-rate and cardiovascular risk have hinted at a possible relationship between heart-rate and non-cardiac mortality. We thus systematically examined the predictive value of heart-rate variables on the subsequent risk of death from cancer.
Methods:
In the Paris Prospective Study I, 6101 asymptomatic French working men aged 42 to 53 years, free of clinically detectable cardiovascular disease and cancer, underwent a standardized graded exercise test between 1967 and 1972. Resting heart-rate, heart-rate increase during exercise, and decrease during recovery were measured. Change in resting heart-rate over 5 years was also available in 5139 men. Mortality including 758 cancer deaths was assessed over the 25 years of follow-up.
Findings:
There were strong, graded and significant relationships between all heart-rate parameters and subsequent cancer deaths. After adjustment for age and tobacco consumption and, compared with the lowest quartile, those with the highest quartile for resting heart-rate had a relative risk of 2.4 for cancer deaths (95% confidence interval: 1.9-2.9, p<0.0001) This was similar after adjustment for traditional cardiovascular risk factors and was observed for the commonest malignancies (respiratory and gastrointestinal). Similarly, significant relationships with cancer death were observed between poor heart rate increase during exercise, poor decrease during recovery and greater heart-rate increase over time (p<0.0001 for all).
Interpretation:
Resting and exercise heart rate had consistent, graded and highly significant associations with subsequent cancer mortality in men.
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