Publications by authors named "Shouling Wu"

Background: Both renal function decline and systemic inflammation may synergistically increase the risk of atrial fibrillation (AF). This study investigates the association between estimated glomerular filtration rate (eGFR) and high-sensitivity C-reactive protein (hs-CRP) levels with the risk of new-onset AF in patients with diabetes mellitus.

Methods: We included diabetic patients without AF who participated in physical exams in the Kailuan Study from 2006 to 2010.

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Background And Aim: The analyses of longitudinal changes in remnant cholesterol (RC) and cardiovascular disease (CVD) remains are limited. The objective of the study was to investigate the associations of longitudinal changes in RC with the risks of CVD and its subtypes (myocardial infarction [MI] and stroke).

Methods And Results: The participants were enrolled in the Kailuan study.

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Aim: To assess risk profiles and pathways for incident type 2 diabetes by age at onset.

Materials And Methods: Based on the Kailaun study, 92,020 participants without type 2 diabetes were enrolled and classified into four age-onset groups as < 55, 55 to < 65, 65 to < 75, and ≥ 75 years. Clinical risk factors and serum biomarkers were examined.

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Background: The American Heart Association defines cardiovascular health in terms of four behaviors (smoking, diet, physical activity, and body weight) and three factors (plasma glucose, cholesterol, and blood pressure). By this definition, the prevalence of ideal cardiovascular health behaviors and factors (ICHBF) is negatively correlated with all-cause mortality and risks of cardiovascular and cerebrovascular diseases and malignancy.

Aim: To investigate the changing trends of cardiovascular and cerebrovascular health scores in the Kailuan study population from 2006 to 2011.

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Objective: This study aimed to longitudinally investigate the association between circulating neutrophil count and the progression of arterial stiffness and to ascertain whether resting heart rate (RHR) mediates this association.

Methods: The current study included 56,760 participants with brachial-ankle pulse wave velocity (baPWV) measurements from a real-life, prospective cohort in China. The associations of circulating neutrophil (exposure) with baseline baPWV, baPWV progression, and arterial stiffness (outcomes), as well as RHR (mediator) were assessed using multivariable linear and Cox regression models and mediation analysis.

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Objective: For a long time, the dispute about whether improved glycemic control can bring significant benefits has remained unresolved. We aimed to investigate the association of time spent in different fasting glucose target ranges with cardiovascular risk and all-cause mortality in a population with type 2 diabetes (T2DM).

Method: A total of 3460 T2DM patients in the Kailuan cohort were included in this study.

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Background: Evidence on the potential effects of midday napping on risk of stroke in Chinese populations remains limited.

Objectives: We aimed to prospectively investigate the association between midday napping and risk of subsequent stroke and stroke subtypes in the Kailuan study.

Methods: Midday napping duration was obtained from a self-reported questionnaire.

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Article Synopsis
  • - The study investigates the link between cumulative non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio (Cum NHHR) and the risk of cardiometabolic disease (CMD) among 43,735 participants over about 11 years.
  • - Results reveal that those with higher Cum NHHR experienced a significant increase in CMD risk, with hazard ratios indicating a progressive danger as quartiles increased, compared to the lowest quartile.
  • - Findings suggest that elevated Cum NHHR is independently associated with greater risks of CMD, cardiovascular diseases, and type 2 diabetes, highlighting the varying strength of these correlations with different conditions.
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Background: Metabolic syndrome (MetS) is an independent risk factor for new-onset and progression of chronic kidney disease (CKD). However, whether changes in MetS are associated with the new-onset CKD and its progression remains unknown.

Methods: A total of 36,571 participants from the Kailuan Study were enrolled in this study, including 27,072 without CKD and 9499 with CKD at baseline.

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Background: The indicators of abdominal obesity have shown to be associated with a high risk of cardiovascular diseases (CVDs), even adjusted for body mass index (BMI). We aimed to investigate the association between neck circumference, waist-to-height ratio (WHtR), Chinese visceral adiposity index (CVAI) and incident heart failure (HF) in Chinese adults.

Methods: The current study included 86,546 participants from two independent cohorts: the Kailuan I study established in 2006 and the Kailuan study II established in 2008.

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Background: The body rounds index (BRI), an innovative obesity indicator integrating waist circumference (WC) and height, offers a two-dimensional assessment of obesity. The relationship between BRI trajectories and cancer has been overlooked in previous studies. This study aims to explore the association between BRI trajectories and the incidence of cancer.

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Aims: Cardiac arrhythmia is a rising public health issue. The aim of this study was to determine the associations of atrial fibrillation (AF) and heart block with cardiovascular disease (CVD) incidence and all-cause mortality.

Methods And Results: We included 141,362 participants (mean age [49.

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Background: Insulin resistance coexist with many metabolic disorders, whether these disorders were promotors or pathway-factors for the association of insulin resistance and cardiovascular disease (CVD) remained unclear. We aimed to investigate the pathways related to elevated the triglyceride-glucose (TyG) index and pathways through elevated TyG index to the occurrence of CVD in Chinese adults.

Methods: A total of 96,506 participants were enrolled from the Kailuan study.

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Background: The association between menopause, changes in body composition, and nonalcoholic fatty liver disease is not clear, and there is a lack of weight management strategies for perimenopausal women from the perspective of preventing nonalcoholic fatty liver disease.

Methods: A total of 1316 postmenopausal and 3049 premenopausal women in the Kailuan cohort in China between 2006 and 2017 were enrolled and followed up till 2021. Cox regression models, including the causal mediation analyses, were used to estimate the association between menopause and nonalcoholic fatty liver disease and the potential mediation effect of changes in body composition.

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Article Synopsis
  • * The study analyzed data from 1284 participants, finding that high BP variability is associated with various features of cSVD, including white matter hyperintensities and lacunae.
  • * Notably, younger adults (under 60) with high PP variability were found to have a significantly increased risk for severe cSVD, highlighting the need for monitoring BP variability in this age group.
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Background: Olfactory dysfunction has been suggested to be associated with all-cause mortality. Yet, there is a lack of large-scale cohorts to study this relationship.

Methods: Using data from the Kailuan cohort, we assessed 97 327 Chinese adults for perceived olfactory dysfunction at baseline and gathered mortality data from government records.

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Background: Associations between exposure to single metals and cognitive impairment or related outcomes have been reported in many previous studies. However, co-exposure to more than one metal is common situation. In recent years, studies on the effects of exposure to multiple metals on cognitive impairment or related outcomes have increased, but remain very limited, with a focus on populations with occupational exposure to metals, children, and adolescents.

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Evidence on the combined effect of time in the target range (TTR) for systolic blood pressure (SBP) and fasting blood glucose (FBG) in real-world settings was scarce. We aimed to evaluate the separate and combined effects of SBP TTR and FBG TTR on cardiovascular disease (CVD) and all-cause mortality risks among participants with comorbidity of hypertension and diabetes. The data was derived from the Kailuan study.

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Article Synopsis
  • A study was conducted to explore the relationship between various metals in the blood and the risk of hyperuricemia (HUA) among Chinese adults, using data from a large cohort.
  • Out of 3706 participants, 12.52% had HUA, with those affected showing significantly higher average uric acid levels compared to those without HUA.
  • The findings suggested that higher concentrations of metals like iron (Fe), lead (Pb), magnesium (Mg), and zinc (Zn) are linked to an increased risk of HUA, particularly in certain demographics such as younger adults, women, and those who are overweight or non-smokers.
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Aims/introduction: We investigated the association between impaired fasting glucose (IFG) and cardiometabolic multimorbidity (CMM) in the Chinese population.

Materials And Methods: We included 119,368 participants, free of diabetes mellitus and cardiovascular disease, who participated in the health examination (2006, 2008, 2010) of the Kailuan Study. According to World Health Organization diagnostic criteria, participants were divided into normal fasting blood glucose (FBG) (<6.

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Article Synopsis
  • The study explores how machine learning and neuroimaging can estimate brain age to understand neurodegenerative disease development and how clinical factors affect this relationship.
  • Researchers analyzed data from 964 participants in northern China over 16 years, discovering that a higher number of health risk factors accelerates brain aging, especially in individuals with hypertension.
  • Findings emphasize the connection between lifestyle and health factors with brain aging, aiding in the development of public health initiatives aimed at improving brain health in communities.
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Article Synopsis
  • Uric acid levels are linked to an increased risk of developing heart failure, particularly in individuals with existing cardiovascular disease (CVD).
  • A study followed 18,438 adults with CVD over 6.1 years, finding that higher uric acid concentrations led to a significant increase in heart failure cases, especially among those with certain conditions like coronary heart disease and atrial fibrillation.
  • The risk of heart failure associated with high uric acid was more significant for people with heart failure having reduced ejection fraction than those with preserved ejection fraction.
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Objective: This study aimed to investigate the effect of the ratio of cumUHR on MI, based on the hypothesis that higher exposure to the ratio of cumUHR is associated with a higher risk of MI.

Methods: Participants who underwent three examinations between 2006 and 2010 were selected. The cumUHR from baseline to the third check was calculated, multiplying the mean between consecutive checks by the time interval between visits.

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Background And Aims: The effects of metabolic obesity (MO) phenotypes status and their dynamic changes on urologic cancer (UC) is ignored. We aimed to investigate the association between metabolic syndrome (MetS) and MO status at baseline, their dynamic changes and UC risk.

Methods: This paper studied 97,897 subjects who were free of cancers at baseline (2006-2007).

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Article Synopsis
  • - This study examines how Chronic Kidney Disease (CKD) interacts with the Triglyceride-Glucose (TyG) index and cardiovascular disease (CVD) risk in U.S. adults, focusing on insulin resistance as a key factor.
  • - Using NHANES data, the research found that nearly half of the CKD patients had a higher chance of developing CVD, with the TyG index mediating 10% of this relationship and increasing the risk further when both CKD and a high TyG index are present.
  • - The findings emphasize the importance of insulin resistance in linking CKD to CVD and suggest that assessing the TyG index can be crucial in evaluating cardiovascular risk in patients with CKD
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