Relationship between resting heart rate and metabolic risk factors in breast cancer patients

Mi Kyung Lee, Dong Hoon Lee, Seho Park, Seung Il Kim, Justin Y. Jeon

Research output: Contribution to journalArticle

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Abstract

Background: Higher resting heart rate (RHR) was associated with poor prognosis in breast cancer survivors, but the mechanism underlying such association has not been fully studied. We investigated the association between RHR and metabolic risk factors in stage I-III breast cancer survivors. Methods: Among 11,013 women diagnosed with breast cancer between 2005 and 2013 at the Severance hospital in Seoul, Korea, a total of 4980 patients met our inclusion criteria for the final analysis. Multivariable linear regressions were used to examine the association between RHR and metabolic risk factors, including systolic blood pressure (SBP), diastolic blood pressure (DBP), glucose, triglyceride (TG), total cholesterol, high density lipid cholesterol (HDL–C), and low density lipid cholesterol. Results: The results showed that RHR had significant linear associations with SBP (p =.02), DBP (p <.001), TG (p <.001), glucose (p <.001), and HDL-C (p <.001). Compared to participants in the lowest quintile of RHR (<68 beat per min (bpm)), participants in the highest quintile (≥85 bpm) had higher DBP by 4 mmHg, TG by 13 mg/dl, and glucose by 5 mg/dl after adjusting for potential confounders. Further subgroup analyses showed that the association of RHR may differ by age and menopausal status for fasting glucose and cancer stage, chemotherapy, estrogen and progesterone receptor status for TG. Conclusions: We observed a strong positive association of RHR with fasting glucose, TG, and DBP in breast cancer survivors, which may potentially explain the association between RHR and breast cancer prognosis.

Original languageEnglish
Pages (from-to)104-109
Number of pages6
JournalClinica Chimica Acta
Volume486
DOIs
Publication statusPublished - 2018 Nov 1

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Basal Metabolism
Blood pressure
Heart Rate
Breast Neoplasms
Blood Pressure
Triglycerides
Glucose
Cholesterol
Survivors
Lipids
Fasting
Chemotherapy
Progesterone Receptors
Linear regression
Estrogen Receptors
Heart Neoplasms
Korea
Blood Glucose
Linear Models

All Science Journal Classification (ASJC) codes

  • Biochemistry
  • Clinical Biochemistry
  • Biochemistry, medical

Cite this

Lee, Mi Kyung ; Lee, Dong Hoon ; Park, Seho ; Kim, Seung Il ; Jeon, Justin Y. / Relationship between resting heart rate and metabolic risk factors in breast cancer patients. In: Clinica Chimica Acta. 2018 ; Vol. 486. pp. 104-109.
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Relationship between resting heart rate and metabolic risk factors in breast cancer patients. / Lee, Mi Kyung; Lee, Dong Hoon; Park, Seho; Kim, Seung Il; Jeon, Justin Y.

In: Clinica Chimica Acta, Vol. 486, 01.11.2018, p. 104-109.

Research output: Contribution to journalArticle

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AU - Lee, Mi Kyung

AU - Lee, Dong Hoon

AU - Park, Seho

AU - Kim, Seung Il

AU - Jeon, Justin Y.

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N2 - Background: Higher resting heart rate (RHR) was associated with poor prognosis in breast cancer survivors, but the mechanism underlying such association has not been fully studied. We investigated the association between RHR and metabolic risk factors in stage I-III breast cancer survivors. Methods: Among 11,013 women diagnosed with breast cancer between 2005 and 2013 at the Severance hospital in Seoul, Korea, a total of 4980 patients met our inclusion criteria for the final analysis. Multivariable linear regressions were used to examine the association between RHR and metabolic risk factors, including systolic blood pressure (SBP), diastolic blood pressure (DBP), glucose, triglyceride (TG), total cholesterol, high density lipid cholesterol (HDL–C), and low density lipid cholesterol. Results: The results showed that RHR had significant linear associations with SBP (p =.02), DBP (p <.001), TG (p <.001), glucose (p <.001), and HDL-C (p <.001). Compared to participants in the lowest quintile of RHR (<68 beat per min (bpm)), participants in the highest quintile (≥85 bpm) had higher DBP by 4 mmHg, TG by 13 mg/dl, and glucose by 5 mg/dl after adjusting for potential confounders. Further subgroup analyses showed that the association of RHR may differ by age and menopausal status for fasting glucose and cancer stage, chemotherapy, estrogen and progesterone receptor status for TG. Conclusions: We observed a strong positive association of RHR with fasting glucose, TG, and DBP in breast cancer survivors, which may potentially explain the association between RHR and breast cancer prognosis.

AB - Background: Higher resting heart rate (RHR) was associated with poor prognosis in breast cancer survivors, but the mechanism underlying such association has not been fully studied. We investigated the association between RHR and metabolic risk factors in stage I-III breast cancer survivors. Methods: Among 11,013 women diagnosed with breast cancer between 2005 and 2013 at the Severance hospital in Seoul, Korea, a total of 4980 patients met our inclusion criteria for the final analysis. Multivariable linear regressions were used to examine the association between RHR and metabolic risk factors, including systolic blood pressure (SBP), diastolic blood pressure (DBP), glucose, triglyceride (TG), total cholesterol, high density lipid cholesterol (HDL–C), and low density lipid cholesterol. Results: The results showed that RHR had significant linear associations with SBP (p =.02), DBP (p <.001), TG (p <.001), glucose (p <.001), and HDL-C (p <.001). Compared to participants in the lowest quintile of RHR (<68 beat per min (bpm)), participants in the highest quintile (≥85 bpm) had higher DBP by 4 mmHg, TG by 13 mg/dl, and glucose by 5 mg/dl after adjusting for potential confounders. Further subgroup analyses showed that the association of RHR may differ by age and menopausal status for fasting glucose and cancer stage, chemotherapy, estrogen and progesterone receptor status for TG. Conclusions: We observed a strong positive association of RHR with fasting glucose, TG, and DBP in breast cancer survivors, which may potentially explain the association between RHR and breast cancer prognosis.

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