Identifying and ranking non-traditional risk factors for cardiovascular disease prediction in people with type 2 diabetes

Abstract Background Cardiovascular disease (CVD) prediction models perform poorly in people with type 2 diabetes (T2DM). We aimed to identify potentially non-traditional CVD predictors for six facets of CVD (including coronary heart disease, ischemic stroke, heart failure, and atrial fibrillation) i...

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Main Authors: Katarzyna Dziopa, Nishi Chaturvedi, Folkert W. Asselbergs, Amand F. Schmidt
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Communications Medicine
Online Access:https://doi.org/10.1038/s43856-025-00785-y
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author Katarzyna Dziopa
Nishi Chaturvedi
Folkert W. Asselbergs
Amand F. Schmidt
author_facet Katarzyna Dziopa
Nishi Chaturvedi
Folkert W. Asselbergs
Amand F. Schmidt
author_sort Katarzyna Dziopa
collection DOAJ
description Abstract Background Cardiovascular disease (CVD) prediction models perform poorly in people with type 2 diabetes (T2DM). We aimed to identify potentially non-traditional CVD predictors for six facets of CVD (including coronary heart disease, ischemic stroke, heart failure, and atrial fibrillation) in people with T2DM. Methods We analysed data on 600+ features from the UK Biobank, stratified by history of CVD and T2DM: 459,142 participants without diabetes or CVD, 14,610 with diabetes but without CVD, and 4432 with diabetes and CVD. A penalised generalized linear model with a binomial distribution was used to identify CVD-related features. Subsequently, a 20% hold-out set was used to replicate identified features and provide an importance based ranking. Results Here we show that non-traditional risk factors are of particular importance in people with diabetes. Classical CVD risk factors (e.g. family history, high blood pressure) rank highly in people without diabetes. For individuals with T2DM but no CVD, top predictors include cystatin C, self-reported health satisfaction, biochemical measures of ill health. In people with diabetes and CVD, key predictors are self-reported ill health and blood cell counts. Unique diabetes-related risk factors include dietary patterns, mental health and biochemistry measures (e.g. oestradiol, rheumatoid factor). Adding these features improves risk stratification; per 1000 people with diabetes, 133 CVD and 165 HF cases receive a higher risk. Conclusions This study identifies numerous replicated non-traditional CVD risk factors for people with T2DM, providing insight to improve guideline recommended risk prediction models which currently overlook these features.
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spelling doaj-art-b850858ee5c6471b95447f862fb148982025-08-20T03:01:55ZengNature PortfolioCommunications Medicine2730-664X2025-03-01511810.1038/s43856-025-00785-yIdentifying and ranking non-traditional risk factors for cardiovascular disease prediction in people with type 2 diabetesKatarzyna Dziopa0Nishi Chaturvedi1Folkert W. Asselbergs2Amand F. Schmidt3Institute of Health Informatics, University College LondonDepartment of Population Science and Experimental Medicine, University College LondonInstitute of Health Informatics, University College LondonInstitute of Cardiovascular Science, Faculty of Population Health Sciences, University College LondonAbstract Background Cardiovascular disease (CVD) prediction models perform poorly in people with type 2 diabetes (T2DM). We aimed to identify potentially non-traditional CVD predictors for six facets of CVD (including coronary heart disease, ischemic stroke, heart failure, and atrial fibrillation) in people with T2DM. Methods We analysed data on 600+ features from the UK Biobank, stratified by history of CVD and T2DM: 459,142 participants without diabetes or CVD, 14,610 with diabetes but without CVD, and 4432 with diabetes and CVD. A penalised generalized linear model with a binomial distribution was used to identify CVD-related features. Subsequently, a 20% hold-out set was used to replicate identified features and provide an importance based ranking. Results Here we show that non-traditional risk factors are of particular importance in people with diabetes. Classical CVD risk factors (e.g. family history, high blood pressure) rank highly in people without diabetes. For individuals with T2DM but no CVD, top predictors include cystatin C, self-reported health satisfaction, biochemical measures of ill health. In people with diabetes and CVD, key predictors are self-reported ill health and blood cell counts. Unique diabetes-related risk factors include dietary patterns, mental health and biochemistry measures (e.g. oestradiol, rheumatoid factor). Adding these features improves risk stratification; per 1000 people with diabetes, 133 CVD and 165 HF cases receive a higher risk. Conclusions This study identifies numerous replicated non-traditional CVD risk factors for people with T2DM, providing insight to improve guideline recommended risk prediction models which currently overlook these features.https://doi.org/10.1038/s43856-025-00785-y
spellingShingle Katarzyna Dziopa
Nishi Chaturvedi
Folkert W. Asselbergs
Amand F. Schmidt
Identifying and ranking non-traditional risk factors for cardiovascular disease prediction in people with type 2 diabetes
Communications Medicine
title Identifying and ranking non-traditional risk factors for cardiovascular disease prediction in people with type 2 diabetes
title_full Identifying and ranking non-traditional risk factors for cardiovascular disease prediction in people with type 2 diabetes
title_fullStr Identifying and ranking non-traditional risk factors for cardiovascular disease prediction in people with type 2 diabetes
title_full_unstemmed Identifying and ranking non-traditional risk factors for cardiovascular disease prediction in people with type 2 diabetes
title_short Identifying and ranking non-traditional risk factors for cardiovascular disease prediction in people with type 2 diabetes
title_sort identifying and ranking non traditional risk factors for cardiovascular disease prediction in people with type 2 diabetes
url https://doi.org/10.1038/s43856-025-00785-y
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