{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T13:40:52Z","timestamp":1793972452206,"version":"4.8.0"},"reference-count":36,"publisher":"Elsevier BV","issue":"20","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.jacc.2026.02.5111","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T14:34:00Z","timestamp":1776263640000},"page":"2807-2823","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Visual Acuity and Cardiovascular Mortality in 2.52 Million Older Adults in China"],"prefix":"10.1016","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5618-6439","authenticated-orcid":false,"given":"Yanlong","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanshu","family":"Yan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingling","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianyong","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiayan","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yicheng","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lijun","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maigeng","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Yin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"22","key":"10.1016\/j.jacc.2026.02.5111_bib1","first-page":"2167","article-title":"Global Burden of Cardiovascular Diseases and Risks 2023 Collaborators. Global, regional, and national burden of cardiovascular diseases and risk factors in 204 countries and territories, 1990-2023","volume":"86","year":"2025","journal-title":"J Am Coll Cardiol"},{"issue":"30","key":"10.1016\/j.jacc.2026.02.5111_bib2","doi-asserted-by":"crossref","first-page":"2937","DOI":"10.1093\/eurheartj\/ehaf496","article-title":"The growing importance of non-traditional cardiovascular risk factors: global warning, infections, and extreme sports","volume":"46","author":"Crea","year":"2025","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jacc.2026.02.5111_bib3","series-title":"World Report on Vision","year":"2019"},{"issue":"4","key":"10.1016\/j.jacc.2026.02.5111_bib4","doi-asserted-by":"crossref","first-page":"e489","DOI":"10.1016\/S2214-109X(20)30488-5","article-title":"The Lancet Global Health Commission on Global Eye Health: vision beyond 2020","volume":"9","author":"Burton","year":"2021","journal-title":"Lancet Glob Health"},{"issue":"6","key":"10.1016\/j.jacc.2026.02.5111_bib5","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1001\/jamaophthalmol.2025.0881","article-title":"Application of artificial intelligence to deliver healthcare from the eye","volume":"143","author":"Weinreb","year":"2025","journal-title":"JAMA Ophthalmol"},{"issue":"8","key":"10.1016\/j.jacc.2026.02.5111_bib6","doi-asserted-by":"crossref","first-page":"3223","DOI":"10.7150\/thno.100786","article-title":"Artificial intelligence\u2013enhanced retinal imaging as a biomarker for systemic diseases","volume":"15","author":"Wang","year":"2025","journal-title":"Theranostics"},{"key":"10.1016\/j.jacc.2026.02.5111_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.preteyeres.2025.101350","article-title":"Oculomics: current concepts and evidence","volume":"106","author":"Zhu","year":"2025","journal-title":"Prog Retin Eye Res"},{"issue":"9","key":"10.1016\/j.jacc.2026.02.5111_bib8","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.122.028027","article-title":"Age-related macular degeneration with visual disability is associated with cardiovascular disease risk in the Korean nationwide cohort","volume":"12","author":"Jung","year":"2023","journal-title":"J Am Heart Assoc"},{"issue":"21","key":"10.1016\/j.jacc.2026.02.5111_bib9","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.124.034851","article-title":"Associations between vision and hearing impairment and cardiovascular diseases: a longitudinal cohort of middle-aged and older adults in China","volume":"13","author":"He","year":"2024","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.jacc.2026.02.5111_bib10","doi-asserted-by":"crossref","DOI":"10.1016\/j.metabol.2021.154961","article-title":"The clustering of cardiovascular, renal, adipo-metabolic eye and liver disease with type 2 diabetes","volume":"128","author":"Thomas","year":"2022","journal-title":"Metabolism"},{"issue":"1","key":"10.1016\/j.jacc.2026.02.5111_bib11","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1038\/s41392-023-01400-z","article-title":"Diabetic vascular diseases: molecular mechanisms and therapeutic strategies","volume":"8","author":"Li","year":"2023","journal-title":"Signal Transduct Target Ther"},{"issue":"4","key":"10.1016\/j.jacc.2026.02.5111_bib12","doi-asserted-by":"crossref","first-page":"e418","DOI":"10.1016\/S2214-109X(20)30549-0","article-title":"Association between vision impairment and mortality: a systematic review and meta-analysis","volume":"9","author":"Ehrlich","year":"2021","journal-title":"Lancet Glob Health"},{"key":"10.1016\/j.jacc.2026.02.5111_bib13","doi-asserted-by":"crossref","DOI":"10.1038\/srep16304","article-title":"Impact of visual impairment and eye diseases on mortality: the Singapore Malay Eye Study (SiMES)","volume":"5","author":"Siantar","year":"2015","journal-title":"Sci Rep"},{"issue":"5","key":"10.1016\/j.jacc.2026.02.5111_bib14","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1001\/jamaophthalmol.2017.6787","article-title":"Association of visual impairment and all-cause 10-year mortality among Indigenous Australian individuals within Central Australia: the Central Australian Ocular Health Study","volume":"136","author":"Ng","year":"2018","journal-title":"JAMA Ophthalmol"},{"issue":"6","key":"10.1016\/j.jacc.2026.02.5111_bib15","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1093\/eurjpc\/zwab025","article-title":"Visual acuity and risk of overall, injury-related, and cardiovascular mortality: the Kangbuk Samsung Health Study","volume":"29","author":"Han","year":"2022","journal-title":"Eur J Prev Cardiol"},{"issue":"1","key":"10.1016\/j.jacc.2026.02.5111_bib16","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1186\/s12889-025-22249-7","article-title":"Association of nonrefractive visual impairment with risk of all-cause and specific-cause mortality in the National Health and Nutrition Examination Survey, 1999 to 2008","volume":"25","author":"Gui","year":"2025","journal-title":"BMC Public Health"},{"key":"10.1016\/j.jacc.2026.02.5111_bib20","series-title":"Visual standards: aspects and ranges of vision loss with emphasis on population surveys","author":"Colenbrander","year":"2002"},{"issue":"1","key":"10.1016\/j.jacc.2026.02.5111_bib21","doi-asserted-by":"crossref","first-page":"46","DOI":"10.2471\/BLT.15.153148","article-title":"An integrated national mortality surveillance system for death registration and mortality surveillance, China","volume":"94","author":"Liu","year":"2016","journal-title":"Bull World Health Organ"},{"issue":"18","key":"10.1016\/j.jacc.2026.02.5111_bib22","first-page":"1387","article-title":"Interpretation of national clinical practice guideline on obesity management (2024 edition)","volume":"105","author":"Li","year":"2025","journal-title":"Zhonghua Yi Xue Za Zhi"},{"issue":"10304","key":"10.1016\/j.jacc.2026.02.5111_bib23","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/S0140-6736(21)01330-1","article-title":"Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants","volume":"398","year":"2021","journal-title":"Lancet"},{"issue":"suppl 1","key":"10.1016\/j.jacc.2026.02.5111_bib24","first-page":"S27","article-title":"2. Diagnosis and classification of diabetes: standards of care in diabetes\u20132025","volume":"48","year":"2024","journal-title":"Diabetes Care"},{"issue":"3","key":"10.1016\/j.jacc.2026.02.5111_bib25","first-page":"221","article-title":"Joint Committee on the Chinese Guidelines for Lipid Management. Chinese guidelines for lipid management (2023)","volume":"51","year":"2023","journal-title":"Zhonghua Xin Xue Guan Bing Za Zhi"},{"issue":"10431","key":"10.1016\/j.jacc.2026.02.5111_bib26","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1016\/S0140-6736(23)02750-2","article-title":"Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults","volume":"403","year":"2024","journal-title":"Lancet"},{"key":"10.1016\/j.jacc.2026.02.5111_bib27","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.ajo.2021.10.005","article-title":"Relationship between macular microvasculature and visual acuity in advanced and severe glaucoma","volume":"236","author":"Hsia","year":"2022","journal-title":"Am J Ophthalmol"},{"issue":"12","key":"10.1016\/j.jacc.2026.02.5111_bib28","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.1001\/jamaophthalmol.2014.2847","article-title":"Longitudinal relationships among visual acuity, daily functional status, and mortality: the Salisbury Eye Evaluation Study","volume":"132","author":"Christ","year":"2014","journal-title":"JAMA Ophthalmol"},{"issue":"1","key":"10.1016\/j.jacc.2026.02.5111_bib29","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1186\/s12916-022-02592-x","article-title":"Association of lipid, inflammatory, and metabolic biomarkers with age at onset for incident cardiovascular disease","volume":"20","author":"Tian","year":"2022","journal-title":"BMC Med"},{"issue":"9","key":"10.1016\/j.jacc.2026.02.5111_bib30","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2024-098553","article-title":"Combined effects of visual impairment and chronic kidney disease on all-cause mortality among middle-aged and older adults: a longitudinal, population-based cohort study in China","volume":"15","author":"Ye","year":"2025","journal-title":"BMJ Open"},{"issue":"2","key":"10.1016\/j.jacc.2026.02.5111_bib31","doi-asserted-by":"crossref","DOI":"10.1002\/alz.14454","article-title":"Vascular risk factors and cerebrovascular pathologic changes on autopsy: The 90+ Study","volume":"21","author":"Rajmohan","year":"2025","journal-title":"Alzheimers Dement"},{"issue":"3","key":"10.1016\/j.jacc.2026.02.5111_bib32","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1003931","article-title":"Associations between multimorbidity and adverse health outcomes in UK Biobank and the SAIL Databank: a comparison of longitudinal cohort studies","volume":"19","author":"Hanlon","year":"2022","journal-title":"PLoS Med"},{"issue":"8","key":"10.1016\/j.jacc.2026.02.5111_bib33","doi-asserted-by":"crossref","first-page":"2173","DOI":"10.1038\/s41433-020-01226-x","article-title":"Visual impairment and ten-year mortality: the Liwan Eye Study","volume":"35","author":"Wang","year":"2021","journal-title":"Eye (Lond)"},{"issue":"11","key":"10.1016\/j.jacc.2026.02.5111_bib34","doi-asserted-by":"crossref","first-page":"1597","DOI":"10.1136\/bjo-2022-321577","article-title":"Longitudinal associations between self-reported vision impairment and all-cause mortality: a nationally representative cohort study among older Chinese adults","volume":"107","author":"Wang","year":"2023","journal-title":"Br J Ophthalmol"},{"key":"10.1016\/j.jacc.2026.02.5111_bib35","series-title":"UN Decade of Healthy Ageing: Plan of Action 2021-2030","year":"2020"},{"issue":"10215","key":"10.1016\/j.jacc.2026.02.5111_bib36","doi-asserted-by":"crossref","first-page":"2152","DOI":"10.1016\/S0140-6736(19)32522-X","article-title":"WHO's proposal for a decade of healthy ageing","volume":"394","author":"Lloyd-Sherlock","year":"2019","journal-title":"Lancet"},{"key":"10.1016\/j.jacc.2026.02.5111_bib37","year":"2016"},{"issue":"9","key":"10.1016\/j.jacc.2026.02.5111_bib38","doi-asserted-by":"crossref","DOI":"10.1016\/S2468-2667(19)30160-4","article-title":"Healthy China 2030: moving from blueprint to action with a new focus on public health","volume":"4","author":"Chen","year":"2019","journal-title":"Lancet Public Health"},{"issue":"10367","key":"10.1016\/j.jacc.2026.02.5111_bib39","doi-asserted-by":"crossref","first-page":"1967","DOI":"10.1016\/S0140-6736(22)01546-X","article-title":"The path to healthy ageing in China: a Peking University\u2013Lancet Commission","volume":"400","author":"Chen","year":"2022","journal-title":"Lancet"}],"container-title":["JACC"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735109726056457?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735109726056457?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:27:43Z","timestamp":1784680063000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0735109726056457"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":36,"journal-issue":{"issue":"20","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["S0735109726056457"],"URL":"https:\/\/doi.org\/10.1016\/j.jacc.2026.02.5111","relation":{},"ISSN":["0735-1097"],"issn-type":[{"value":"0735-1097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Visual Acuity and Cardiovascular Mortality in 2.52 Million Older Adults in China","name":"articletitle","label":"Article Title"},{"value":"JACC","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jacc.2026.02.5111","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 by the American College of Cardiology Foundation. Published by Elsevier.","name":"copyright","label":"Copyright"}]}}