Type 2 & other diabetes

Can cardiovascular health and its modifiable healthy lifestyle offset the increased risk of all-cause and cardiovascular deaths associated with insulin resistance?

Cardiovasc DiabetolPublished Prospective cohort study

Authors' conclusion

In this cohort study, improving cardiovascular health and modifiable health behaviors significantly reduced the risk of insulin resistance-related all-cause and cardiovascular deaths. Maintaining cardiovascular health at moderate or high levels (LE8 ≥ 50) could offset the increased risks caused by insulin resistance.

Study context

Population
Healthy participants from the 2005–2018 NHANES programme
Participants
14,172 participants
Exposure
Insulin resistance (IR) and cardiovascular health (CVH) and their joint categories
Outcome
All-cause and cardiovascular mortality
Follow-up
Mean 7.6 years
Methodological detailsNHANES 2005-2018, weighted multifactor Cox regression, restricted cubic spline
  • NHANES 2005-2018
  • Weighted multifactor Cox regression
  • Restricted cubic spline

Main finding

As reported in the abstract

Deaths

1534

Cardiovascular deaths

382

Observational data: associations, not effects.

Original publication

Can cardiovascular health and its modifiable healthy lifestyle offset the increased risk of all-cause and cardiovascular deaths associated with insulin resistance? Cardiovasc Diabetol. Published 10 March 2025. doi:10.1186/s12933-025-02674-z

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