ArticleBMC public health2025
Impact of cardiometabolic index change on stroke risk in Chinese middle-aged and elderly: a prospective study.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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
2 citing papers in PubMed.
- Association of the cardiometabolic index and depressive symptoms with cardiovascular disease in cardiovascular-kidney-metabolic syndrome stages 0-3: A prospective cohort study.Scientific reports · 2026Article
- Association of cardiometabolic index with incident cardiovascular disease in middle-aged and older adults with cardiovascular-kidney-metabolic syndrome stages 0-3: evidence from CHARLS (2011-2020).Scientific reports · 2026Article
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Authors and funding
5 authors.
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Abstract
backgroundData regarding the cardiometabolic index (CMI) changes and stroke are limited. Thus, our objective was to investigate the correlation between CMI changes and stroke among middle-aged and elderly individuals in China.
methodsThe China Health and Retirement Longitudinal Study (CHARLS) used a multistage stratified sampling approach to survey individuals aged 45 and above. Changes in CMI were calculated as the differences in CMI between 2015 and 2012 divided by the number of years. The lowest third of the CMI changes were negative and categorized as the 'loss' group; the middle third exhibited a steady increase and was classified as the 'stable' group; the top third showed positive changes and was categorized as the 'gain' group. Subsequently, we monitored the participants from 2015 to 2020.
resultsOut of the 4,365 participants observed during the five-year follow-up period, 356 individuals (8.2%) developed stroke. Compared with the lowering group, the ratio (OR) for stroke in the stable group was 1.503 (95% CI: 1.096-2.061); the OR for stroke in the gain group was 1.528 (95% CI: 1.117-2.089). A nonlinear relationship was observed between CMI changes and stroke (P
conclusionOur findings indicate a nonlinear and positive association between CMI changes and stroke in Chinese middle-aged and older people, which can help to develop interventions to prevent stroke with strategies for high-risk groups.
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