Observational studyFrontiers in public health2025
Association between balance ability and cardiovascular disease onsets among middle-aged and older adults: an observational cohort study from the China Health and Retirement Longitudinal Study.
Observational study in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed.
- Longitudinal association between sleep duration and fall risk in middle-aged and older adults: A multiple mediation pathways analysis.Sleep medicine: X · 2026Article
- The combined impact of social isolation and unhealthy risk score on mortality risk: a study from two prospective cohorts.BMC public health · 2026Article
- Longitudinal association of frailty levels with knee osteoarthritis in middle-aged and elderly chinese: a longitudinal cohort study.Scientific reports · 2026Article
- Experiences of nurse managers in preventing and managing inpatient falls: a qualitative descriptive study.BMJ open · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Previous studies showed the association between poor balance ability and a high risk of cardiovascular disease (CVD) mortality. However, there is little evidence regarding balance function and the onset of CVD. We aimed to examine the relationship between the balance ability and incident CVD risk. Methods: This study retrospectively included participants (≥45 years) without CVD at baseline from the China Health and Retirement Longitudinal Study (CHARLS) in 2011 and those who were followed up in 2018. CHARLS used the semi-tandem stand test to assess balance ability. CVD was defined as the presence of physician-diagnosed heart disease and/or stroke. Cox proportional hazards models (considering competing risks) and stratification analysis were used to determine the association between balance ability and incident CVD risk. Results: The median age of the 10,154 participants was 57.0 (51.0, 64.0) years old, with 51.0% female. Compared to those with good balance ability, individuals with moderate balance ability had a higher risk of incident CVD [HR (95% CI): 1.15 (1.03-1.28)], and the risk was more pronounced in female (20.0%), rural residence (21.0%), never smoking (22.0%), never drinking (23.0%), hypertension (16.0%), without dyslipidemia (17.0%), and without kidney disease (13.0%) participants. After multiple imputations of metabolic biomarkers data, the results of sensitivity analyses were generally consistent. Conclusion: Lower balance ability was associated with an increased risk of incident CVD among middle-aged and older Chinese adults. The simple, economical, effective, and safe physical measurements of balance function deserve further investigation in public health.
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