{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:11:11Z","timestamp":1788667871525,"version":"build-2803163510"},"reference-count":47,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Angiology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>\n                    The ratio of red cell distribution width (RDW) to albumin (RAR) has been shown to correlate with poor prognosis in patients with various diseases. However, the relationship between RAR and cardiovascular disease (CVD) remains inadequately elucidated. We conducted this study using data from 12\u2009755 participants in the National Health and Nutrition Examination Survey (NHANES) 2007 to 2018. Multivariable regression analysis and subgroup analysis were conducted to analyze the potential relationship. In this study, RAR was significantly and positively associated with CVD mortality (hazard ratio [HR]\u2009=\u20091.99, 95% CI\u2009=\u20091.81-2.19,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.001), total CVD (odds ratios [OR]\u2009=\u20091.42, 95% CI\u2009=\u20091.31-1.54,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.001), congestive heart failure (CHF; OR\u2009=\u20091.70, 95% CI\u2009=\u20091.52-1.90,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.001), coronary heart disease (CHD; OR\u2009=\u20091.18, 95% CI\u2009=\u20091.05-1.33\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.006), and myocardial infarction (MI; OR\u2009=\u20091.32, 95% CI\u2009=\u20091.18-1.47,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.001). Subgroup analyses confirmed the robustness of the findings. Our findings demonstrate significant and independent associations of RAR levels with CVD mortality and specific CVD. As a straightforward, cost-effective, and readily accessible metric, RAR has the potential to offer novel insights into CVD risk assessment.\n                  <\/jats:p>","DOI":"10.1177\/00033197251390167","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T10:50:27Z","timestamp":1763635827000},"page":"1116-1126","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations Between Ratio of Red Blood Cell Distribution Width to Albumin With Cardiovascular Mortality and Specific Cardiovascular Disease"],"prefix":"10.1177","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7415-7189","authenticated-orcid":false,"given":"Yan","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Cardiology, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, China"},{"name":"Tianjin Union Medical Center, Tianjin Medical University, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6443-9616","authenticated-orcid":false,"given":"Zhuhua","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, China"},{"name":"The Institute of Translational Medicine, Tianjin Union Medical Center of Nankai University, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102230"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2206916"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.11.010"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw334"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.5603\/CJ.a2018.0103"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.2147\/JBM.S367660"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.916298"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2019.00709"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2018.04.014"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.13213"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S393393"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-023-03094-1"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/10760296221121286"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cca.2021.12.027"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S322441"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2024.1362077"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-42986-2"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12933-024-02390-0"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.10.027"},{"key":"e_1_3_3_21_2","article-title":"Integrated care protocol: prevention, diagnosis and treatment of diabetes mellitus 2","volume":"60","author":"Medina-Ch\u00e1vez JH","year":"2022","unstructured":"Medina-Ch\u00e1vez JH, V\u00e1zquez-Parrodi M, Mendoza-Mart\u00ednez P, R\u00edos-Mej\u00eda ED, de Anda-Garay JC, Balandr\u00e1n-Duarte DA. 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