Evidence map›Paper›PMID 40624282›Full record

Observational studyScientific reports2025

The association between the American heart association's new "Life's Essential 8" and different types of arthritis: insights from a large population study.

Erkai Pang, Xuxu Chen, Yu Zhu, Litian Shi, Tao Wang, Yuanbin Kou, Wei Wang, Jin Li, Hui Kang

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

1 citing paper in PubMed.

  1. Article
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.

Erkai PangDepartment of Sports Medicine, Honghui Hospital, Xi'an Jiaotong University Medical College, Xi'an, 710054, Shaanxi, China.
Xuxu ChenDepartment of Sports Medicine, Honghui Hospital, Xi'an Jiaotong University Medical College, Xi'an, 710054, Shaanxi, China.
Yu ZhuDepartment of Sports Medicine, Honghui Hospital, Xi'an Jiaotong University Medical College, Xi'an, 710054, Shaanxi, China.
Litian ShiDepartment of Sports Medicine, Honghui Hospital, Xi'an Jiaotong University Medical College, Xi'an, 710054, Shaanxi, China.
Tao WangDepartment of Sports Medicine, Honghui Hospital, Xi'an Jiaotong University Medical College, Xi'an, 710054, Shaanxi, China.
Yuanbin KouDepartment of Sports Medicine, Honghui Hospital, Xi'an Jiaotong University Medical College, Xi'an, 710054, Shaanxi, China.
Wei WangDepartment of Sports Medicine, Honghui Hospital, Xi'an Jiaotong University Medical College, Xi'an, 710054, Shaanxi, China.
Jin LiDepartment of Sports Medicine, Honghui Hospital, Xi'an Jiaotong University Medical College, Xi'an, 710054, Shaanxi, China.
Hui KangDepartment of Sports Medicine, Honghui Hospital, Xi'an Jiaotong University Medical College, Xi'an, 710054, Shaanxi, China. hhkanghui1001@163.com.

Funding

National Outstanding Youth Science Fund Project of National Natural Science Foundation of China Grant No. 81702210Shaanxi Provincial Key R&D Project of China Grant No. 2022SF-100
6 · The paper itself

Abstract

Previous research has demonstrated an inverse relationship between optimal cardiovascular health (CVH) and the prevalence of osteoarthritis (OA). The American Heart Association has evolved its Life Simple 7 (LS7) metric into Life Essential 8 (LE8), which exhibits enhanced sensitivity to inter-individual variations and places increased emphasis on social determinants of health and mental well-being. The primary objective of this study was to examine the potential relationship between the CVH (LE8) score and the health status of patients with OA. Additionally, this study aimed to investigate the possible association between the CVH (LE8) score and other forms of arthritis, as well as to draw comparisons among different arthritis types. This observational study utilized data from the NHANES, conducted from 2005 to 2018. To examine the association between the CVH LE8 score and various arthritis types, multiple statistical approaches were employed. These included weighted multivariable logistic regression analysis, subgroup analysis, and restricted cubic spline (RCS) analysis. The study included 29,324 participants. Results indicated an inverse relationship between CVH (LE8 score) tertiles and the likelihood of developing OA (tertile 1, 10.14%; tertile 2, 7.47%; tertile 3, 4.61%; p < 0.001) and Rheumatoid arthritis (RA) (tertile 1, 9.60%; tertile 2, 6.67%; tertile 3, 2.86%; p < 0.001). No statistically significant difference was observed for psoriatic arthritis (PsA) across the three CVH categories (p = 0.125). In the fully adjusted model 3, logistic regression analysis revealed that a higher CVH (LE8) score was associated with a lower prevalence of OA (OR = 0.44; 95% CI, 0.35-0.54, p < 0.001) and RA (OR = 0.42; 95% CI, 0.35-0.50, p < 0.001). Furthermore, diet, exercise, nicotine exposure, body mass index, and blood pressure were significantly associated with OA (p < 0.05). RCS analyses demonstrated a linear relationship between the CVH (LE8) score and OA, RA, and PsA (p-overall < 0.001, p-nonlinear > 0.05). The cardiovascular health (Life Essential 8) score demonstrated a negative linear association with the prevalence of osteoarthritis, rheumatoid arthritis, and psoriatic arthritis among US adults. These findings offer valuable insights for developing early intervention strategies targeting populations susceptible to arthritis.

Indexed as

ArthritisCardiovascular DiseasesOsteoarthritisAdultAgedAmerican Heart AssociationArthritis, PsoriaticFemaleHealth StatusHumansMaleMiddle AgedNutrition SurveysPrevalenceRisk FactorsUnited StatesArthritis (AR) osteoarthritis (OA)Cardiovascular health (CVH)Life’s essential 8 (LE8)NHANESPsoriatic arthritis (PsA)Restricted cubic spline (RCS)Rheumatoid arthritis (RA)

Identifiers

PMID40624282
PMCPMC12234833

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.