Muscle quality index and cardiovascular disease among US population-findings from NHANES 2011-2014

被引:15
作者
Chen, Yanlin [1 ]
Lin, Weidong [1 ]
Fu, Lu [1 ]
Liu, Huiyi [1 ]
Jin, Shuyu [2 ]
Ye, Xingdong [1 ]
Pu, Sijia [3 ]
Xue, Yumei [1 ,2 ,3 ]
机构
[1] Southern Med Univ, Guangdong Prov Peoples Hosp, Dept Guangdong Cardiovasc Inst, Guangdong Acad Med Sci, Guangzhou 510080, Peoples R China
[2] Southern Med Univ, Sch Clin Med 2, Guangzhou 510515, Peoples R China
[3] South China Univ Technol, Sch Med, Guangzhou 510006, Peoples R China
关键词
Muscle quality index; Cardiovascular Disease; Resistance exercise; National Health and Nutrition Examination Survey; PHYSICAL-ACTIVITY; HEART-FAILURE; SITTING TIME; SARCOPENIA; MORTALITY; MEN; STRENGTH; ASSOCIATION; PREVALENCE; DISABILITY;
D O I
10.1186/s12889-023-17303-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background and objectiveCardiovascular disease (CVD) is the leading cause of morbidity and mortality in the United States. However, current evidence on the association between muscle quality and CVD is limited. This study investigates the potential association between the muscle quality index (MQI) and the prevalence of CVD and CVD-related mortality.MethodsParticipants were selected from the National Health and Nutrition Examination Survey (NHANES) 2011-2014. Data on mortality and causes of death were obtained from the National Death Index (NDI) records through December 31, 2019. Statistical analysis used in this study, including weighted multivariable linear and logistic regression, cox regression and Kaplan-Meier (K-M) analysis, to estimate the association between MQI and all-cause mortality as well as CVD mortality. In addition, subgroup analysis was used to estimate the association between MQI and CVD subtypes, such as heart attack, coronary heart disease, angina, congestive heart failure, and stroke.ResultsA total of 5,053 participants were included in the final analysis. Weighted multivariable linear regression models revealed that a lower MQI.total level was independently associated with an increased risk of CVD development in model 3, with t value =-3.48, 95%CI: (-0.24, -0.06), P = 0.002. During 5,053 person-years of 6.92 years of follow-up, there were 29 deaths from CVD. Still, the association between MQI.total and CVD mortality, as well as all-cause mortality did not reach statistical significance in the fully adjusted model (HR = 0.58, 95% CI: 0.21-1.62, P = 0.30; HR = 0.91, 95% CI:0.65,1.28, P = 0.59, respectively). Subgroup analysis confirmed that MQI.total was negatively associated with congestive heart failure (OR = 0.35, 95% CI = 0.18,0.68, P = 0.01).ConclusionThis study highlights the potential of MQI as a measure of muscle quality, its negative correlation with congestive heart failure (CHF). However, MQI was not very useful for predicting the health outcomes such as CVD and mortality. Therefore, more attention should be paid to the early recognition of muscle weakness progression in CHF. Further studies are needed to explore more effective indicator to evaluate the association between muscle quality and health outcomes.
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页数:10
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