Evidence map›Paper›PMID 41553484›Full record

ArticleActa diabetologica2026

Association of air pollution and depressive symptoms with cardiometabolic Multimorbidity in middle-aged and older adults: an analysis based on the China health and retirement longitudinal study (CHARLS).

Xinjie Li, Lianguang Xie, Mengmeng Sun, Tianliang Zhao, Siyan Li, Jiangyan Yang, Yanbin Luo, Yixin Wei, Damin Huang, Xiangzhi Li

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Article in Acta diabetologica, 2026. 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

10 authors.

Xinjie LiDepartment of Public Health, Youjiang Medical University for Nationalities, Baise, 533000, Guangxi, China.
Lianguang XieDepartment of Public Health, School of Medicine, Guangxi University of Science and Technology, Liuzhou, 545006, Guangxi, China.
Mengmeng SunSchool of Science, Guangxi University of Science and Technology, Liuzhou, 545006, China.
Tianliang ZhaoDepartment of Public Health, Youjiang Medical University for Nationalities, Baise, 533000, Guangxi, China.
Siyan LiDepartment of Public Health, Youjiang Medical University for Nationalities, Baise, 533000, Guangxi, China.
Jiangyan YangDepartment of Public Health, Youjiang Medical University for Nationalities, Baise, 533000, Guangxi, China.
Yanbin LuoGuangxi Liuzhou Meteorological Bureau, Liuzhou, 545001, Guangxi, China.
Yixin WeiDepartment of Clinical Medicine, Youjiang Medical University for Nationalities, Baise, 533000, Guangxi, China.
Damin HuangDepartment of Public Health, Youjiang Medical University for Nationalities, Baise, 533000, Guangxi, China.
Xiangzhi LiDepartment of Public Health, Youjiang Medical University for Nationalities, Baise, 533000, Guangxi, China. lxz2046@smu.edu.cn.ORCID http://orcid.org/0000-0002-5064-6593

Funding

the National Natural Science Foundation of China 32560220the Science and Technology Program of Traditional Chinese Medicine of Zhejiang Province 2024ZL1261Zhejiang Science and Technology Plan for Disease Prevention and Control 2025JK137
6 · The paper itself

Abstract

objectiveLong-term exposure to air pollution and the presence of depressive symptoms have been associated with an increased prevalence of cardio-metabolic multimorbidity (CMM). However, their associations with CMM among middle-aged and older adults in China remain underexplored. This study aimed to examine the associations of air pollution exposure and depressive symptoms with CMM, and test for potential interactions between these factors, providing evidence to inform public health strategies.

methodsThis cross-sectional study analyzes health data from 8,192 residents aged 45 and older from the 2015 China Health and Retirement Longitudinal Study (CHARLS). CMM is defined as the presence of multiple conditions, including heart disease, diabetes, hypertension, and stroke. Depressive symptoms were assessed using a standardized self-report scale, and air pollution exposure was estimated using satellite-based spatiotemporal models, including PM

resultsThe prevalence of CMM in this study was 15.82%. PM

conclusionLong-term exposure to air pollution, particularly PM

Indexed as

Air PollutionCardiovascular DiseasesDepressionAgedAir PollutantsChinaCross-Sectional StudiesEnvironmental ExposureFemaleHumansLongitudinal StudiesMaleMiddle AgedMultimorbidityParticulate MatterPrevalenceAir PollutantsParticulate MatterAir pollutionCardio-metabolic multimorbidityDepressive symptomsIndependent associationsInteraction analysis

Identifiers

PMID41553484

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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.