Evolving multimorbidity patterns among ageing adults with cardiovascular disease continuum in Southwest China: A longitudinal cohort study
Background: The progression of multimorbidity in Chinese ageing adults with cardiovascular diseases remains inadequately understood. This study investigates the longitudinal evolution of cardiovascular disease continuum (CVDC)-related multimorbidity patterns in this population. Methods: The observat...
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Elsevier
2025-06-01
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| Series: | International Journal of Cardiology. Cardiovascular Risk and Prevention |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772487525000558 |
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| author | Xiaoya Qi Ziyue Zhang Meng Jia Yangping Zhang Shuang Feng Ruixue Bai Siyao Wang Jinning Mao Shu Su |
| author_facet | Xiaoya Qi Ziyue Zhang Meng Jia Yangping Zhang Shuang Feng Ruixue Bai Siyao Wang Jinning Mao Shu Su |
| author_sort | Xiaoya Qi |
| collection | DOAJ |
| description | Background: The progression of multimorbidity in Chinese ageing adults with cardiovascular diseases remains inadequately understood. This study investigates the longitudinal evolution of cardiovascular disease continuum (CVDC)-related multimorbidity patterns in this population. Methods: The observational study analyzed medical examination reports from individuals aged 65 and older who underwent regular physical examinations during January 1, 2010 to December 31, 2022 at the Second Affiliated Hospital of Chongqing Medical University. Multimorbidity patterns of CVDC were examined. The construction of the multimorbidity network was based on Spearman correlation analyses to visualize the evolution of gender differences. Odds ratios (ORs) for developing multimorbidity in CVDC in compared to non-CVDC were calculated. Survival analysis and multivariate cox proportional hazards regression were performed to estimate the cumulative probability and identify risk factors for multimorbidity. Results: A total of 10,052 eligible individuals with 1835 (18.26 %) diagnosed with CVDC at baseline were included. The strongest positive correlation was observed between CVDC and obesity related diseases during both the initial (rmales = 0.208, rfemales = 0.244) and final (rmales = 0.312, rfemales = 0.248) examinations. Survival analysis revealed that the cumulative probability of multimorbidity of metabolic diseases in hypertension, dyslipidemia and atherosclerosis had increased over time; the corresponding adjusted HRs (95 % CIs) were 1.322 (1.219, 1.433), 1.553 (1.413, 1.706), and 1.460 (1.361, 1.567), respectively. The increasing risks of CVDC-related multimorbidity were primarily attributable to salty dietary habit (AHR = 1.336, 95 % CI: 1.239, 1.411). Conclusions: Multimorbidity patterns and disease networks associated with CVDC have become more complex over time, especially with metabolic diseases. A high-salty diet significantly increased the risk of CVDC-related multimorbidity. |
| format | Article |
| id | doaj-art-d0de5da43adc4ffc9b1bb2e3ec23988f |
| institution | DOAJ |
| issn | 2772-4875 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology. Cardiovascular Risk and Prevention |
| spelling | doaj-art-d0de5da43adc4ffc9b1bb2e3ec23988f2025-08-20T03:10:21ZengElsevierInternational Journal of Cardiology. Cardiovascular Risk and Prevention2772-48752025-06-012520041710.1016/j.ijcrp.2025.200417Evolving multimorbidity patterns among ageing adults with cardiovascular disease continuum in Southwest China: A longitudinal cohort studyXiaoya Qi0Ziyue Zhang1Meng Jia2Yangping Zhang3Shuang Feng4Ruixue Bai5Siyao Wang6Jinning Mao7Shu Su8Health Care Physical Examination Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaHealth Care Physical Examination Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Epidemiology and Biostatistics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaHealth Care Physical Examination Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaHealth Care Physical Examination Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaHealth Care Physical Examination Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaHealth Care Physical Examination Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaHealth Care Physical Examination Center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China; Corresponding author.Department of Epidemiology and Biostatistics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China; Corresponding author.Background: The progression of multimorbidity in Chinese ageing adults with cardiovascular diseases remains inadequately understood. This study investigates the longitudinal evolution of cardiovascular disease continuum (CVDC)-related multimorbidity patterns in this population. Methods: The observational study analyzed medical examination reports from individuals aged 65 and older who underwent regular physical examinations during January 1, 2010 to December 31, 2022 at the Second Affiliated Hospital of Chongqing Medical University. Multimorbidity patterns of CVDC were examined. The construction of the multimorbidity network was based on Spearman correlation analyses to visualize the evolution of gender differences. Odds ratios (ORs) for developing multimorbidity in CVDC in compared to non-CVDC were calculated. Survival analysis and multivariate cox proportional hazards regression were performed to estimate the cumulative probability and identify risk factors for multimorbidity. Results: A total of 10,052 eligible individuals with 1835 (18.26 %) diagnosed with CVDC at baseline were included. The strongest positive correlation was observed between CVDC and obesity related diseases during both the initial (rmales = 0.208, rfemales = 0.244) and final (rmales = 0.312, rfemales = 0.248) examinations. Survival analysis revealed that the cumulative probability of multimorbidity of metabolic diseases in hypertension, dyslipidemia and atherosclerosis had increased over time; the corresponding adjusted HRs (95 % CIs) were 1.322 (1.219, 1.433), 1.553 (1.413, 1.706), and 1.460 (1.361, 1.567), respectively. The increasing risks of CVDC-related multimorbidity were primarily attributable to salty dietary habit (AHR = 1.336, 95 % CI: 1.239, 1.411). Conclusions: Multimorbidity patterns and disease networks associated with CVDC have become more complex over time, especially with metabolic diseases. A high-salty diet significantly increased the risk of CVDC-related multimorbidity.http://www.sciencedirect.com/science/article/pii/S2772487525000558Cardiovascular diseasesMultimorbidityLongitudinal cohort studyAgeing populationRisk factors |
| spellingShingle | Xiaoya Qi Ziyue Zhang Meng Jia Yangping Zhang Shuang Feng Ruixue Bai Siyao Wang Jinning Mao Shu Su Evolving multimorbidity patterns among ageing adults with cardiovascular disease continuum in Southwest China: A longitudinal cohort study International Journal of Cardiology. Cardiovascular Risk and Prevention Cardiovascular diseases Multimorbidity Longitudinal cohort study Ageing population Risk factors |
| title | Evolving multimorbidity patterns among ageing adults with cardiovascular disease continuum in Southwest China: A longitudinal cohort study |
| title_full | Evolving multimorbidity patterns among ageing adults with cardiovascular disease continuum in Southwest China: A longitudinal cohort study |
| title_fullStr | Evolving multimorbidity patterns among ageing adults with cardiovascular disease continuum in Southwest China: A longitudinal cohort study |
| title_full_unstemmed | Evolving multimorbidity patterns among ageing adults with cardiovascular disease continuum in Southwest China: A longitudinal cohort study |
| title_short | Evolving multimorbidity patterns among ageing adults with cardiovascular disease continuum in Southwest China: A longitudinal cohort study |
| title_sort | evolving multimorbidity patterns among ageing adults with cardiovascular disease continuum in southwest china a longitudinal cohort study |
| topic | Cardiovascular diseases Multimorbidity Longitudinal cohort study Ageing population Risk factors |
| url | http://www.sciencedirect.com/science/article/pii/S2772487525000558 |
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