The association between life’s essential 8 and gallstones: A cross-sectional study
Abstract This study investigates the relationship between Life’s Essential 8 (LE8), a measure of cardiovascular health (CVH), and the risk of gallstones in adult Americans. We analyzed data from 5,024 participants aged 20 and older, using information from the 2017–2020 National Health and Nutrition...
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Nature Portfolio
2025-02-01
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| Online Access: | https://doi.org/10.1038/s41598-025-89024-x |
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| author | Yang Zhao Xuesong Liu Jingru Han Bin Feng Chowtin Yan Jianfu Zhao |
| author_facet | Yang Zhao Xuesong Liu Jingru Han Bin Feng Chowtin Yan Jianfu Zhao |
| author_sort | Yang Zhao |
| collection | DOAJ |
| description | Abstract This study investigates the relationship between Life’s Essential 8 (LE8), a measure of cardiovascular health (CVH), and the risk of gallstones in adult Americans. We analyzed data from 5,024 participants aged 20 and older, using information from the 2017–2020 National Health and Nutrition Examination Survey. Gallstone presence was determined via a standard questionnaire. LE8 scores, representing four health behaviors (sleep, tobacco/nicotine exposure, physical activity, and diet) and four health factors (body mass index, non-high-density lipoprotein cholesterol, blood glucose, and blood pressure), were categorized into low, moderate, and high CVH groups. Weighted logistic regression, restricted cubic splines (RCS), and stratified analyses were used to assess the association between LE8 and gallstones. Of the 5,024 participants, 543 (11.22%) had gallstones. In fully adjusted models, participants with high CVH (LE8 ≥ 80) had a 59% lower risk of gallstones compared to those with low CVH (LE8 < 50) (OR: 0.41, 95% CI: 0.23–0.72, P = 0.010). RCS analyses suggested a nonlinear relationship between LE8 and gallstones. Stratified analysis showed a stronger association in participants under 65 (OR: 0.26, 95% CI: 0.15–0.44), females (OR: 0.44, 95% CI: 0.24–0.81), those with higher education (OR: 0.39, 95% CI: 0.19–0.78), non-white individuals (OR: 0.28, 95% CI: 0.13–0.60), and married participants (OR: 0.40, 95% CI: 0.20–0.80). Higher CVH, as measured by LE8, is associated with a lower risk of gallstones among adult Americans. |
| format | Article |
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| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj-art-141584e4535846c39bc4d35a099485b52025-02-09T12:30:25ZengNature PortfolioScientific Reports2045-23222025-02-011511810.1038/s41598-025-89024-xThe association between life’s essential 8 and gallstones: A cross-sectional studyYang Zhao0Xuesong Liu1Jingru Han2Bin Feng3Chowtin Yan4Jianfu Zhao5Department of Oncology, The First Affiliated Hospital of Jinan UniversityDepartment of Oncology, The First Affiliated Hospital of Jinan UniversityDepartment of Oncology, The First Affiliated Hospital of Jinan UniversityDepartment of Oncology, The First Affiliated Hospital of Jinan UniversityDepartment of Oncology, The First Affiliated Hospital of Jinan UniversityDepartment of Oncology, The First Affiliated Hospital of Jinan UniversityAbstract This study investigates the relationship between Life’s Essential 8 (LE8), a measure of cardiovascular health (CVH), and the risk of gallstones in adult Americans. We analyzed data from 5,024 participants aged 20 and older, using information from the 2017–2020 National Health and Nutrition Examination Survey. Gallstone presence was determined via a standard questionnaire. LE8 scores, representing four health behaviors (sleep, tobacco/nicotine exposure, physical activity, and diet) and four health factors (body mass index, non-high-density lipoprotein cholesterol, blood glucose, and blood pressure), were categorized into low, moderate, and high CVH groups. Weighted logistic regression, restricted cubic splines (RCS), and stratified analyses were used to assess the association between LE8 and gallstones. Of the 5,024 participants, 543 (11.22%) had gallstones. In fully adjusted models, participants with high CVH (LE8 ≥ 80) had a 59% lower risk of gallstones compared to those with low CVH (LE8 < 50) (OR: 0.41, 95% CI: 0.23–0.72, P = 0.010). RCS analyses suggested a nonlinear relationship between LE8 and gallstones. Stratified analysis showed a stronger association in participants under 65 (OR: 0.26, 95% CI: 0.15–0.44), females (OR: 0.44, 95% CI: 0.24–0.81), those with higher education (OR: 0.39, 95% CI: 0.19–0.78), non-white individuals (OR: 0.28, 95% CI: 0.13–0.60), and married participants (OR: 0.40, 95% CI: 0.20–0.80). Higher CVH, as measured by LE8, is associated with a lower risk of gallstones among adult Americans.https://doi.org/10.1038/s41598-025-89024-xGallstonesCardiovascular healthLife’s essential 8NHANESAdult americans |
| spellingShingle | Yang Zhao Xuesong Liu Jingru Han Bin Feng Chowtin Yan Jianfu Zhao The association between life’s essential 8 and gallstones: A cross-sectional study Scientific Reports Gallstones Cardiovascular health Life’s essential 8 NHANES Adult americans |
| title | The association between life’s essential 8 and gallstones: A cross-sectional study |
| title_full | The association between life’s essential 8 and gallstones: A cross-sectional study |
| title_fullStr | The association between life’s essential 8 and gallstones: A cross-sectional study |
| title_full_unstemmed | The association between life’s essential 8 and gallstones: A cross-sectional study |
| title_short | The association between life’s essential 8 and gallstones: A cross-sectional study |
| title_sort | association between life s essential 8 and gallstones a cross sectional study |
| topic | Gallstones Cardiovascular health Life’s essential 8 NHANES Adult americans |
| url | https://doi.org/10.1038/s41598-025-89024-x |
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