Association of life’s simple 7 with osteoarthritis risk: a cross-sectional study from NHANES 2009–2018

BackgroundThe Life’s Simple 7 (LS7) metric is a comprehensive index evaluating cardiovascular health from a holistic perspective, integrating seven cardiovascular-related health factors and behaviors. However, the relationship between LS7 and the likelihood of developing osteoarthritis (OA) remains...

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Main Authors: Teng Ma, Zhiping Yu, Wenjing Qu, Xiaogeng Sun, Jian Huang, Wenpeng Xie, Haibo Cong
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1511270/full
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author Teng Ma
Teng Ma
Zhiping Yu
Zhiping Yu
Wenjing Qu
Xiaogeng Sun
Jian Huang
Wenpeng Xie
Haibo Cong
Haibo Cong
author_facet Teng Ma
Teng Ma
Zhiping Yu
Zhiping Yu
Wenjing Qu
Xiaogeng Sun
Jian Huang
Wenpeng Xie
Haibo Cong
Haibo Cong
author_sort Teng Ma
collection DOAJ
description BackgroundThe Life’s Simple 7 (LS7) metric is a comprehensive index evaluating cardiovascular health from a holistic perspective, integrating seven cardiovascular-related health factors and behaviors. However, the relationship between LS7 and the likelihood of developing osteoarthritis (OA) remains unclear. Therefore, this study investigated the possible association between LS7 and OA.MethodsUsing data from the National Health and Nutrition Examination Survey from 2009 to 2018, 19,603 participants were included in this study. LS7 was treated as the independent variable, whereas OA served as the dependent variable. The association between LS7 and OA was assessed by performing a weighted logistic regression analysis. To evaluate the stability of the findings, subgroup analyses were conducted. Additionally, restricted cubic spline (RCS) analysis was conducted to explore potential nonlinear relationships between LS7 and OA.ResultsLS7 scores were significantly negatively correlated with OA risk (OR: 0.808, 95% CI: 0.786–0.830). Analysis of LS7 categories indicated that individuals with ideal scores had a 55.9% lower OA risk than those with poor scores (OR: 0.559, 95% CI: 0.379–0.823). Subgroup analysis demonstrated that factors such as age, gender, marital status, BMI, and blood pressure moderated the relationship between LS7 and OA in inconsistent ways. The RCS analysis revealed a significant nonlinear negative association between LS7 scores and OA risk (p-nonlinear < 0.001).ConclusionThis study suggests a nonlinear negative correlation between LS7 and OA risk, implying that better cardiovascular health may be linked to a reduced risk of developing OA. However, the relationship varies across different subgroups.
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spelling doaj-art-21b8ef851bb14ec8b2f7be2dc7afa8022025-08-20T03:06:13ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-04-011210.3389/fmed.2025.15112701511270Association of life’s simple 7 with osteoarthritis risk: a cross-sectional study from NHANES 2009–2018Teng Ma0Teng Ma1Zhiping Yu2Zhiping Yu3Wenjing Qu4Xiaogeng Sun5Jian Huang6Wenpeng Xie7Haibo Cong8Haibo Cong9First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, ChinaDepartment of Orthopedics, Limin Hospital of Weihai High District, Weihai, ChinaFirst Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, ChinaDepartment of Orthopedics, Limin Hospital of Weihai High District, Weihai, ChinaDepartment of Orthopedics, Limin Hospital of Weihai High District, Weihai, ChinaDepartment of Orthopedics, Limin Hospital of Weihai High District, Weihai, ChinaDepartment of Orthopedics, Limin Hospital of Weihai High District, Weihai, ChinaDepartment of Orthopedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, ChinaDepartment of Orthopedics, Limin Hospital of Weihai High District, Weihai, ChinaMedical Technology Innovation Center, Shandong First Medical University, Jinan, ChinaBackgroundThe Life’s Simple 7 (LS7) metric is a comprehensive index evaluating cardiovascular health from a holistic perspective, integrating seven cardiovascular-related health factors and behaviors. However, the relationship between LS7 and the likelihood of developing osteoarthritis (OA) remains unclear. Therefore, this study investigated the possible association between LS7 and OA.MethodsUsing data from the National Health and Nutrition Examination Survey from 2009 to 2018, 19,603 participants were included in this study. LS7 was treated as the independent variable, whereas OA served as the dependent variable. The association between LS7 and OA was assessed by performing a weighted logistic regression analysis. To evaluate the stability of the findings, subgroup analyses were conducted. Additionally, restricted cubic spline (RCS) analysis was conducted to explore potential nonlinear relationships between LS7 and OA.ResultsLS7 scores were significantly negatively correlated with OA risk (OR: 0.808, 95% CI: 0.786–0.830). Analysis of LS7 categories indicated that individuals with ideal scores had a 55.9% lower OA risk than those with poor scores (OR: 0.559, 95% CI: 0.379–0.823). Subgroup analysis demonstrated that factors such as age, gender, marital status, BMI, and blood pressure moderated the relationship between LS7 and OA in inconsistent ways. The RCS analysis revealed a significant nonlinear negative association between LS7 scores and OA risk (p-nonlinear < 0.001).ConclusionThis study suggests a nonlinear negative correlation between LS7 and OA risk, implying that better cardiovascular health may be linked to a reduced risk of developing OA. However, the relationship varies across different subgroups.https://www.frontiersin.org/articles/10.3389/fmed.2025.1511270/fullosteoarthritisLife’s Simple 7NHANEScardiovascular healthcross-sectional studies
spellingShingle Teng Ma
Teng Ma
Zhiping Yu
Zhiping Yu
Wenjing Qu
Xiaogeng Sun
Jian Huang
Wenpeng Xie
Haibo Cong
Haibo Cong
Association of life’s simple 7 with osteoarthritis risk: a cross-sectional study from NHANES 2009–2018
Frontiers in Medicine
osteoarthritis
Life’s Simple 7
NHANES
cardiovascular health
cross-sectional studies
title Association of life’s simple 7 with osteoarthritis risk: a cross-sectional study from NHANES 2009–2018
title_full Association of life’s simple 7 with osteoarthritis risk: a cross-sectional study from NHANES 2009–2018
title_fullStr Association of life’s simple 7 with osteoarthritis risk: a cross-sectional study from NHANES 2009–2018
title_full_unstemmed Association of life’s simple 7 with osteoarthritis risk: a cross-sectional study from NHANES 2009–2018
title_short Association of life’s simple 7 with osteoarthritis risk: a cross-sectional study from NHANES 2009–2018
title_sort association of life s simple 7 with osteoarthritis risk a cross sectional study from nhanes 2009 2018
topic osteoarthritis
Life’s Simple 7
NHANES
cardiovascular health
cross-sectional studies
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1511270/full
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