Adenantera Dwicaksono, Ian Brissette, Guthrie S Birkhead, Christine T Bozlak, Erika G Martin
Evaluating the Contribution of the Built Environment on Obesity Among New York State Students
Health education & behavior : the official publication of the Society for Public Health Education
investigate association nlr risk allcause cardiovascular mortality us adults diabetic kidney disease dkd data utilized analysis sourced ten national health nutrition examination survey cycles 19992018 mortality data 31 december 2019 via linkage national death index optimum nlr threshold predicting survival outcomes determined maximally selected rank statistics restricted cubic spline rcs weighted cox proportional hazard regression stratified analyses timedependent receiveroperating characteristic curve roc employed delineate prospective correlations nlr allcause cardiovascular mortality investigation cohort comprising 2581 patients diagnosed dkd examined encompassing 624 individuals higher nlr 307 1957 subjects lower nlr 307 median followup 79 months interquartile range 44128 months 1103 deaths occurred including 397 cardiovascular causes 706 noncardiovascular causes rcs analysis elucidated positive linear correlation nonlinear p 005 multivariable analyses oneunit increase nlr value correlated 51 increased risk allcause mortality 151128 177 71 increased risk cardiovascular mortality 171132 221 results largely consistent across stratified analyses encompassing variables age sex raceethnicity marital status family income education levels bmi drinking status smoking status hypertension cvd antiinfective drugs p interaction 005 timedependent roc analyses underscored nlrs credible predictive efficacy shortterm extended durations forecasting allcause cardiovascular mortality findings emphasize promising use nlr stratifying prognosticating risk mortality dkd clinical practice