Lipids & metabolic liver disease

Associations of PM 2 .5 and Its Constituents With the Dynamic and Accelerated Progression of Cardiovascular‐Kidney‐Metabolic Syndrome: The Gold‐Health Cohort

Diabetes Obes MetabPublished Prospective cohort study

Study context

Population
Older adults in the Guangzhou Older Longitudinal Dynamic Health (GOLD-Health) cohort, cardiovascular-kidney-metabolic (CKM) stages classified by American Heart Association guidelines1.49 million person-years
Participants
41,175 / 266,016 / 206,692
Exposure
Exposure to PM2.5 and its five constituents
  • CKM stage 0-1n = 41,175
  • CKM stage 2n = 266,016
  • CKM stage 3n = 206,692
Outcome
Dynamic CKM stage transitions (progression) and death
Methodological detailsmulti-state models, accelerated failure time models
  • Multi-state models
  • Accelerated failure time models

Main finding

As reported in the abstract

Each SD increase in organic matter (OM) exposure: acceleration in transition time from stage 2 to stage 3

22.1%

Observational data: associations, not effects.

Further findings

Accelerated CKM progression (accelerated failure time (AFT) models)

Acceleration in transition time from stage 2 to stage 3 per SD increase in OM
22.1%
Higher exposure associated with accelerated CKM progression; OM strongest effects across most transitions

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Associations of PM 2 .5 and Its Constituents With the Dynamic and Accelerated Progression of Cardiovascular‐Kidney‐Metabolic Syndrome: The Gold‐Health Cohort. Diabetes Obes Metab. Published 5 June 2026. doi:10.1111/dom.70953

Composed by AI from the published abstract and checked against it. How Briefs are made →

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