Association of lung health and cardiovascular health (Life’s Essential 8)

BackgroundCardiorespiratory health issues often intersect. This study explored the relationship between lung health and the recently updated Cardiovascular Health Measure (Life’s Essential 8).MethodsData from the 2007–2018 National Health and Nutrition Examination Survey (NHANES) were analyzed. Thre...

Full description

Saved in:
Bibliographic Details
Main Authors: Wanjia Zhang, Menglong Zou, Junyao Liang, Dexu Zhang, Man Zhou, Hui Feng, Chusen Tang, Jie Xiao, Zhan Yi, Yin Xu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1481213/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1825202109016965120
author Wanjia Zhang
Menglong Zou
Junyao Liang
Dexu Zhang
Man Zhou
Hui Feng
Chusen Tang
Jie Xiao
Zhan Yi
Yin Xu
author_facet Wanjia Zhang
Menglong Zou
Junyao Liang
Dexu Zhang
Man Zhou
Hui Feng
Chusen Tang
Jie Xiao
Zhan Yi
Yin Xu
author_sort Wanjia Zhang
collection DOAJ
description BackgroundCardiorespiratory health issues often intersect. This study explored the relationship between lung health and the recently updated Cardiovascular Health Measure (Life’s Essential 8).MethodsData from the 2007–2018 National Health and Nutrition Examination Survey (NHANES) were analyzed. Three cohorts were included: lung disease in the Main cohort (N = 9,772), lung function in the Spirometry sub-cohort (N = 3,896), and respiratory symptoms in the Respiratory Symptoms sub-cohort (Age > 40) (N = 3,449). LE8 scores were used as both continuous and categorical variables (0–49, 50–79, 80–100). Weighted multivariate regression analyses examined the correlations between LE8 and lung health, and weighted restricted cubic spline (RCS) regression analyzed potential non-linear relationships. Subgroup analysis was conducted to verify stability.ResultsOverall lung health was better in the high LE8 group than in the low LE8 group. In the fully adjusted model, the high LE8 group had significantly lower odds of asthma (OR = 0.42; 95% CI = 0.29, 0.59) and chronic bronchitis (OR = 0.27; 95% CI = 0.15, 0.49) compared to the low LE8 group. Regarding lung function, each 10-point increase in LE8 was associated with an increase of 50 ml in FEV1 (Beta = 50; 95% CI = 32, 67) and 56 ml in FVC (Beta = 56; 95% CI = 32, 79). Among middle-aged and older adults (age > 40), the high LE8 group had significantly lower odds of respiratory symptoms, including cough (OR = 0.23; 95% CI = 0.12, 0.46), phlegm (OR = 0.42; 95% CI = 0.19, 0.90), and wheezing (OR = 0.29; 95% CI = 0.15, 0.54). RCS analyses demonstrated a non-linear negative correlation between LE8 and cough, sputum, and wheeze. Subgroup and sensitivity analysis suggested stability.ConclusionLife’s Essential 8 (LE8) scores are positively associated with lung health in the US population. These findings provide a valuable reference for maintaining overall cardiorespiratory health.
format Article
id doaj-art-e66e42e69a624573bc9230345e81a65a
institution Kabale University
issn 2296-858X
language English
publishDate 2025-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj-art-e66e42e69a624573bc9230345e81a65a2025-02-07T15:15:03ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011210.3389/fmed.2025.14812131481213Association of lung health and cardiovascular health (Life’s Essential 8)Wanjia Zhang0Menglong Zou1Junyao Liang2Dexu Zhang3Man Zhou4Hui Feng5Chusen Tang6Jie Xiao7Zhan Yi8Yin Xu9The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, ChinaThe First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, ChinaThe First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, ChinaThe First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, ChinaThe First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, ChinaThe First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, ChinaThe First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, ChinaThe First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, ChinaHunan University of Chinese Medicine, Changsha, Hunan, ChinaThe First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, ChinaBackgroundCardiorespiratory health issues often intersect. This study explored the relationship between lung health and the recently updated Cardiovascular Health Measure (Life’s Essential 8).MethodsData from the 2007–2018 National Health and Nutrition Examination Survey (NHANES) were analyzed. Three cohorts were included: lung disease in the Main cohort (N = 9,772), lung function in the Spirometry sub-cohort (N = 3,896), and respiratory symptoms in the Respiratory Symptoms sub-cohort (Age > 40) (N = 3,449). LE8 scores were used as both continuous and categorical variables (0–49, 50–79, 80–100). Weighted multivariate regression analyses examined the correlations between LE8 and lung health, and weighted restricted cubic spline (RCS) regression analyzed potential non-linear relationships. Subgroup analysis was conducted to verify stability.ResultsOverall lung health was better in the high LE8 group than in the low LE8 group. In the fully adjusted model, the high LE8 group had significantly lower odds of asthma (OR = 0.42; 95% CI = 0.29, 0.59) and chronic bronchitis (OR = 0.27; 95% CI = 0.15, 0.49) compared to the low LE8 group. Regarding lung function, each 10-point increase in LE8 was associated with an increase of 50 ml in FEV1 (Beta = 50; 95% CI = 32, 67) and 56 ml in FVC (Beta = 56; 95% CI = 32, 79). Among middle-aged and older adults (age > 40), the high LE8 group had significantly lower odds of respiratory symptoms, including cough (OR = 0.23; 95% CI = 0.12, 0.46), phlegm (OR = 0.42; 95% CI = 0.19, 0.90), and wheezing (OR = 0.29; 95% CI = 0.15, 0.54). RCS analyses demonstrated a non-linear negative correlation between LE8 and cough, sputum, and wheeze. Subgroup and sensitivity analysis suggested stability.ConclusionLife’s Essential 8 (LE8) scores are positively associated with lung health in the US population. These findings provide a valuable reference for maintaining overall cardiorespiratory health.https://www.frontiersin.org/articles/10.3389/fmed.2025.1481213/fullcardiovascular healthlung healthLife’s Essential 8NHANEScross-sectional study
spellingShingle Wanjia Zhang
Menglong Zou
Junyao Liang
Dexu Zhang
Man Zhou
Hui Feng
Chusen Tang
Jie Xiao
Zhan Yi
Yin Xu
Association of lung health and cardiovascular health (Life’s Essential 8)
Frontiers in Medicine
cardiovascular health
lung health
Life’s Essential 8
NHANES
cross-sectional study
title Association of lung health and cardiovascular health (Life’s Essential 8)
title_full Association of lung health and cardiovascular health (Life’s Essential 8)
title_fullStr Association of lung health and cardiovascular health (Life’s Essential 8)
title_full_unstemmed Association of lung health and cardiovascular health (Life’s Essential 8)
title_short Association of lung health and cardiovascular health (Life’s Essential 8)
title_sort association of lung health and cardiovascular health life s essential 8
topic cardiovascular health
lung health
Life’s Essential 8
NHANES
cross-sectional study
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1481213/full
work_keys_str_mv AT wanjiazhang associationoflunghealthandcardiovascularhealthlifesessential8
AT menglongzou associationoflunghealthandcardiovascularhealthlifesessential8
AT junyaoliang associationoflunghealthandcardiovascularhealthlifesessential8
AT dexuzhang associationoflunghealthandcardiovascularhealthlifesessential8
AT manzhou associationoflunghealthandcardiovascularhealthlifesessential8
AT huifeng associationoflunghealthandcardiovascularhealthlifesessential8
AT chusentang associationoflunghealthandcardiovascularhealthlifesessential8
AT jiexiao associationoflunghealthandcardiovascularhealthlifesessential8
AT zhanyi associationoflunghealthandcardiovascularhealthlifesessential8
AT yinxu associationoflunghealthandcardiovascularhealthlifesessential8