Association between atherogenic index of plasma and new-onset stroke in a population with cardiovascular-kidney-metabolic syndrome stages 0–3: insights from CHARLS

Cardiovasc DiabetolPublished Prospective cohort study

Authors' conclusion

This study provides evidence that baseline AIP levels were significantly positively associated with the risk of stroke in individuals with CKM syndrome stages 0-3, and AIP may serve as an effective risk marker for early identification of high-risk individuals prone to stroke within the CKM stages syndrome 0-3 population.

Study context

Population
Participants with Cardiovascular-Kidney-Metabolic (CKM) syndrome stages 0–3 from the China Health and Retirement Longitudinal Study (CHARLS)
Participants
7,754 participants
Exposure
Atherogenic index of plasma (AIP) quartiles Q2, Q3, Q4 vs Q1
Outcome
Incidence of new-onset stroke
Follow-up
Median 6.8 years

Main finding

As reported in the abstract

New-onset stroke
Fully adjusted Model 3
Each group vs Q1Hazard ratio (95% CI)
Q2
1.352(1.009–1.811)
Q3
1.421(1.064–1.897)
Q4
1.414(1.052–1.900)
First stroke events, whole cohort
455 participants (5.9%)

Observational data: associations, not effects.

Further findings

Shape of AIP–stroke association (restricted cubic spline)

Nonlinear association; P-overall
< 0.05
P-non-linear
< 0.05
Inflection point of AIP
0.32

Original publication

Association between atherogenic index of plasma and new-onset stroke in a population with cardiovascular-kidney-metabolic syndrome stages 0–3: insights from CHARLS. Cardiovasc Diabetol. Published 16 April 2025. doi:10.1186/s12933-025-02732-6

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