Evidence map›Paper›PMID 40654258›Full record

ArticleJournal of the American Heart Association2025

Association of Atherogenic Index of Plasma With Stroke Risk in a Population With Cardiovascular-Kidney-Metabolic Syndrome Stages 0 to 3: The First Evidence From the China Health and Retirement Longitudinal Study.

Zhanao Liu, Dayong Zhou, Yao Tang, Guijun Huo

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Zhanao LiuThe Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital Suzhou Jiangsu China.
Dayong ZhouThe Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital Suzhou Jiangsu China.ORCID 0009-0009-0726-685X
Yao TangThe Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital Suzhou Jiangsu China.
Guijun HuoThe Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital Suzhou Jiangsu China.ORCID 0009-0002-9141-7786

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe atherogenic index of plasma (AIP) is a marker of lipids and atherosclerosis. However, its associations with stroke risk in a population with cardiovascular-kidney-metabolic (CKM) syndrome stages 0 to 3 remain unclear.

methodsThe data for this study were obtained from CHARLS (China Health and Retirement Longitudinal Study). The AIP was calculated using the formula: AIP=log10 (triglycerides/high-density lipoprotein cholesterol). The outcome of this study was stroke events. Cox regression models and restricted cubic spline were applied to investigate the relationship between AIP and stroke risk in populations with CKM syndrome stages 0 to 3.

resultsA total of 7664 participants were included in this study, with a mean age of 59.30±9.58 years, and 53.08% were women. A total of 683 (8.91%) stroke events were recorded. After fully adjusting for covariates, each 1-unit increase in AIP was associated with a 22% increase in stroke risk (hazard ratio [HR], 1.22 [95% CI, 1.10-1.34]). AIP was further categorized into quartiles. The adjusted HRs for quartile 2, quartile 3, and quartile 4 compared with quartile 1 were 1.48 (95% CI, 1.18-1.86), 1.70 (95% CI, 1.36-2.14), and 1.58 (95% CI, 1.25-2.00), respectively. Results from restricted cubic spline revealed a significant nonlinear relationship within a population with CKM syndrome stages 0 to 3 between AIP and stroke risk (threshold=1.516).

conclusionsThis study found a nonlinear association between AIP and increased stroke incidence in a population with CKM syndrome stages 0 to 3, with a threshold of 1.516. These findings indicate that AIP could serve as a potential predictor for the risk of stroke.

Indexed as

AtherosclerosisCholesterol, HDLMetabolic SyndromeStrokeTriglyceridesAgedBiomarkersChinaFemaleHumansIncidenceLongitudinal StudiesMaleMiddle AgedRisk AssessmentRisk FactorsBiomarkersCholesterol, HDLTriglyceridesatherogenic index of plasmacardiovascular‐kidney‐metabolic syndromeCHARLSstroke

Identifiers

PMID40654258
PMCPMC12533614

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.