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Prediction of Cardiovascular Disease by the Framingham‐REGICOR Equation in the High‐Risk PREDIMED Cohort: Impact of the Mediterranean Diet Across Different Risk Strata

Overview of attention for article published in Journal of the American Heart Association Cardiovascular and Cerebrovascular Disease, March 2017
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (82nd percentile)
  • Good Attention Score compared to outputs of the same age and source (76th percentile)

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14 tweeters
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2 Google+ users

Citations

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14 Dimensions

Readers on

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200 Mendeley
Title
Prediction of Cardiovascular Disease by the Framingham‐REGICOR Equation in the High‐Risk PREDIMED Cohort: Impact of the Mediterranean Diet Across Different Risk Strata
Published in
Journal of the American Heart Association Cardiovascular and Cerebrovascular Disease, March 2017
DOI 10.1161/jaha.116.004803
Pubmed ID
Authors

Antonio J. Amor, Mercè Serra‐Mir, Miguel A. Martínez‐González, Dolores Corella, Jordi Salas‐Salvadó, Montserrat Fitó, Ramón Estruch, Lluis Serra‐Majem, Fernando Arós, Nancy Babio, Emilio Ros, Emilio Ortega, A. Pérez‐Heras, C. Viñas, R. Casas, L. de Santamaría, S. Romero, E. Sacanella, G. Chiva, P. Valderas, S. Arranz, J. M. Baena, M. García, M. Oller, J. Amat, I. Duaso, Y. García, C. Iglesias, C. Simón, Ll. Quinzavos, Ll. Parra, M. Liroz, J. Benavent, J. Clos, I. Pla, M. Amorós, M. T. Bonet, M. T. Martin, M. S. Sánchez, J. Altirriba, E. Manzano, A. Altés, A. Sala‐Vila, M. Cofán, C. Valls‐Pedret, T. M. Freitas‐Simoes, M. Doménech, R. Gilabert, N. Bargalló, M. Bulló, J. Basora, R. González, A. Díaz‐López, C. Molina, G. Mena, F. Márquez, P. Martínez, N. Ibarrola, M. Sorli, J. García Roselló, F. Martín, N. Tort, A. Isach, A. Salas‐Huetos, N. Becerra‐Tomás, N. Rosique Esteban, J. J. Cabré, G. Mestres, F. Paris, M. Llaurado, R. Pedret, J. Basells, J. Vizcaino, R. Segarra, P. Hernandez‐Alonso, S. Giardina, C. Ferreira‐Pego, C. Papandreou, L. Camacho, E. Toledo, P. Buil‐Cosiales, M. Ruiz‐Canela, J. A. Martínez, B. Sanjulian, A. Sánchez‐Tainta, J. Diez‐Espino, C. Razquin, A. Garcia‐Arellano, E. Goni, Z. Vazquez, N. Berrade, V. Extremera‐Urabayen, S. Eguaras, A. Marti, C. Arroyo‐Azpa, L. García‐Pérez, J. Villanueva Telleria, F. Cortés Ugalde, T. Sagredo Arce, M. D. García de la Noceda Montoy, M. D. Vigata López, M. T. Arceiz Campo, A. Urtasun Samper, M. V. Gueto Rubio, A. Sola, N. Goñi, O. Lecea, S. Tello, J. Vila, R. de la Torre, D. Muñoz‐Aguayo, R. Elosua, J. Marrugat, H. Schröder, N. Molina, E. Maestre, O. Castañer, A. Rovira, M. Farre, J. V. Sorli, V. Zanon‐Moreno, P. Carrasco, C. Ortega‐Azorín, E. M. Asensio, R. Osma, R. Barragán, F. Francés, M. Guillén, J. I. González, C. Saiz, O. Portolés, F. J. Giménez, O. Coltell, P. Guillem‐Saiz, L. Quiles, V. Pascual, C. Riera, M. A. Pages, D. Godoy, A. Carratala‐Calvo, M. J. Martín‐Rillo, E. Llopis‐Osorio, J. Ruiz‐Baixauli, A. Bertolín‐Muñoz, I. Salaverría, T. del Hierro, J. Algorta, S. Francisco, A. Alonso‐Gómez, E. Sanz, J. Rekondo, M. C. Bello, A. Loma‐Osorio, E. Gómez‐Gracia, J. Warnberg, R. Benítez Pont, M. Bianchi Alba, R. Gómez‐Huelgas, J. Martínez‐González, V. Velasco García, J. de Diego Salas, A. Baca Osorio, J. Gil Zarzosa, J. J. Sánchez Luque, E. Vargas López, V. Ruiz‐Gutiérrez, J. Sánchez Perona, E. Montero Romero, M. García‐García, E. Jurado‐Ruiz, M. Fiol, M. García‐Valdueza, M. Moñino, A. Proenza, R. Prieto, G. Frontera, M. Ginard, F. Fiol, A. Jover, D. Romaguera, J. García, J. Lapetra, J. M. Santos‐Lozano, M. Ortega‐Calvo, L. Mellado, M. Leal, E. Martínez, F. José García, P. Román, P. Iglesias, Y. Corchado, L. Miró, C. Domínguez, J. M. Lozano, E. Mayoral, R. M. Lamuela‐Raventós, M. C. López‐Sabater, A. I. Castellote‐Bargallo, A. Tresserra‐Rimbau, J. Álvarez‐Pérez, E. M. Díaz‐Benítez, I. Bautista Castaño, A. Sánchez‐Villegas, M. J. Fernández‐Rodríguez, T. Casanas Quintana, J. Pérez‐Cabrera, M. Nissensohn, V. Díaz‐González, C. Ruano‐Rodríguez, A. P. Ortiz‐Andrelluchi, B. Macías Gutiérrez, A. J. Santana‐Santana, X. Pintó, E. de la Cruz, A. Galera, Y. Soler, F. Trias, I. Sarasa, E. Padres, E. Corbella, C. Cabezas, E. Vinyoles, M. A. Rovira, L. García, G. Flores, J. M. Verdú, P. Baby, A. Ramos, L. Mengual, P. Roura, M. C. Yuste, A. Guarner, A. Rovira, M. I. Santamaría, M. Mata, C. de Juan, A. Brau, J. A. Tur, M. P. Portillo, G. Sáez, M. Aldamiz, A. Alonso, J. Berjón, L. Forga, J. Gallego, A. Larrauri, J. Portu, J. Timiraos, M. Serrano‐Martínez

Abstract

The usefulness of cardiovascular disease (CVD) predictive equations in different populations is debatable. We assessed the efficacy of the Framingham-REGICOR scale, validated for the Spanish population, to identify future CVD in participants, who were predefined as being at high-risk in the PREvención con DIeta MEDiterránea (PREDIMED) study-a nutrition-intervention primary prevention trial-and the impact of adherence to the Mediterranean diet on CVD across risk categories. In a post hoc analysis, we assessed the CVD predictive value of baseline estimated risk in 5966 PREDIMED participants (aged 55-74 years, 57% women; 48% with type 2 diabetes mellitus). Major CVD events, the primary PREDIMED end point, were an aggregate of myocardial infarction, stroke, and cardiovascular death. Multivariate-adjusted Cox regression was used to calculate hazard ratios for major CVD events and effect modification from the Mediterranean diet intervention across risk strata (low, moderate, high, very high). The Framingham-REGICOR classification of PREDIMED participants was 25.1% low risk, 44.5% moderate risk, and 30.4% high or very high risk. During 6-year follow-up, 188 major CVD events occurred. Hazard ratios for major CVD events increased in parallel with estimated risk (2.68, 4.24, and 6.60 for moderate, high, and very high risk), particularly in men (7.60, 13.16, and 15.85, respectively, versus 2.16, 2.28, and 3.51, respectively, in women). Yet among those with low or moderate risk, 32.2% and 74.3% of major CVD events occurred in men and women, respectively. Mediterranean diet adherence was associated with CVD risk reduction regardless of risk strata (P>0.4 for interaction). Incident CVD increased in parallel with estimated risk in the PREDIMED cohort, but most events occurred in non-high-risk categories, particularly in women. Until predictive tools are improved, promotion of the Mediterranean diet might be useful to reduce CVD independent of baseline risk. URL: http://www.Controlled-trials.com. Unique identifier: ISRCTN35739639.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 200 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 200 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 35 18%
Researcher 30 15%
Professor > Associate Professor 14 7%
Student > Ph. D. Student 14 7%
Student > Master 13 7%
Other 51 26%
Unknown 43 22%
Readers by discipline Count As %
Medicine and Dentistry 64 32%
Nursing and Health Professions 27 14%
Biochemistry, Genetics and Molecular Biology 15 8%
Agricultural and Biological Sciences 10 5%
Pharmacology, Toxicology and Pharmaceutical Science 4 2%
Other 19 10%
Unknown 61 31%

Attention Score in Context

This research output has an Altmetric Attention Score of 11. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 April 2017.
All research outputs
#2,159,126
of 18,005,056 outputs
Outputs from Journal of the American Heart Association Cardiovascular and Cerebrovascular Disease
#1,555
of 5,471 outputs
Outputs of similar age
#47,456
of 272,197 outputs
Outputs of similar age from Journal of the American Heart Association Cardiovascular and Cerebrovascular Disease
#43
of 182 outputs
Altmetric has tracked 18,005,056 research outputs across all sources so far. Compared to these this one has done well and is in the 87th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,471 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 24.3. This one has gotten more attention than average, scoring higher than 71% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 272,197 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 82% of its contemporaries.
We're also able to compare this research output to 182 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 76% of its contemporaries.