Evidence map›Paper›PMID 41921215›Full record

ArticleInteractive journal of medical research2026

Association Between Depressive Symptoms and Incidence of Stroke in a Population With Cardiovascular-Kidney-Metabolic Syndrome Stages 0 to 3: Nationwide Prospective Cohort Study.

Yunjie Li, Lin Wang, Lujing Gao

Abstract read
In one paragraph

Article in Interactive journal of medical research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

3 authors.

Yunjie LiDepartment of Radiology, Zhuzhou Clinical College, Jishou University, Zhuzhou, China.ORCID http://orcid.org/0009-0002-7815-1995
Lin WangDepartment of Respiratory and Critical Care Medicine, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou, China.ORCID http://orcid.org/0000-0002-3314-5164
Lujing GaoDepartment of Radiology, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou, China, 86 15171791199.ORCID http://orcid.org/0009-0001-3495-3155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The association between depressive symptoms and cardiovascular diseases is well established. However, their impact on the incidence of stroke in individuals with cardiovascular-kidney-metabolic (CKM) syndrome remains unclear. Objective: This study aims to investigate the impact of depressive symptoms at different stages of CKM syndrome on the incidence of new-onset stroke. Methods: This study used data from the China Health and Retirement Longitudinal Study. Depressive symptoms at baseline were assessed using the Center for Epidemiologic Studies Depression Scale, with stroke incidence determined through standardized follow-up questionnaires. Cox regression and restricted cubic spline regression were used to evaluate the association between depressive symptoms and stroke risk. Results: The analysis included 9593 participants (n=5180, 54.92% male; mean age of 60.89, SD 9.39 y), classified into CKM stages 0 to 3. Fully adjusted Cox regression showed that each 1-point increase in depressive score was associated with a 3% higher stroke risk (hazard ratio 1.03, 95% CI 1.02-1.04; P<.001). Restricted cubic spline regression confirmed a significant positive linear relationship between depressive symptoms and stroke incidence (P<.001). Conclusions: This cohort study demonstrates a positive linear association between depressive symptoms and increased stroke incidence in individuals with CKM syndrome (stages 0-3). These findings highlight the importance of emotional health management, suggesting that effective depression treatment may help reduce stroke risk through inflammation reduction and lifestyle improvements.

Indexed as

cardiovascular-kidney-metabolic syndromeCKMdepressionRCSrestricted cubic spline analysisstrokesubgroup analysis

Identifiers

PMID41921215
PMCPMC13043078

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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.