ESC Congress 2026 Abstract

Young adults’ health-risk stage linked to heart events and death

Stage 2 cardiovascular-kidney-metabolic syndrome was associated with higher relative rates of major cardiovascular events than stage 0, with a hazard ratio of 3.03.

Paper by J J Wang, Y A Yao, Z Y, 3 more authorsX B Liu · Tongji Hospital
Cohort study of 2,998 adults aged 28–39, median 24.16 years, against those with CKM stage 0Populations

Limit: The conference abstract did not define the stages or provide absolute event rates

Edited by Boris Djordjevic · AgingResearch.News

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In a prospective observational study, researchers followed 2,998 adults aged 28–39 for a median of 24.16 years. They classified participants by cardiovascular-kidney-metabolic syndrome stage, which groups heart, kidney and metabolic health risks. Metabolic health concerns how the body processes and uses energy. During follow-up, 192 major heart and blood vessel events and 236 deaths occurred.

Compared with stage 0, stage 2 was associated with higher relative event rates: hazard ratios of 3.03 for major cardiovascular events and 1.81 for death from any cause. Stage 1 showed no statistically significant association with either outcome after adjustment for other factors. Among 1,462 participants initially at stage 0 or 1, stage 1 was linked to 1.69 times the risk of reaching stage 2 or higher in middle age, measured more than 10 years later.

Why it matters

Heart, kidney and metabolic health in young adulthood provide a starting point for investigating when cardiovascular risks associated with later-life illness become apparent.

Caveats

This observational study cannot show that syndrome stage caused later events. The conference abstract did not define the stages or provide absolute event rates for each group.