Association between asthma and cardiovascular disease: evidence from the national health and nutrition examination survey 1999–2018

BackgroundCardiovascular disease(CVD) remains a significant global challenge. Asthma, which is characterized by airway hyperresponsiveness and reversible and limited airflow, plays an important role in cardiovascular diseases. This study aimed to investigate the association between asthma and CVD.Me...

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Main Authors: Biao Peng, Wenjing Zhao, Fang Wan, Zhonghai Ji, Runkun Luo, Sheng Wang, Anhua Cao, Zhichao Yang, Da Liu, Changchun Tang, Ping Deng
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1367576/full
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author Biao Peng
Wenjing Zhao
Fang Wan
Zhonghai Ji
Runkun Luo
Sheng Wang
Anhua Cao
Zhichao Yang
Da Liu
Changchun Tang
Ping Deng
author_facet Biao Peng
Wenjing Zhao
Fang Wan
Zhonghai Ji
Runkun Luo
Sheng Wang
Anhua Cao
Zhichao Yang
Da Liu
Changchun Tang
Ping Deng
author_sort Biao Peng
collection DOAJ
description BackgroundCardiovascular disease(CVD) remains a significant global challenge. Asthma, which is characterized by airway hyperresponsiveness and reversible and limited airflow, plays an important role in cardiovascular diseases. This study aimed to investigate the association between asthma and CVD.MethodsThis cross-sectional study included demographic, laboratory, and questionnaire data from the National Health and Nutrition Examination Survey (NHANES) 1999–2018. CVD included stroke, congestive heart failure, coronary heart disease, and angina. Multiple logistic regression models were used to detect the association between asthma and the prevalence of CVD, adjusting for age, gender, race, education level, body mass index, ratio of family income to poverty, smoking exposure, drinking exposure, diabetes history, hypertension history, chronic obstructive pulmonary disease (COPD) history, and chronic kidney disease (CKD) history. A subgroup analysis was performed to investigate the association between asthma and CVD in different populations.ResultsIn total, 16,807 participants were included in this study, including 2,446 who reported having asthma. Compared with participants without asthma, the prevalence of stroke in those with asthma was increased by 1.607 times; the prevalence of congestive heart failure was increased by 1.911 times. Asthma significantly increased the prevalence of stroke among participants aged 18–44 years old, with a BMI 18.50–29.99 kg/m2, with low education levels, and with a PIR < 1.00. Asthma also increased the prevalence of angina in females, non-Hispanic Blacks, participants aged 45–59 years old, with a BMI ≥ 30.00 kg/m2, and with a PIR < 1.00. The prevalence of congestive heart failure was positively associated with asthma in non-Hispanic Whites or Blacks, participants aged ≥45 years old, with a BMI 25.00–29.99 kg/m2, with a PIR < 1.00, and with a low or middle education level.ConclusionAsthma significantly increases the prevalence of stroke, congestive heart failure. Patients with asthma should be monitored for CVD, including stroke and congestive heart failure.
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series Frontiers in Cardiovascular Medicine
spelling doaj-art-4d37f9f6e13e4f3d90bf510ad9b9ef312024-12-20T06:29:11ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-12-011110.3389/fcvm.2024.13675761367576Association between asthma and cardiovascular disease: evidence from the national health and nutrition examination survey 1999–2018Biao Peng0Wenjing Zhao1Fang Wan2Zhonghai Ji3Runkun Luo4Sheng Wang5Anhua Cao6Zhichao Yang7Da Liu8Changchun Tang9Ping Deng10Department of Pulmonary and Critical Care Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, Hunan, ChinaDepartment of Cardiovascular Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, Hunan, ChinaDepartment of Cardiovascular Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, Hunan, ChinaDepartment of Neurology, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, Hunan, ChinaDepartment of Cardiovascular Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, Hunan, ChinaDepartment of Cardiovascular Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, Hunan, ChinaDepartment of Cardiovascular Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, Hunan, ChinaDepartment of Pulmonary and Critical Care Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, Hunan, ChinaDepartment of Pulmonary and Critical Care Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, Hunan, ChinaDepartment of Cardiovascular Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, Hunan, ChinaDepartment of Cardiovascular Medicine, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, Hunan, ChinaBackgroundCardiovascular disease(CVD) remains a significant global challenge. Asthma, which is characterized by airway hyperresponsiveness and reversible and limited airflow, plays an important role in cardiovascular diseases. This study aimed to investigate the association between asthma and CVD.MethodsThis cross-sectional study included demographic, laboratory, and questionnaire data from the National Health and Nutrition Examination Survey (NHANES) 1999–2018. CVD included stroke, congestive heart failure, coronary heart disease, and angina. Multiple logistic regression models were used to detect the association between asthma and the prevalence of CVD, adjusting for age, gender, race, education level, body mass index, ratio of family income to poverty, smoking exposure, drinking exposure, diabetes history, hypertension history, chronic obstructive pulmonary disease (COPD) history, and chronic kidney disease (CKD) history. A subgroup analysis was performed to investigate the association between asthma and CVD in different populations.ResultsIn total, 16,807 participants were included in this study, including 2,446 who reported having asthma. Compared with participants without asthma, the prevalence of stroke in those with asthma was increased by 1.607 times; the prevalence of congestive heart failure was increased by 1.911 times. Asthma significantly increased the prevalence of stroke among participants aged 18–44 years old, with a BMI 18.50–29.99 kg/m2, with low education levels, and with a PIR < 1.00. Asthma also increased the prevalence of angina in females, non-Hispanic Blacks, participants aged 45–59 years old, with a BMI ≥ 30.00 kg/m2, and with a PIR < 1.00. The prevalence of congestive heart failure was positively associated with asthma in non-Hispanic Whites or Blacks, participants aged ≥45 years old, with a BMI 25.00–29.99 kg/m2, with a PIR < 1.00, and with a low or middle education level.ConclusionAsthma significantly increases the prevalence of stroke, congestive heart failure. Patients with asthma should be monitored for CVD, including stroke and congestive heart failure.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1367576/fullasthmastrokeheart failureangina pectoriscardiovascular diseasesNHANES
spellingShingle Biao Peng
Wenjing Zhao
Fang Wan
Zhonghai Ji
Runkun Luo
Sheng Wang
Anhua Cao
Zhichao Yang
Da Liu
Changchun Tang
Ping Deng
Association between asthma and cardiovascular disease: evidence from the national health and nutrition examination survey 1999–2018
Frontiers in Cardiovascular Medicine
asthma
stroke
heart failure
angina pectoris
cardiovascular diseases
NHANES
title Association between asthma and cardiovascular disease: evidence from the national health and nutrition examination survey 1999–2018
title_full Association between asthma and cardiovascular disease: evidence from the national health and nutrition examination survey 1999–2018
title_fullStr Association between asthma and cardiovascular disease: evidence from the national health and nutrition examination survey 1999–2018
title_full_unstemmed Association between asthma and cardiovascular disease: evidence from the national health and nutrition examination survey 1999–2018
title_short Association between asthma and cardiovascular disease: evidence from the national health and nutrition examination survey 1999–2018
title_sort association between asthma and cardiovascular disease evidence from the national health and nutrition examination survey 1999 2018
topic asthma
stroke
heart failure
angina pectoris
cardiovascular diseases
NHANES
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1367576/full
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