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Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome
Published on: September 27, 2024
Association between asthma and advanced cardiovascular-kidney-metabolic syndrome in U.S. adults, a cross-sectional
Dingyuan Tu1, Shuhui Ju2, Yu Xue3
1Department of Cardiology, The 961th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Qiqihar, 161000, China.
Insights
Asthma is linked to a higher risk of advanced cardiovascular-kidney-metabolic (CKM) syndrome. This study found that individuals with asthma were more likely to have severe CKM syndrome, emphasizing asthma
Area of Science:
- Cardiology
- Nephrology
- Metabolic Health
- Pulmonology
- Epidemiology
Background:
- Cardiovascular-Kidney-Metabolic (CKM) syndrome, a condition recognized for its multisystem nature, was introduced by the American Heart Association in 2023.
- Chronic airway inflammation in asthma may increase the risk and progression of CKM syndrome stages.
Purpose of the Study:
- To investigate the association between asthma and advanced stages of CKM syndrome.
- To determine if asthma is a risk-enhancing factor for severe CKM syndrome.
Main Methods:
- Cross-sectional study utilizing U.S. adult data from the National Health and Nutrition Examination Survey (2011-2023).
- Participants were staged 0-4 based on CKM syndrome clinical severity; advanced stages were defined as 3 or 4.
- Multivariable weighted logistic regression models analyzed the relationship between asthma and advanced CKM syndrome prevalence.
Main Results:
- A total of 22,394 participants were analyzed, with 3610 having advanced CKM syndrome.
- After adjusting for covariates, asthma was significantly associated with advanced CKM syndrome (OR, 1.86; 95% CI, 1.59-2.18; p < 0.0001).
- Subgroup and sensitivity analyses confirmed consistent findings.
Conclusions:
- Asthma is positively associated with advanced CKM syndrome in the U.S. adult population.
- These findings underscore the importance of considering asthma as a risk factor for preventing advanced CKM syndrome stages.
Background:
In 2023, the American Heart Association presented a new condition, cardiovascular-kidney-metabolic (CKM) syndrome, recognized for its multistage and multisystem nature. Given that inflammatory condition can enhance the risk for CKM syndrome and asthma is a disease characterized by chronic airway inflammation, asthma could potentially increase the progression through CKM syndrome stages. The aim of the present study was to investigate the association between asthma and advanced CKM syndrome.
Methods:
This cross-sectional study used data on U.S. adults from the National Health and Nutrition Examination Survey 2011-2023. Participants were categorized into five CKM stages (0-4) according to the clinical severity of CKM syndrome. CKM syndrome was defined as stage 1 or above, with advanced stages being stage 3 or 4. Self-administered questionnaires were used to collect information on asthma. Multivariable weighted logistic regression models were used to analyze the relationship between asthma and the prevalence of advanced CKM syndrome.
Results:
A total of 22,394 CKM syndrome patients were included in the final analysis, of which 3610 were categorized into advanced CKM syndrome, while the remaining 18,784 were not. After adjusting confounding covariates, asthma was associated with advanced CKM syndrome (odds ratio, 1.86; 95 % confidence interval, 1.59-2.18; p < 0.0001). Further subgroup and sensitivity analyses showed consistent results.
Conclusions:
In this cross-sectional study, asthma was positively associated with advanced CKM syndrome in the U.S. adult population. These findings highlight the significance of considering asthma as a risk-enhancing factor for advanced CKM syndrome stages prevention.
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