{"id":"https://openalex.org/W4415218951","doi":"https://doi.org/10.1016/j.ahjo.2025.100639","title":"Association of physical activity and sedentary behavior with stages of cardiovascular\u2013kidney\u2013metabolic syndrome among U.S. adults: NHANES 2007\u20132020","display_name":"Association of physical activity and sedentary behavior with stages of cardiovascular\u2013kidney\u2013metabolic syndrome among U.S. adults: NHANES 2007\u20132020","publication_year":2025,"publication_date":"2025-10-15","ids":{"openalex":"https://openalex.org/W4415218951","doi":"https://doi.org/10.1016/j.ahjo.2025.100639","pmid":"https://pubmed.ncbi.nlm.nih.gov/41146863","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12554204"},"language":"en","primary_location":{"id":"doi:10.1016/j.ahjo.2025.100639","doi":"https://doi.org/10.1016/j.ahjo.2025.100639","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ahjo.2025.100639","pdf_url":null,"source":{"id":"https://openalex.org/S4210207075","display_name":"American Heart Journal Plus Cardiology Research and Practice","issn_l":"2666-6022","issn":["2666-6022"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","norway-1","oarl"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Heart Journal Plus: Cardiology Research and Practice","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.ahjo.2025.100639","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Shuo Pang","orcid":"https://orcid.org/0000-0002-9838-7965","observed_orcids":["https://orcid.org/0000-0002-9838-7965"]},"institutions":[{"id":"https://openalex.org/I4210140813","display_name":"First Affiliated Hospital of Dalian Medical University","ror":"https://ror.org/055w74b96","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210140813"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Shuo Pang","raw_affiliation_strings":["Department of Urology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China"],"raw_orcid":"https://orcid.org/0000-0002-9838-7965","affiliations":[{"raw_affiliation_string":"Department of Urology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China","institution_ids":["https://openalex.org/I4210140813"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5094071063","display_name":"Yuxi Dongye","orcid":"https://orcid.org/0000-0003-3343-2507","observed_orcids":["https://orcid.org/0000-0003-3343-2507"]},"institutions":[{"id":"https://openalex.org/I4405262088","display_name":"Jinan Third People's Hospital","ror":"https://ror.org/019cb0c33","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4405262088"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yuxi Dongye","raw_affiliation_strings":["Department of Breast Surgery, Jinan Third People's Hospital, Jinan, Shandong, 250101, China"],"raw_orcid":"https://orcid.org/0000-0003-3343-2507","affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Jinan Third People's Hospital, Jinan, Shandong, 250101, China","institution_ids":["https://openalex.org/I4405262088"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074303807","display_name":"Yingwei Bi","orcid":"https://orcid.org/0000-0002-0428-8879","observed_orcids":["https://orcid.org/0000-0002-0428-8879"]},"institutions":[{"id":"https://openalex.org/I4210140813","display_name":"First Affiliated Hospital of Dalian Medical University","ror":"https://ror.org/055w74b96","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210140813"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Yingwei Bi","raw_affiliation_strings":["Department of Urology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China"],"raw_orcid":"https://orcid.org/0000-0002-0428-8879","affiliations":[{"raw_affiliation_string":"Department of Urology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China","institution_ids":["https://openalex.org/I4210140813"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5060469361","display_name":"Jianbo Wang","orcid":"https://orcid.org/0000-0002-2667-3946","observed_orcids":["https://orcid.org/0000-0002-2667-3946"]},"institutions":[{"id":"https://openalex.org/I4210140813","display_name":"First Affiliated Hospital of Dalian Medical University","ror":"https://ror.org/055w74b96","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210140813"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Jianbo Wang","raw_affiliation_strings":["Department of Urology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China"],"raw_orcid":"https://orcid.org/0000-0002-2667-3946","affiliations":[{"raw_affiliation_string":"Department of Urology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China","institution_ids":["https://openalex.org/I4210140813"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5060469361","https://openalex.org/A5074303807"],"corresponding_institution_ids":["https://openalex.org/I4210140813"],"apc_list":{"value":2810,"currency":"USD","value_usd":2810},"apc_paid":{"value":2810,"currency":"USD","value_usd":2810},"fwci":2.7866,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":{"value":0.88441413,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":97,"max":98},"biblio":{"volume":"60","issue":null,"first_page":"100639","last_page":"100639"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10352","display_name":"Physical Activity and Health","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10352","display_name":"Physical Activity and Health","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10027","display_name":"Diabetes, Cardiovascular Risks, and Lipoproteins","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10010","display_name":"Obesity, Physical Activity, Diet","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cardiovascular-kidney-metabolic-syndrome","display_name":"cardiovascular-kidney-metabolic syndrome","score":0.9980000257492065},{"id":"https://openalex.org/keywords/moderate-to-vigorous-physical-activity","display_name":"moderate-to-vigorous physical activity","score":0.9380000233650208},{"id":"https://openalex.org/keywords/sedentary-behavior","display_name":"sedentary behavior","score":0.9980000257492065},{"id":"https://openalex.org/keywords/chronic-kidney-disease","display_name":"chronic kidney disease","score":0.9660000205039978},{"id":"https://openalex.org/keywords/cardiovascular-dysfunction","display_name":"cardiovascular dysfunction","score":0.7390000224113464},{"id":"https://openalex.org/keywords/metabolic-risk-factors","display_name":"metabolic risk factors","score":0.8939999938011169},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"socioeconomic status","score":0.8640000224113464},{"id":"https://openalex.org/keywords/poverty-income-ratio","display_name":"poverty income ratio","score":0.8849999904632568},{"id":"https://openalex.org/keywords/age-and-sex-differences","display_name":"age and sex differences","score":0.7269999980926514}],"concepts":[{"id":"https://openalex.org/C2987988905","wikidata":"https://www.wikidata.org/wiki/Q1349358","display_name":"Sedentary behavior","level":3,"score":0.7695000171661377},{"id":"https://openalex.org/C3020255362","wikidata":"https://www.wikidata.org/wiki/Q747883","display_name":"Physical activity","level":2,"score":0.7437999844551086},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.6685000061988831},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.6079999804496765},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6067000031471252},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4675000011920929},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.4587000012397766},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.41519999504089355},{"id":"https://openalex.org/C2983876825","wikidata":"https://www.wikidata.org/wiki/Q9332","display_name":"Health behavior","level":2,"score":0.4142000079154968},{"id":"https://openalex.org/C3018284874","wikidata":"https://www.wikidata.org/wiki/Q389735","display_name":"Cardiovascular health","level":3,"score":0.4120999872684479},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.39570000767707825},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3479999899864197},{"id":"https://openalex.org/C2985495968","wikidata":"https://www.wikidata.org/wiki/Q422453","display_name":"Motor activity","level":2,"score":0.3476000130176544},{"id":"https://openalex.org/C2778899633","wikidata":"https://www.wikidata.org/wiki/Q1349358","display_name":"Sedentary lifestyle","level":3,"score":0.34549999237060547},{"id":"https://openalex.org/C2987512134","wikidata":"https://www.wikidata.org/wiki/Q346799","display_name":"Life style","level":2,"score":0.33889999985694885},{"id":"https://openalex.org/C3017650416","wikidata":"https://www.wikidata.org/wiki/Q3281331","display_name":"Feeding behavior","level":2,"score":0.32179999351501465},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3028999865055084},{"id":"https://openalex.org/C181588539","wikidata":"https://www.wikidata.org/wiki/Q219067","display_name":"Physical exercise","level":2,"score":0.29829999804496765},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.28760001063346863},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.2799000144004822},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.26190000772476196},{"id":"https://openalex.org/C2780250136","wikidata":"https://www.wikidata.org/wiki/Q1816067","display_name":"Physical activity level","level":3,"score":0.25760000944137573},{"id":"https://openalex.org/C3019123661","wikidata":"https://www.wikidata.org/wiki/Q5906358","display_name":"Healthy diet","level":2,"score":0.25380000472068787}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1016/j.ahjo.2025.100639","doi":"https://doi.org/10.1016/j.ahjo.2025.100639","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ahjo.2025.100639","pdf_url":null,"source":{"id":"https://openalex.org/S4210207075","display_name":"American Heart Journal Plus Cardiology Research and Practice","issn_l":"2666-6022","issn":["2666-6022"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","norway-1","oarl"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Heart Journal Plus: Cardiology Research and Practice","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12554204","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12554204/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12554204/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Am Heart J Plus","raw_type":"Text"},{"id":"pmh:oai:europepmc.org:11361545","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12554204","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:41146863","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41146863","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American heart journal plus : cardiology research and practice","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:36bfb6753be741ef830cb647085aeeb9","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/36bfb6753be741ef830cb647085aeeb9","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"American Heart Journal Plus, Vol 60, Iss , Pp 100639- (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.ahjo.2025.100639","doi":"https://doi.org/10.1016/j.ahjo.2025.100639","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ahjo.2025.100639","pdf_url":null,"source":{"id":"https://openalex.org/S4210207075","display_name":"American Heart Journal Plus Cardiology Research and Practice","issn_l":"2666-6022","issn":["2666-6022"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","norway-1","oarl"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Heart Journal Plus: Cardiology Research and Practice","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G1706327997","display_name":null,"funder_award_id":"82173121","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"}],"funders":[{"id":"https://openalex.org/F4320315254","display_name":"Innovative Research Group Project of the National Natural Science Foundation of China","ror":null},{"id":"https://openalex.org/F4320321001","display_name":"National Natural Science Foundation of China","ror":"https://ror.org/01h0zpd94"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4415218951.pdf","grobid_xml":"https://content.openalex.org/works/W4415218951.grobid-xml"},"referenced_works_count":51,"referenced_works":["https://openalex.org/W1985709400","https://openalex.org/W2000958877","https://openalex.org/W2071306276","https://openalex.org/W2113760558","https://openalex.org/W2120762953","https://openalex.org/W2135019055","https://openalex.org/W2138149545","https://openalex.org/W2139219244","https://openalex.org/W2161163003","https://openalex.org/W2493586185","https://openalex.org/W2499544504","https://openalex.org/W2511876639","https://openalex.org/W2787983500","https://openalex.org/W2790570046","https://openalex.org/W2802843113","https://openalex.org/W2807139522","https://openalex.org/W2889780624","https://openalex.org/W2900726805","https://openalex.org/W2915319527","https://openalex.org/W2915542172","https://openalex.org/W2920817146","https://openalex.org/W2939208482","https://openalex.org/W2945609608","https://openalex.org/W2946584885","https://openalex.org/W2953569589","https://openalex.org/W2961683851","https://openalex.org/W2963504600","https://openalex.org/W3095452393","https://openalex.org/W3096486083","https://openalex.org/W3108517679","https://openalex.org/W3152705473","https://openalex.org/W3186621629","https://openalex.org/W4200295241","https://openalex.org/W4210347219","https://openalex.org/W4211191293","https://openalex.org/W4213179458","https://openalex.org/W4213227897","https://openalex.org/W4248407078","https://openalex.org/W4288748568","https://openalex.org/W4297106397","https://openalex.org/W4309047326","https://openalex.org/W4313898660","https://openalex.org/W4317040896","https://openalex.org/W4321189914","https://openalex.org/W4379780271","https://openalex.org/W4387078309","https://openalex.org/W4387435427","https://openalex.org/W4387439311","https://openalex.org/W4399705664","https://openalex.org/W4408285872","https://openalex.org/W4410836624"],"related_works":["https://openalex.org/W4409541131","https://openalex.org/W4409541788","https://openalex.org/W7124731456","https://openalex.org/W4415793949","https://openalex.org/W4410836624","https://openalex.org/W7171949710","https://openalex.org/W4415379346","https://openalex.org/W7168015081","https://openalex.org/W7139071925","https://openalex.org/W7158495315"],"abstract_inverted_index":{"Background:":[0],"Cardiovascular-kidney-metabolic":[1],"(CKM)":[2],"syndrome,":[3],"newly":[4],"defined":[5],"by":[6,178],"the":[7,187,243],"American":[8],"Heart":[9],"Association,":[10],"integrates":[11],"metabolic":[12],"risk":[13],"factors,":[14],"chronic":[15],"kidney":[16],"disease,":[17],"and":[18,38,58,69,77,101,162,183,196,206,211,251],"cardiovascular":[19],"dysfunction.":[20],"Although":[21],"clinically":[22],"important,":[23],"evidence-based":[24],"prevention":[25,250],"strategies":[26,255],"remain":[27],"limited.":[28],"This":[29],"study":[30],"examined":[31],"associations":[32,202,221],"of":[33,126,140,153,167,190,236,245],"moderate-to-vigorous":[34],"physical":[35,246],"activity":[36,247],"(MVPA)":[37],"sedentary":[39],"behavior":[40],"(SB)":[41],"with":[42,111,199,222,233],"CKM":[43,81,127,223,238,249],"stage":[44,128,141,154,168],"in":[45,248],"a":[46],"representative":[47],"U.S.":[48],"adult":[49],"sample.":[50],"Methods:":[51],"We":[52],"used":[53],"survey-weighted":[54],"multinomial":[55],"logistic":[56],"regression":[57],"restricted":[59],"cubic":[60],"splines":[61],"(RCS).":[62],"MVPA":[63,191,230],"was":[64,82,192,231],"classified":[65],"as":[66,74,87],"0,":[67],"1-149,":[68],"\u2265":[70,78],"150":[71],"min/week;":[72],"SB":[73,184,217],"<5,":[75],"5-8,":[76],"8":[79],"h/day;":[80],"staged":[83],"0-4":[84],"(stage":[85],"0":[86],"reference).":[88],"Predefined":[89],"subgroups":[90],"were":[91],"age":[92,195],"(20-59":[93],"vs":[94,99],"60-79":[95],"years),":[96],"sex":[97],"(female":[98],"male)":[100],"PIR":[102],"(high":[103],">3.49;":[104],"medium":[105],">1.49-<3.49;":[106],"low":[107,210],"\u22641.49).":[108],"Results:":[109],"Compared":[110],"individuals":[112],"reporting":[113],"no":[114],"MVPA,":[115],"those":[116],"achieving":[117],"\u2265150":[118],"min/week":[119],"had":[120],"approximately":[121],"33":[122],"%":[123,133,137,146,150,159,164,173],"lower":[124,138,151,165,234],"odds":[125,139,152,166,235],"1":[129],"(OR":[130,143,156,170],"0.67,":[131],"95":[132,145,158,172],"CI":[134,147,160,174],"0.46-0.97),":[135],"44":[136],"2":[142],"0.56,":[144],"0.38-0.83),":[148],"92":[149],"3":[155],"0.09,":[157],"0.02-0.32),":[161],"65":[163],"4":[169],"0.35,":[171],"0.19-0.63).":[175],"Subgroup":[176],"analyses":[177],"age,":[179],"sex,":[180],"poverty-income":[181],"ratio,":[182],"indicated":[185],"that":[186],"protective":[188],"impact":[189],"evident":[193],"across":[194],"socioeconomic":[197,213],"subgroups,":[198],"relatively":[200],"stronger":[201],"among":[203],"younger":[204],"adults":[205],"benefits":[207],"at":[208],"both":[209],"high":[212],"strata.":[214],"By":[215],"contrast,":[216],"showed":[218],"weaker":[219],"independent":[220],"severity":[224],"after":[225],"full":[226],"adjustment.":[227],"Conclusions:":[228],"Greater":[229],"associated":[232],"advanced":[237],"stage.":[239],"These":[240],"findings":[241],"highlight":[242],"role":[244],"support":[252],"public":[253],"health":[254],"to":[256],"reduce":[257],"lifestyle-related":[258],"risks.":[259]},"counts_by_year":[{"year":2026,"cited_by_count":4}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2025-10-16T00:00:00"}
