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Association of adverse adulthood experiences with cardiovascular kidney metabolic syndrome

A CHARLS study examining adverse adulthood experiences, depressive symptoms, and advanced cardiovascular-kidney-metabolic syndrome.

Research question

How are adverse adulthood experiences associated with advanced cardiovascular-kidney-metabolic (CKM) syndrome, and how do depressive symptoms relate to this association?

Study

This cross-sectional analysis included 5,601 participants from the China Health and Retirement Longitudinal Study. Advanced CKM syndrome was defined as stages 3–4, and associations were examined using logistic regression, exploratory mediation, joint, subgroup, and sensitivity analyses.

Key finding

Compared with low adverse-adulthood experiences, high exposure was associated with advanced CKM syndrome (OR 1.83, 95% CI 1.26–2.67). Participants with both high exposure and depressive symptoms had higher odds than those with neither factor (OR 2.49, 95% CI 1.87–3.32). The authors noted that the findings were driven primarily by psychosocial experiences, while health-related items may reflect disease-related factors.

Authorship

Second author.

Publication

Scientific Reports · 2026-09-10

Read the open-access article

Publication record

Article details

  1. Published in Scientific Reports

    Second-author article. DOI