Evidence map›Paper›PMID 40276353›Full record

ArticleFrontiers in public health2025

The impact of social activity on cardiovascular disease risk among middle-aged and older adults in China: a nationwide cohort study based on the CHARLS database.

Yingting Wu, Qi Cheng, Haiyang Song, Xinyue Gong, Sihan Wang, Kehui Xu, Lei Qin, Jing Cheng, Fei He

Abstract read
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Article 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yingting Wu *School of Nursing, Anhui University of Chinese Medicine, Hefei, Anhui, China.
Qi Cheng *School of Nursing, Anhui University of Chinese Medicine, Hefei, Anhui, China.
Haiyang SongSchool of Nursing, Anhui University of Chinese Medicine, Hefei, Anhui, China.
Xinyue GongSchool of Nursing, Anhui University of Chinese Medicine, Hefei, Anhui, China.
Sihan WangSchool of Nursing, Anhui University of Chinese Medicine, Hefei, Anhui, China.
Kehui XuThe Second Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui, China.
Lei QinSchool of Integrated Chinese and Western Medicine, Anhui University of Chinese Medicine, Hefei, Anhui, China.
Jing ChengSchool of Nursing, Anhui University of Chinese Medicine, Hefei, Anhui, China.
Fei HeDepartment of Cardiology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to examine the relationship between social activity and the risk of cardiovascular disease (CVD) in middle-aged and older adults in China. Methods: We used data from the China Health and Retirement Longitudinal Study (CHARLS) collected between 2011 and 2020. The study followed 4,099 participants aged 45 and older, all free from cardiovascular disease at baseline (2011), over a 9-year period. CVD status was self-reported by participants. Kaplan-Meier survival curves were employed to illustrate the cumulative incidence of cardiovascular events across different levels of social activity. Cox proportional hazards regression models and restricted cubic spline (RCS) were used to evaluate the association between social activity and CVD risk. Subgroup analyses were conducted to explore potential interactions between social activity and CVD risk, stratified by age, gender, education level, smoking and drinking status, number of chronic conditions, depression, and body mass index (BMI). Results: A total of 4,099 participants were included in the analysis. Over the 9-year follow-up period, 813 cardiovascular events occurred. After adjusting for age, gender, residence, education, marital status, smoking and drinking habits, chronic disease burden, depression, and BMI, each 0.1 decrease in social activity level was associated with a 7.4% increased risk of cardiovascular events (aHR, 1.074; 95% CI: 1.069-1.079). Conclusion: Social activity is significantly linked to the risk of cardiovascular disease among middle-aged and older adults in China. These findings emphasize the importance of maintaining social engagement to support cardiovascular health in this population.

Indexed as

Cardiovascular DiseasesSocial ParticipationAgedChinaCohort StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedRisk Factorscardiovascular diseasecohort studymiddle-aged and older adultssocial activitythe China Health and Retirement Longitudinal Study

Identifiers

PMID40276353
PMCPMC12018239

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