{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T17:32:50Z","timestamp":1776187970252,"version":"3.50.1"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:00:00Z","timestamp":1772928000000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82370346"],"award-info":[{"award-number":["82370346"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sarcopenia and dyslipidemia are established as independent risk factors for cardiovascular disease (CVD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The study aims to investigate the joint effect of sarcopenia and lipid parameters on the risk of self\u2010reported cardiovascular disease in individuals with different stages of glucose metabolism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included 9053 China Health and Retirement Longitudinal Study (CHARLS) 2015 participants aged \u2265\u200945\u2009years without baseline CVD. Using multivariable logistic regression, it assessed sarcopenia\u2010lipid\u2010CVD event links, stratified by glucose metabolism. Risk reclassification used combined sarcopenia\u2010lipid status. Restricted cubic splines detected non\u2010linear lipid\u2010CVD relationships. Receiver operating characteristic curves (ROC) evaluated lipid metric accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1074 participants (11.9%) reported new\u2010onset CVD. Joint exposure analysis identified synergistic effects: sarcopenia combined with elevated lipid parameters (except HDL\u2010C) conferred the highest CVD risk, particularly in normoglycemic (NGR) and prediabetic (Pre\u2010DM) subgroups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), but not in Type 2 diabetics (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). ROC analysis revealed modest discriminative ability of non\u2010traditional indices compared with conventional parameters across glycometabolic strata. Atherogenic Coefficient demonstrated relatively consistent, yet limited, predictive capability across glycometabolic states and may warrant consideration as a potential lipid biomarker for CVD risk assessment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings highlight the coexposure effects between sarcopenia and lipid parameters on cardiovascular diseases, especially for individuals with normal glucose regulation and prediabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70411","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T02:04:01Z","timestamp":1773021841000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Joint Assessment of Sarcopenia and Lipid Parameters on Cardiovascular Diseases in Middle\u2010Aged and Older Adults in China With Different Glucose Metabolism Status"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9089-6994","authenticated-orcid":false,"given":"Weichen","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Cardiology, Zhongda Hospital, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Zhongda Hospital, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaixiao","family":"Tao","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Zhongda Hospital, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Zhongda Hospital, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinxin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Zhongda Hospital, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenjun","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Zhongda Hospital, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genshan","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Zhongda Hospital, School of Medicine Southeast University  Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,8]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(21)00247-6"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.11.010"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2019.12.012"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcsm.12783"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.123.064071"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.18632\/aging.102815"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2020.06.003"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2024.02.002"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.7326\/AITC202306200"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12933-025-02667-y"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehac822"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m2297"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12933-025-02686-9"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys203"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/s43587-025-01004-y"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12933-023-02103-z"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.04.019"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60674-5"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.3604"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.032318"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bcp.2023.115664"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/s12276-019-0355-7"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(14)70034-8"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2021.154766"},{"key":"e_1_2_15_26_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajpendo.00391.2014"},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms21020494"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.118.311912"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.1017\/S002966511500169X"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.115.306883"},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.067264"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1604304"},{"key":"e_1_2_15_33_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.672402"},{"key":"e_1_2_15_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12933-024-02350-8"},{"key":"e_1_2_15_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010401"},{"key":"e_1_2_15_36_1","doi-asserted-by":"publisher","DOI":"10.1210\/er.2018-00184"},{"key":"e_1_2_15_37_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1216063"},{"key":"e_1_2_15_38_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.102.6.670"},{"key":"e_1_2_15_39_1","doi-asserted-by":"publisher","DOI":"10.1113\/JP276747"},{"key":"e_1_2_15_40_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001303"},{"key":"e_1_2_15_41_1","doi-asserted-by":"publisher","DOI":"10.1152\/physrev.00063.2017"},{"key":"e_1_2_15_42_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41580-025-00826-3"},{"key":"e_1_2_15_43_1","doi-asserted-by":"publisher","DOI":"10.1101\/cshperspect.a029785"},{"key":"e_1_2_15_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60283-9"},{"key":"e_1_2_15_45_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-S302"},{"key":"e_1_2_15_46_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.123.065090"},{"key":"e_1_2_15_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcsm.12662"}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.70411","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ggi.70411","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.70411","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T03:24:43Z","timestamp":1774495483000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.70411"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":46,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/ggi.70411"],"URL":"https:\/\/doi.org\/10.1111\/ggi.70411","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-12-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70411"}}