Associations between life's essential 8 and femoral neck bone mineral density among adults: A national population-based study

Osteoporosis represents a significant public health issue, impacting both health outcomes and economic costs. This research investigates how cardiovascular health, as indicated by the LE8 score, correlates with bone mineral density (BMD). Data from the National Health and Nutrition Examination Surve...

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Published inMedicine (Baltimore) Vol. 103; no. 36; p. e39540
Main Authors Liu, Linjian, Zhang, An, Xiao, Xiangjun
Format Journal Article
LanguageEnglish
Published Hagerstown, MD Lippincott Williams & Wilkins 06.09.2024
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ISSN0025-7974
1536-5964
1536-5964
DOI10.1097/MD.0000000000039540

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Abstract Osteoporosis represents a significant public health issue, impacting both health outcomes and economic costs. This research investigates how cardiovascular health, as indicated by the LE8 score, correlates with bone mineral density (BMD). Data from the National Health and Nutrition Examination Survey (NHANES) spanning 2011 to 2018 were analyzed in this cross-sectional analysis, including 9018 subjects following the exclusion of individuals lacking BMD or LE8 data. The LE8 score, comprising factors such as diet, physical activity, smoking status, sleep quality, body mass index, lipid profiles, blood glucose, and blood pressure, was used to evaluate cardiovascular health. BMD was determined through dual-energy X-ray absorptiometry (DXA). Relationships between the LE8 scores and BMD at the femoral neck were assessed using linear regression and smooth curve fitting techniques. Enhanced LE8 scores were linked to improved BMD at the femoral neck. Notably, a 10-point increment in the LE8 score was associated with a rise in BMD by 0.04 g/cm² [β = 0.04, 95% CI: 0.03-0.05]. The data indicate a strong positive association between cardiovascular health, as measured by LE8, and BMD. These results support the development of holistic health strategies that promote cardiovascular health to potentially improve bone density.
AbstractList Osteoporosis represents a significant public health issue, impacting both health outcomes and economic costs. This research investigates how cardiovascular health, as indicated by the LE8 score, correlates with bone mineral density (BMD). Data from the National Health and Nutrition Examination Survey (NHANES) spanning 2011 to 2018 were analyzed in this cross-sectional analysis, including 9018 subjects following the exclusion of individuals lacking BMD or LE8 data. The LE8 score, comprising factors such as diet, physical activity, smoking status, sleep quality, body mass index, lipid profiles, blood glucose, and blood pressure, was used to evaluate cardiovascular health. BMD was determined through dual-energy X-ray absorptiometry (DXA). Relationships between the LE8 scores and BMD at the femoral neck were assessed using linear regression and smooth curve fitting techniques. Enhanced LE8 scores were linked to improved BMD at the femoral neck. Notably, a 10-point increment in the LE8 score was associated with a rise in BMD by 0.04 g/cm² [β = 0.04, 95% CI: 0.03-0.05]. The data indicate a strong positive association between cardiovascular health, as measured by LE8, and BMD. These results support the development of holistic health strategies that promote cardiovascular health to potentially improve bone density.
Osteoporosis represents a significant public health issue, impacting both health outcomes and economic costs. This research investigates how cardiovascular health, as indicated by the LE8 score, correlates with bone mineral density (BMD). Data from the National Health and Nutrition Examination Survey (NHANES) spanning 2011 to 2018 were analyzed in this cross-sectional analysis, including 9018 subjects following the exclusion of individuals lacking BMD or LE8 data. The LE8 score, comprising factors such as diet, physical activity, smoking status, sleep quality, body mass index, lipid profiles, blood glucose, and blood pressure, was used to evaluate cardiovascular health. BMD was determined through dual-energy X-ray absorptiometry (DXA). Relationships between the LE8 scores and BMD at the femoral neck were assessed using linear regression and smooth curve fitting techniques. Enhanced LE8 scores were linked to improved BMD at the femoral neck. Notably, a 10-point increment in the LE8 score was associated with a rise in BMD by 0.04 g/cm² [β = 0.04, 95% CI: 0.03-0.05]. The data indicate a strong positive association between cardiovascular health, as measured by LE8, and BMD. These results support the development of holistic health strategies that promote cardiovascular health to potentially improve bone density.Osteoporosis represents a significant public health issue, impacting both health outcomes and economic costs. This research investigates how cardiovascular health, as indicated by the LE8 score, correlates with bone mineral density (BMD). Data from the National Health and Nutrition Examination Survey (NHANES) spanning 2011 to 2018 were analyzed in this cross-sectional analysis, including 9018 subjects following the exclusion of individuals lacking BMD or LE8 data. The LE8 score, comprising factors such as diet, physical activity, smoking status, sleep quality, body mass index, lipid profiles, blood glucose, and blood pressure, was used to evaluate cardiovascular health. BMD was determined through dual-energy X-ray absorptiometry (DXA). Relationships between the LE8 scores and BMD at the femoral neck were assessed using linear regression and smooth curve fitting techniques. Enhanced LE8 scores were linked to improved BMD at the femoral neck. Notably, a 10-point increment in the LE8 score was associated with a rise in BMD by 0.04 g/cm² [β = 0.04, 95% CI: 0.03-0.05]. The data indicate a strong positive association between cardiovascular health, as measured by LE8, and BMD. These results support the development of holistic health strategies that promote cardiovascular health to potentially improve bone density.
Author Xiao, Xiangjun
Zhang, An
Liu, Linjian
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Cites_doi 10.3389/fendo.2022.857110
10.3389/fendo.2023.1074574
10.3389/fendo.2022.922903
10.1186/s13018-023-03976-2
10.3389/fimmu.2022.925690
10.1007/s12011-022-03521-y
10.1016/j.ajog.2005.08.047
10.1016/S2666-7568(21)00172-0
10.1111/1753-0407.13530
10.1186/s13148-022-01295-7
10.1371/journal.pone.0212464
10.1016/j.numecd.2023.03.005
10.1186/s13018-022-03485-8
10.1161/CIRCULATIONAHA.122.062457
10.1186/s12916-022-02417-x
10.3390/ijms23095282
10.1007/s11356-023-30741-z
10.1136/heartjnl-2020-318764
10.1016/j.ijcard.2024.131878
10.1186/s12889-023-16643-2
10.1016/j.jad.2024.01.200
10.1186/s13018-021-02821-8
10.1097/MED.0000000000000639
10.1002/jbmr.3089
10.3389/fendo.2022.882241
10.1001/jamanetworkopen.2023.48333
10.1186/s12916-023-02824-8
10.1186/s12891-023-06990-x
10.3389/fpubh.2023.1103403
10.1038/s41598-023-50423-7
10.2147/IJGM.S353531
10.1186/s13018-022-02986-w
10.1186/s12902-023-01418-y
10.1016/S2213-8587(17)30188-2
10.1007/s40520-023-02410-1
10.1007/s001980070064
10.1016/j.numecd.2023.04.015
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Issue 36
Keywords bone mineral density
life's essential 8
National Health and Nutrition Examination Survey
osteoporosis
cardiovascular health
Language English
License http://creativecommons.org/licenses/by/4.0
Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.
This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Notes Received: 8 June 2024 / Received in final form: 16 July 2024 / Accepted: 12 August 2024 This study were funded by Hunan Clinical Research Center of Wound Repair and Functional Reconstruction for Hand and Foot (No. 2021SK4030) and National Key Clinical Specialty Major Scientific Research Project (No. Z2023083). This study's segments involving human subjects, materials, or data complied with the Declaration of Helsinki standards and received approval from the NCHS Ethics Review Board. Written consent was obtained from all patients/participants. The authors affirm that there are no financial conflicts of interest to disclose. The datasets generated during and/or analyzed during the current study are publicly available. Supplemental Digital Content is available for this article. How to cite this article: Liu L, Zhang A, Xiao X. Associations between life's essential 8 and femoral neck bone mineral density among adults: A national population-based study. Medicine 2024;103:36(e39540). *Correspondence: Xiangjun Xiao, Department of Hand and foot surgery, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang 421002, China (e-mail: 3670007@qq.com).
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References Cherny, Freidin, Williams, Livshits (R35) 2019; 14
Cao, Wu, Deng, Guo, Pu, Shao (R28) 2023; 18
Sun, Li, Zhao (R10) 2023; 21
Hou, Chen, Zhu, Gu, Zhu, Zhou (R32) 2023; 14
Zhao, Tan, Zhang (R15) 2023; 24
Xie, Liu, Wang (R22) 2023; 201
Zhang, Wu, Li (R33) 2023; 23
Xie, Zhang (R39) 2023; 33
Swanson (R17) 2021; 28
Ouyang, Quan, Guo (R34) 2022; 13
Fernandez-Lazaro, Sayon-Orea, Toledo, Moreno-Iribas, Guembe (R9) 2022; 20
Zhang, Liu, Xie (R40) 2023; 23
Xie, Huang, Zhang, Liu, Liu (R27) 2022; 15
Kanis, Johnell, Oden (R4) 2000; 11
Park, Yoon, Kim, Hwang, Lee, Cho (R30) 2021; 107
Xie, Ning, Xiao, Li, Liu, Zhang (R21) 2023; 35
Xie, Liu, Wu, Liu, Zhang (R38) 2023; 33
Khosla, Hofbauer (R2) 2017; 5
Li, Dai (R8) 2024; 351
Zhai, Tan, Wang, Zhu, Shu (R16) 2023; 13
Shen, Huang, Wu (R6) 2022; 13
Veronese, Stubbs, Crepaldi (R26) 2017; 32
(R3) 2021; 2
Ma, Wang, Xue (R7) 2023; 147
Lane (R1) 2006; 194
Kong, Xie, Zhang (R14) 2024; 16
Xie, Liu, Liu, Xie, Huang, Zhang (R24) 2023; 30
Ji, Hou, Li (R31) 2023; 18
Salari, Darvishi, Bartina (R5) 2021; 16
Bellone, Cinquegrani, Nicotera (R12) 2022; 23
Xie, Huang, Liu, Liu (R13) 2022; 17
Lo, Lin (R18) 2022; 14
Xie, Liu (R20) 2022; 13
Petramala, Acca, Francucci, D'Erasmo (R11) 2009; 32
Xie, Xiao, Li (R19) 2022; 13
Kervin, Thangarajh (R36) 2018; 10
Mahemuti, Zou, Liu, Xiao, Liang, Yang (R23) 2023; 6
Baldini, Mastropasqua, Francucci, D'Erasmo (R25) 2005; 28
Yang, Huang (R29) 2023; 11
He, Wan, Ding, Zhang, Liu, Xie (R37) 2024; 403
Kervin (R36-20250505) 2018; 10
Petramala (R11-20250505) 2009; 32
Baldini (R25-20250505) 2005; 28
Lane (R1-20250505) 2006; 194
Xie (R24-20250505) 2023; 30
Yang (R29-20250505) 2023; 11
Ouyang (R34-20250505) 2022; 13
Cao (R28-20250505) 2023; 18
Xie (R27-20250505) 2022; 15
Swanson (R17-20250505) 2021; 28
Li (R8-20250505) 2024; 351
Mahemuti (R23-20250505) 2023; 6
Ji (R31-20250505) 2023; 18
Khosla (R2-20250505) 2017; 5
Shen (R6-20250505) 2022; 13
Xie (R13-20250505) 2022; 17
Zhai (R16-20250505) 2023; 13
Xie (R22-20250505) 2023; 201
Zhang (R40-20250505) 2023; 23
Salari (R5-20250505) 2021; 16
Kong (R14-20250505) 2024; 16
Park (R30-20250505) 2021; 107
Fernandez-Lazaro (R9-20250505) 2022; 20
Lo (R18-20250505) 2022; 14
Kanis (R4-20250505) 2000; 11
Xie (R38-20250505) 2023; 33
Hou (R32-20250505) 2023; 14
Xie (R20-20250505) 2022; 13
Zhao (R15-20250505) 2023; 24
Xie (R39-20250505) 2023; 33
Xie (R19-20250505) 2022; 13
(R3-20250505) 2021; 2
Bellone (R12-20250505) 2022; 23
He (R37-20250505) 2024; 403
Xie (R21-20250505) 2023; 35
Zhang (R33-20250505) 2023; 23
Veronese (R26-20250505) 2017; 32
Cherny (R35-20250505) 2019; 14
Sun (R10-20250505) 2023; 21
Ma (R7-20250505) 2023; 147
References_xml – volume: 24
  start-page: 861
  year: 2023
  ident: R15
  article-title: Associations between apolipoprotein B and bone mineral density: a population-based study.
  publication-title: BMC Musculoskelet Disord
– volume: 147
  start-page: 1137
  year: 2023
  end-page: 46
  ident: R7
  article-title: Cardiovascular health and life expectancy among adults in the United States.
  publication-title: Circulation
– volume: 201
  start-page: 4254
  year: 2023
  end-page: 61
  ident: R22
  article-title: Race and gender differences in the associations between cadmium exposure and bone mineral density in US adults.
  publication-title: Biol Trace Elem Res
– volume: 13
  start-page: 925690
  year: 2022
  ident: R19
  article-title: Association between SII and hepatic steatosis and liver fibrosis: a population-based study.
  publication-title: Front Immunol
– volume: 32
  start-page: 1126
  year: 2017
  end-page: 35
  ident: R26
  article-title: Relationship between low bone mineral density and fractures with incident cardiovascular disease: a systematic review and meta-analysis.
  publication-title: J Bone Miner Res
– volume: 17
  start-page: 92
  year: 2022
  ident: R13
  article-title: Positive association between high-density lipoprotein cholesterol and bone mineral density in U.S. adults: the NHANES 2011-2018.
  publication-title: J Orthop Surg Res
– volume: 33
  start-page: 1437
  year: 2023
  end-page: 43
  ident: R38
  article-title: Associations between systemic immune-inflammation index and abdominal aortic calcification: results of a nationwide survey.
  publication-title: Nutr Metab Cardiovasc Dis
– volume: 16
  start-page: e13530
  year: 2024
  ident: R14
  article-title: Association of cardiovascular disease prevalence with BMD and fracture in men with T2DM.
  publication-title: J Diabetes
– volume: 35
  start-page: 1273
  year: 2023
  end-page: 81
  ident: R21
  article-title: Dietary inflammatory potential and biological aging among US adults: a population-based study.
  publication-title: Aging Clin Exp Res
– volume: 13
  start-page: 922903
  year: 2022
  ident: R34
  article-title: Saturation effect of body mass index on bone mineral density in adolescents of different ages: a population-based study.
  publication-title: Front Endocrinol (Lausanne)
– volume: 23
  start-page: 162
  year: 2023
  ident: R33
  article-title: Associations between weight-adjusted waist index and bone mineral density: results of a nationwide survey.
  publication-title: BMC Endocr Disord
– volume: 18
  start-page: 501
  year: 2023
  ident: R31
  article-title: Association between physical activity and bone mineral density in postmenopausal women: a cross-sectional study from the NHANES 2007-2018.
  publication-title: J Orthop Surg Res
– volume: 403
  start-page: 131878
  year: 2024
  ident: R37
  article-title: Association between cardiovascular health and abdominal aortic calcification: analyses of NHANES 2013-2014.
  publication-title: Int J Cardiol
– volume: 32
  start-page: 10
  issue: 4 Suppl
  year: 2009
  end-page: 4
  ident: R11
  article-title: Hyperhomocysteinemia: a biochemical link between bone and cardiovascular system diseases?
  publication-title: J Endocrinol Invest
– volume: 14
  start-page: 1074574
  year: 2023
  ident: R32
  article-title: Associations between smoke exposure and osteoporosis or osteopenia in a US NHANES population of elderly individuals.
  publication-title: Front Endocrinol (Lausanne)
– volume: 6
  start-page: e2348333
  year: 2023
  ident: R23
  article-title: Urinary albumin-to-creatinine ratio in normal range, cardiovascular health, and all-cause mortality.
  publication-title: JAMA Netw Open
– volume: 18
  start-page: 40
  year: 2023
  ident: R28
  article-title: Association between total cholesterol and total bone mineral density in US adults: National Health and Nutrition Examination Survey (NHANES), 2011-2018.
  publication-title: J Orthop Surg Res
– volume: 13
  start-page: 23043
  year: 2023
  ident: R16
  article-title: The association between dietary approaches to stop hypertension diet and bone mineral density in US adults: evidence from the National Health and Nutrition Examination Survey (2011-2018).
  publication-title: Sci Rep
– volume: 33
  start-page: 1179
  year: 2023
  end-page: 89
  ident: R39
  article-title: Associations between dietary flavonoid intake with hepatic steatosis and fibrosis quantified by VCTE: evidence from NHANES and FNDDS.
  publication-title: Nutr Metab Cardiovasc Dis
– volume: 351
  start-page: 31
  year: 2024
  end-page: 9
  ident: R8
  article-title: Comparison of the associations between Life's Essential 8 and Life's Simple 7 with depression, as well as the mediating role of oxidative stress factors and inflammation: NHANES 2005-2018.
  publication-title: J Affect Disord
– volume: 2
  start-page: e580
  year: 2021
  end-page: 92
  ident: R3
  article-title: Global, regional, and national burden of bone fractures in 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019.
  publication-title: Lancet Healthy Longev
– volume: 5
  start-page: 898
  year: 2017
  end-page: 907
  ident: R2
  article-title: Osteoporosis treatment: recent developments and ongoing challenges.
  publication-title: Lancet Diabetes Endocrinol
– volume: 13
  start-page: 857110
  year: 2022
  ident: R20
  article-title: Relationship between non-alcoholic fatty liver disease and degree of hepatic steatosis and bone mineral density.
  publication-title: Front Endocrinol (Lausanne)
– volume: 28
  start-page: 348
  year: 2021
  end-page: 53
  ident: R17
  article-title: Sleep disruptions and bone health: what do we know so far?
  publication-title: Curr Opin Endocrinol Diabetes Obes
– volume: 11
  start-page: 1103403
  year: 2023
  ident: R29
  article-title: Association between bone mineral density and cardiovascular disease in older adults.
  publication-title: Front Public Health
– volume: 23
  start-page: 5282
  year: 2022
  ident: R12
  article-title: Role of vitamin K in chronic kidney disease: a focus on bone and cardiovascular health.
  publication-title: Int J Mol Sci
– volume: 14
  start-page: 73
  year: 2022
  ident: R18
  article-title: Cardiovascular health and four epigenetic clocks.
  publication-title: Clin Epigenetics
– volume: 21
  start-page: 116
  year: 2023
  ident: R10
  article-title: Association of the American Heart Association's new "Life's Essential 8" with all-cause and cardiovascular disease-specific mortality: prospective cohort study.
  publication-title: BMC Med
– volume: 10
  year: 2018
  ident: R36
  article-title: The relationship between bone mineral density and cardiovascular function in duchenne muscular dystrophy: a retrospective cohort study.
  publication-title: PLoS Curr
– volume: 107
  start-page: 1040
  year: 2021
  end-page: 6
  ident: R30
  article-title: Prognostic value of lower bone mineral density in predicting adverse cardiovascular disease in Asian women.
  publication-title: Heart
– volume: 16
  start-page: 669
  year: 2021
  ident: R5
  article-title: Global prevalence of osteoporosis among the world older adults: a comprehensive systematic review and meta-analysis.
  publication-title: J Orthop Surg Res
– volume: 30
  start-page: 121150
  year: 2023
  end-page: 60
  ident: R24
  article-title: Associations of ethylene oxide exposure and "Life's Essential 8".
  publication-title: Environ Sci Pollut Res Int
– volume: 11
  start-page: 669
  year: 2000
  end-page: 74
  ident: R4
  article-title: Long-term risk of osteoporotic fracture in Malmö.
  publication-title: Osteoporos Int
– volume: 28
  start-page: 69
  issue: 10 Suppl
  year: 2005
  end-page: 72
  ident: R25
  article-title: Cardiovascular disease and osteoporosis.
  publication-title: J Endocrinol Invest
– volume: 15
  start-page: 2261
  year: 2022
  end-page: 70
  ident: R27
  article-title: High low-density lipoprotein cholesterol levels are associated with osteoporosis among adults 20-59 years of age.
  publication-title: Int J Gen Med
– volume: 14
  start-page: e0212464
  year: 2019
  ident: R35
  article-title: The analysis of causal relationships between blood lipid levels and BMD.
  publication-title: PLoS One
– volume: 20
  start-page: 232
  year: 2022
  ident: R9
  article-title: Association of ideal cardiovascular health with cardiovascular events and risk advancement periods in a Mediterranean population-based cohort.
  publication-title: BMC Med
– volume: 194
  start-page: S3
  issue: 2 Suppl
  year: 2006
  end-page: 11
  ident: R1
  article-title: Epidemiology, etiology, and diagnosis of osteoporosis.
  publication-title: Am J Obstet Gynecol
– volume: 23
  start-page: 1675
  year: 2023
  ident: R40
  article-title: Associations between cadmium exposure and whole-body aging: mediation analysis in the NHANES.
  publication-title: BMC Public Health
– volume: 13
  start-page: 882241
  year: 2022
  ident: R6
  article-title: The global burden of osteoporosis, low bone mass, and its related fracture in 204 countries and territories, 1990-2019.
  publication-title: Front Endocrinol (Lausanne)
– volume: 13
  start-page: 857110
  year: 2022
  ident: R20-20250505
  article-title: Relationship between non-alcoholic fatty liver disease and degree of hepatic steatosis and bone mineral density.
  publication-title: Front Endocrinol (Lausanne)
  doi: 10.3389/fendo.2022.857110
– volume: 14
  start-page: 1074574
  year: 2023
  ident: R32-20250505
  article-title: Associations between smoke exposure and osteoporosis or osteopenia in a US NHANES population of elderly individuals.
  publication-title: Front Endocrinol (Lausanne)
  doi: 10.3389/fendo.2023.1074574
– volume: 13
  start-page: 922903
  year: 2022
  ident: R34-20250505
  article-title: Saturation effect of body mass index on bone mineral density in adolescents of different ages: a population-based study.
  publication-title: Front Endocrinol (Lausanne)
  doi: 10.3389/fendo.2022.922903
– volume: 18
  start-page: 501
  year: 2023
  ident: R31-20250505
  article-title: Association between physical activity and bone mineral density in postmenopausal women: a cross-sectional study from the NHANES 2007-2018.
  publication-title: J Orthop Surg Res
  doi: 10.1186/s13018-023-03976-2
– volume: 32
  start-page: 10
  issue: 4 Suppl
  year: 2009
  ident: R11-20250505
  article-title: Hyperhomocysteinemia: a biochemical link between bone and cardiovascular system diseases?
  publication-title: J Endocrinol Invest
– volume: 13
  start-page: 925690
  year: 2022
  ident: R19-20250505
  article-title: Association between SII and hepatic steatosis and liver fibrosis: a population-based study.
  publication-title: Front Immunol
  doi: 10.3389/fimmu.2022.925690
– volume: 28
  start-page: 69
  issue: 10 Suppl
  year: 2005
  ident: R25-20250505
  article-title: Cardiovascular disease and osteoporosis.
  publication-title: J Endocrinol Invest
– volume: 201
  start-page: 4254
  year: 2023
  ident: R22-20250505
  article-title: Race and gender differences in the associations between cadmium exposure and bone mineral density in US adults.
  publication-title: Biol Trace Elem Res
  doi: 10.1007/s12011-022-03521-y
– volume: 194
  start-page: S3
  issue: 2 Suppl
  year: 2006
  ident: R1-20250505
  article-title: Epidemiology, etiology, and diagnosis of osteoporosis.
  publication-title: Am J Obstet Gynecol
  doi: 10.1016/j.ajog.2005.08.047
– volume: 2
  start-page: e580
  year: 2021
  ident: R3-20250505
  article-title: Global, regional, and national burden of bone fractures in 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019.
  publication-title: Lancet Healthy Longev
  doi: 10.1016/S2666-7568(21)00172-0
– volume: 16
  start-page: e13530
  year: 2024
  ident: R14-20250505
  article-title: Association of cardiovascular disease prevalence with BMD and fracture in men with T2DM.
  publication-title: J Diabetes
  doi: 10.1111/1753-0407.13530
– volume: 14
  start-page: 73
  year: 2022
  ident: R18-20250505
  article-title: Cardiovascular health and four epigenetic clocks.
  publication-title: Clin Epigenetics
  doi: 10.1186/s13148-022-01295-7
– volume: 14
  start-page: e0212464
  year: 2019
  ident: R35-20250505
  article-title: The analysis of causal relationships between blood lipid levels and BMD.
  publication-title: PLoS One
  doi: 10.1371/journal.pone.0212464
– volume: 33
  start-page: 1179
  year: 2023
  ident: R39-20250505
  article-title: Associations between dietary flavonoid intake with hepatic steatosis and fibrosis quantified by VCTE: evidence from NHANES and FNDDS.
  publication-title: Nutr Metab Cardiovasc Dis
  doi: 10.1016/j.numecd.2023.03.005
– volume: 18
  start-page: 40
  year: 2023
  ident: R28-20250505
  article-title: Association between total cholesterol and total bone mineral density in US adults: National Health and Nutrition Examination Survey (NHANES), 2011-2018.
  publication-title: J Orthop Surg Res
  doi: 10.1186/s13018-022-03485-8
– volume: 147
  start-page: 1137
  year: 2023
  ident: R7-20250505
  article-title: Cardiovascular health and life expectancy among adults in the United States.
  publication-title: Circulation
  doi: 10.1161/CIRCULATIONAHA.122.062457
– volume: 20
  start-page: 232
  year: 2022
  ident: R9-20250505
  article-title: Association of ideal cardiovascular health with cardiovascular events and risk advancement periods in a Mediterranean population-based cohort.
  publication-title: BMC Med
  doi: 10.1186/s12916-022-02417-x
– volume: 23
  start-page: 5282
  year: 2022
  ident: R12-20250505
  article-title: Role of vitamin K in chronic kidney disease: a focus on bone and cardiovascular health.
  publication-title: Int J Mol Sci
  doi: 10.3390/ijms23095282
– volume: 30
  start-page: 121150
  year: 2023
  ident: R24-20250505
  article-title: Associations of ethylene oxide exposure and “Life’s Essential 8”.
  publication-title: Environ Sci Pollut Res Int
  doi: 10.1007/s11356-023-30741-z
– volume: 107
  start-page: 1040
  year: 2021
  ident: R30-20250505
  article-title: Prognostic value of lower bone mineral density in predicting adverse cardiovascular disease in Asian women.
  publication-title: Heart
  doi: 10.1136/heartjnl-2020-318764
– volume: 403
  start-page: 131878
  year: 2024
  ident: R37-20250505
  article-title: Association between cardiovascular health and abdominal aortic calcification: analyses of NHANES 2013-2014.
  publication-title: Int J Cardiol
  doi: 10.1016/j.ijcard.2024.131878
– volume: 23
  start-page: 1675
  year: 2023
  ident: R40-20250505
  article-title: Associations between cadmium exposure and whole-body aging: mediation analysis in the NHANES.
  publication-title: BMC Public Health
  doi: 10.1186/s12889-023-16643-2
– volume: 351
  start-page: 31
  year: 2024
  ident: R8-20250505
  article-title: Comparison of the associations between Life’s Essential 8 and Life’s Simple 7 with depression, as well as the mediating role of oxidative stress factors and inflammation: NHANES 2005-2018.
  publication-title: J Affect Disord
  doi: 10.1016/j.jad.2024.01.200
– volume: 16
  start-page: 669
  year: 2021
  ident: R5-20250505
  article-title: Global prevalence of osteoporosis among the world older adults: a comprehensive systematic review and meta-analysis.
  publication-title: J Orthop Surg Res
  doi: 10.1186/s13018-021-02821-8
– volume: 28
  start-page: 348
  year: 2021
  ident: R17-20250505
  article-title: Sleep disruptions and bone health: what do we know so far?
  publication-title: Curr Opin Endocrinol Diabetes Obes
  doi: 10.1097/MED.0000000000000639
– volume: 32
  start-page: 1126
  year: 2017
  ident: R26-20250505
  article-title: Relationship between low bone mineral density and fractures with incident cardiovascular disease: a systematic review and meta-analysis.
  publication-title: J Bone Miner Res
  doi: 10.1002/jbmr.3089
– volume: 13
  start-page: 882241
  year: 2022
  ident: R6-20250505
  article-title: The global burden of osteoporosis, low bone mass, and its related fracture in 204 countries and territories, 1990-2019.
  publication-title: Front Endocrinol (Lausanne)
  doi: 10.3389/fendo.2022.882241
– volume: 6
  start-page: e2348333
  year: 2023
  ident: R23-20250505
  article-title: Urinary albumin-to-creatinine ratio in normal range, cardiovascular health, and all-cause mortality.
  publication-title: JAMA Netw Open
  doi: 10.1001/jamanetworkopen.2023.48333
– volume: 21
  start-page: 116
  year: 2023
  ident: R10-20250505
  article-title: Association of the American Heart Association’s new “Life’s Essential 8” with all-cause and cardiovascular disease-specific mortality: prospective cohort study.
  publication-title: BMC Med
  doi: 10.1186/s12916-023-02824-8
– volume: 24
  start-page: 861
  year: 2023
  ident: R15-20250505
  article-title: Associations between apolipoprotein B and bone mineral density: a population-based study.
  publication-title: BMC Musculoskelet Disord
  doi: 10.1186/s12891-023-06990-x
– volume: 11
  start-page: 1103403
  year: 2023
  ident: R29-20250505
  article-title: Association between bone mineral density and cardiovascular disease in older adults.
  publication-title: Front Public Health
  doi: 10.3389/fpubh.2023.1103403
– volume: 10
  year: 2018
  ident: R36-20250505
  article-title: The relationship between bone mineral density and cardiovascular function in duchenne muscular dystrophy: a retrospective cohort study.
  publication-title: PLoS Curr
– volume: 13
  start-page: 23043
  year: 2023
  ident: R16-20250505
  article-title: The association between dietary approaches to stop hypertension diet and bone mineral density in US adults: evidence from the National Health and Nutrition Examination Survey (2011-2018).
  publication-title: Sci Rep
  doi: 10.1038/s41598-023-50423-7
– volume: 15
  start-page: 2261
  year: 2022
  ident: R27-20250505
  article-title: High low-density lipoprotein cholesterol levels are associated with osteoporosis among adults 20-59 years of age.
  publication-title: Int J Gen Med
  doi: 10.2147/IJGM.S353531
– volume: 17
  start-page: 92
  year: 2022
  ident: R13-20250505
  article-title: Positive association between high-density lipoprotein cholesterol and bone mineral density in U.S. adults: the NHANES 2011-2018.
  publication-title: J Orthop Surg Res
  doi: 10.1186/s13018-022-02986-w
– volume: 23
  start-page: 162
  year: 2023
  ident: R33-20250505
  article-title: Associations between weight-adjusted waist index and bone mineral density: results of a nationwide survey.
  publication-title: BMC Endocr Disord
  doi: 10.1186/s12902-023-01418-y
– volume: 5
  start-page: 898
  year: 2017
  ident: R2-20250505
  article-title: Osteoporosis treatment: recent developments and ongoing challenges.
  publication-title: Lancet Diabetes Endocrinol
  doi: 10.1016/S2213-8587(17)30188-2
– volume: 35
  start-page: 1273
  year: 2023
  ident: R21-20250505
  article-title: Dietary inflammatory potential and biological aging among US adults: a population-based study.
  publication-title: Aging Clin Exp Res
  doi: 10.1007/s40520-023-02410-1
– volume: 11
  start-page: 669
  year: 2000
  ident: R4-20250505
  article-title: Long-term risk of osteoporotic fracture in Malmö.
  publication-title: Osteoporos Int
  doi: 10.1007/s001980070064
– volume: 33
  start-page: 1437
  year: 2023
  ident: R38-20250505
  article-title: Associations between systemic immune-inflammation index and abdominal aortic calcification: results of a nationwide survey.
  publication-title: Nutr Metab Cardiovasc Dis
  doi: 10.1016/j.numecd.2023.04.015
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Snippet Osteoporosis represents a significant public health issue, impacting both health outcomes and economic costs. This research investigates how cardiovascular...
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SubjectTerms Absorptiometry, Photon
Adult
Aged
Blood Glucose - analysis
Blood Pressure - physiology
Body Mass Index
Bone Density - physiology
Cross-Sectional Studies
Diet
Exercise - physiology
Female
Femur Neck - diagnostic imaging
Humans
Male
Middle Aged
Nutrition Surveys
Observational Study
Osteoporosis - epidemiology
Title Associations between life's essential 8 and femoral neck bone mineral density among adults: A national population-based study
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https://www.ncbi.nlm.nih.gov/pubmed/39252265
https://www.proquest.com/docview/3102474265
https://pubmed.ncbi.nlm.nih.gov/PMC11384864
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