Lipids & metabolic liver disease

Association between atherogenic index of plasma and future risk of cardiovascular disease in individuals with cardiovascular-kidney-metabolic syndrome stages 0–3: a nationwide prospective cohort study

Cardiovasc DiabetolPublished Prospective cohort study

Authors' conclusion

Poor control level of AIP are associated with an increased risk of CVD events in the population of CKM stages 0-3. Long-term dynamic monitoring of changes in AIP may help in the early identification of patients at high risk of developing CVD in the individuals with CKM stages 0-3.

Study context

Population
Individuals with cardiovascular-kidney-metabolic syndrome stages 0–3, China Health and Retirement Longitudinal Study (CHARLS)
Participants
3,429 individuals
Exposure
Atherogenic Index of Plasma (AIP) control classes vs best AIP control class 1
Outcome
Incident CVD (self-reported heart disease and/or stroke)
Follow-up
3-year follow-up
Methodological detailsnationwide
  • Nationwide

Main finding

As reported in the abstract

Incident CVD
Each group vs class 1Odds ratio (95% CI)
Class 2
1.37(1.04–1.81)
Class 3
1.54(1.04–2.26)
Class 4
1.65(1.13–2.41)
Class 5
2.14(1.15–3.97)
Participants developing cardiovascular disease (CVD)
620

Observational data: associations, not effects.

Further findings

Shape of AIP–CVD association (RCS)

Changes in AIP were linearly associated with occurrence of CVD events

Key AIP component predicting CVD

Triglyceride (TG) was a key variable for AIP in predicting CVD events (weighted quartiles and regression analyses)

Original publication

Association between atherogenic index of plasma and future risk of cardiovascular disease in individuals with cardiovascular-kidney-metabolic syndrome stages 0–3: a nationwide prospective cohort study. Cardiovasc Diabetol. Published 18 January 2025. doi:10.1186/s12933-025-02589-9

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