{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T19:07:19Z","timestamp":1789844839523,"version":"4.0.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Korea Health Technology R&D Project"},{"DOI":"10.13039\/501100003710","name":"Korea Health Industry Development Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003710","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ministry of Health & Welfare","award":["HI13C0715"],"award-info":[{"award-number":["HI13C0715"]}]},{"DOI":"10.13039\/501100003653","name":"Korea National Institute of Health","doi-asserted-by":"publisher","award":["2022-ER0608-00"],"award-info":[{"award-number":["2022-ER0608-00"]}],"id":[{"id":"10.13039\/501100003653","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003653","name":"Korea National Institute of Health","doi-asserted-by":"publisher","award":["2023-ER0606-00"],"award-info":[{"award-number":["2023-ER0606-00"]}],"id":[{"id":"10.13039\/501100003653","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003653","name":"Korea National Institute of Health","doi-asserted-by":"publisher","award":["2024-ER0607-00"],"award-info":[{"award-number":["2024-ER0607-00"]}],"id":[{"id":"10.13039\/501100003653","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002701","name":"Ministry of Education of the Republic of Korea","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002701","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["NRF-2022S1A3A2A02089737"],"award-info":[{"award-number":["NRF-2022S1A3A2A02089737"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Social network size influences survival through health behaviours and psychosocial support, while cardiovascular health (CVH) predicts all-cause mortality. However, their combined effect remains unclear. We investigated the independent and joint associations of CVH and network size with all-cause mortality in a Korean cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>We analysed 11 312 participants aged 30\u201379 years from the Cardiovascular and Metabolic Diseases Etiology Research Center cohort (2013\u20132018). CVH scores based on Life\u2019s Essential 8 were categorized into tertiles. Network size was classified as small (0\u20131), medium (2\u20133), or large (\u22654 close contacts). Mortality data through 2024 were obtained from national death records. Multivariable Cox models estimated hazard ratios (HRs) after adjustment for demographic, socioeconomic, and clinical covariates. During 100 739 person-years of follow-up (mean 8.9 years), 397 deaths occurred. Compared with lower tertile CVH group, hazard of mortality was lower in middle (HR: 0.84, 95% CI: 0.66\u20131.06) and upper tertile CVH group (HR: 0.61, 95% CI 0.45\u20130.82). Medium (HR: 0.70, 95% CI: 0.55\u20130.90) and large (HR: 0.69, 95% CI: 0.51\u20130.92) network size was also associated with lower hazard of mortality compared with small network size. Participants with both upper tertile CVH and large network size had the lowest hazard of mortality (HR: 0.36, 95% CI: 0.22\u20130.58). No significant interaction was observed (P = 0.41).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Higher CVH and larger networks were independently associated with lower all-cause mortality in middle-aged Korean adults. Public health strategies that combine lifestyle promotion with social engagement may help reduce premature death.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwag340","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T11:48:49Z","timestamp":1782388129000},"source":"Crossref","is-referenced-by-count":1,"title":["Cardiovascular health score, social network size, and all-cause mortality in a Korean prospective cohort"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7284-3793","authenticated-orcid":false,"given":"Jooeun","family":"Jeon","sequence":"first","affiliation":[{"name":"Institute of Medical and Convergence, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine , 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 07985 ,","place":["Korea"]},{"name":"Yonsei Institute for Digital Health, Yonsei University , 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722 ,","place":["Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyoeun","family":"An","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Yonsei University College of Medicine , 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722 ,","place":["Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyeok-Hee","family":"Lee","sequence":"additional","affiliation":[{"name":"Yonsei Institute for Digital Health, Yonsei University , 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722 ,","place":["Korea"]},{"name":"Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston, MA 02215 ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hansol","family":"Choi","sequence":"additional","affiliation":[{"name":"Yonsei Institute for Digital Health, Yonsei University , 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722 ,","place":["Korea"]},{"name":"Department of Preventive Medicine, Yonsei University College of Medicine , 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722 ,","place":["Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyoung Hwa","family":"Ha","sequence":"additional","affiliation":[{"name":"Yonsei Institute for Digital Health, Yonsei University , 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722 ,","place":["Korea"]},{"name":"Department of Preventive Medicine, Yonsei University College of Medicine , 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722 ,","place":["Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jee-Seon","family":"Shim","sequence":"additional","affiliation":[{"name":"Yonsei Institute for Digital Health, Yonsei University , 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722 ,","place":["Korea"]},{"name":"Department of Preventive Medicine, Yonsei University College of Medicine , 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722 ,","place":["Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3822-5777","authenticated-orcid":false,"given":"Yoosik","family":"Youm","sequence":"additional","affiliation":[{"name":"Department of Sociology, Yonsei University College of Social Sciences , 50 Yonsei-Ro, Seodaemun-Gu, Seoul 03722 ,","place":["Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5362-478X","authenticated-orcid":false,"given":"Sungha","family":"Park","sequence":"additional","affiliation":[{"name":"Division 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