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.

Respiratory Medicine
|August 2, 2025
PubMed

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.
Abstract

Related Concept Videos

Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
2.8K
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
57
Asthma-II: Pathophysiology and Classification01:26

Asthma-II: Pathophysiology and Classification

Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
2.8K
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
2.6K
Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
78
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.6K