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Delgado, G; Siekmeier, R; Krämer, BK; März, W; Kleber, ME.
Cotinine as a marker for risk prediction in the Ludwigshafen Risk and Cardiovascular Health Study.
Respir Physiol Neurobiol. 2015; 209(2):17-22 Doi: 10.1016/j.resp.2014.10.008
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Co-Autor*innen der Med Uni Graz
März Winfried
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Abstract:
Cotinine is one of the major metabolites of nicotine. The aim our study was to investigate cotinine as a marker for individual risk prediction in the Ludwigshafen Risk and Cardiovascular Health study. 840 samples had detectable cotinine measured using a radioimmunoassay (RIA nicotine metabolite, DPC Biermann GmbH). The distribution of risk factors across quartiles of cotinine or pack-years was analyzed by ANOVA and the association of cotinine and pack-years with mortality by Cox regression. Cotinine and pack-years both showed significant association with mortality in adjusted models with HRs (95% CI) of 1.30 (1.17-1.44) and 1.26 (1.13-1.42) comparing the third to the first tertile for cotinine and pack-years, respectively. Either cotinine or pack-years or self-reported smoking increased the area-under-the-curve significantly as compared to a basic model including other risk factors. Cotinine is a strong predictor of mortality in non-smokers as well as in smokers. As objectively measurable parameter cotinine would be preferable for risk prediction. Copyright © 2014 Elsevier B.V. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Area Under Curve -
Biomarkers - metabolism
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - etiology
Cardiovascular Diseases - metabolism
Cardiovascular Diseases - mortality
Cotinine - metabolism
Female -
Follow-Up Studies -
Humans -
Male -
Middle Aged -
Prevalence -
Prospective Studies -
ROC Curve -
Risk Factors -
Sensitivity and Specificity -
Smoking - metabolism
Smoking - mortality
Survival Analysis -

Find related publications in this database (Keywords)
Smoking
Nicotine
Cotinine
Mortality
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