Current status of cardiovascular health in patients with chronic kidney disease and its influencing factors

ZHAO Xuetong, HUANG Jing, HUANG Haitao, QI Lin, ZHENG Lixia, TANG Ruonan, CUI Sijia, WANG Yuling

Medical Journal of the Chinese People Armed Police Forces ›› 2026, Vol. 37 ›› Issue (4) : 306-310.

PDF(1019 KB)
PDF(1019 KB)
Medical Journal of the Chinese People Armed Police Forces ›› 2026, Vol. 37 ›› Issue (4) : 306-310.
ORIGINAL ARTICLES

Current status of cardiovascular health in patients with chronic kidney disease and its influencing factors

  • ZHAO Xuetong1,2,3, HUANG Jing1, HUANG Haitao2, QI Lin4, ZHENG Lixia5, TANG Ruonan5, CUI Sijia4, WANG Yuling6
Author information +
History +

Abstract

Objective To investigate the current status of cardiovascular health in patients with chronic kidney disease(CKD) and analyze the influencing factors in order to provide references for improving the cardiovascular health of CKD patients. Methods Through the convenient sampling method, 220 patients who visited the nephrology department of a tertiary hospital in Beijing from April to June 2023 were selected. General information questionnaire, the scale of cardiovascular health knowledge for CKD patients, chronic disease self-efficacy scale, positive and negative affective scales and cardiovascular health assessment tools were used for investigation. Univariate analysis, correlation analysis and multiple linear stepwise regression analysis were used to analyze the influencing factors. Results A total of 217 valid questionnaires were collected, with a valid questionnaire recovery rate of 98.6%. The score of cardiovascular health in CKD patients was (61.69±12.10) points. Multiple linear stepwise regression analysis showed that waistline, 24 h urine protein quantification, blood urea, follow-up frequency, diabetes history, negative emotion and mastery of cardiovascular health knowledge were the influencing factors of cardiovascular health in CKD patients. Conclusions CKD patients with normal blood urea, 24 h urine protein quantification <1 g, no history of diabetes and follow-up visit frequency ≤6 months have better cardiovascular health, while the patients with thicker waistline, more negative emotions, and less knowledge of cardiovascular health have poorer cardiovascular health. It is recommended to customize personalized plans based on the cardiovascular health status of CKD patients and to conduct early intervention to improve prognosis.

Key words

chronic kidney disease / cardiovascular health / influencing factor analysis / cardiovascular disease / questionnaire survey

Cite this article

Download Citations
ZHAO Xuetong, HUANG Jing, HUANG Haitao, QI Lin, ZHENG Lixia, TANG Ruonan, CUI Sijia, WANG Yuling. Current status of cardiovascular health in patients with chronic kidney disease and its influencing factors[J]. Medical Journal of the Chinese People Armed Police Forces. 2026, 37(4): 306-310

References

[1] Lawal O M, Balogun M O, Akintomide A O, et al. Carotid intima-media thickness: a surrogate marker for cardiovascular disease in chronic kidney disease patients[J]. Clin Med Insights Cardiol, 2019,21(4):13.
[2] Subbiah A K, Chhabra Y K, Mahajan S. Cardiovascular disease in patients with chronic kidney disease: a neglected subgroup[J]. Heart Asia, 2016,8(2):56-61.
[3] Liu M, Li XC, Lu L, et al. Cardiovascular disease and its relationship with chronic kidney disease[J]. Eur Rev Med Pharmacol Sci, 2014,18(19):2918-2926.
[4] Chen H, Tang H, Huang J, et al. Life's Essential 8 and mortality in US adults with chronic kidney disease[J]. Am J Nephrol, 2023,54(11-12):516-527.
[5] Tang R, Wang X, Li X, et al. Adherence to life's essential 8 and incident chronic kidney disease: a prospective study of 147,988 UK Biobank participants[J]. Am J Clin Nutr, 2023,118(4):804-811.
[6] 孙 丹, 杨 英, 余 珍,等. 基于保护动机理论的护理干预对社区老年人心血管健康的影响[J]. 护理学杂志, 2019,34(9):91-95.
[7] Hernandez R, Lash J P, Burrows B, et al. The association of positive affect and cardiovascular health in hispanics/latinos with chronic kidney disease: results from the hispanic community health Study/study of latinos (HCHS/SOL)[J]. Prev Med Rep, 2019,15(7):100916.
[8] Boehm J K, Chen Y, Williams D R, et al. Subjective well-being and cardiometabolic health: an 8-11year study of midlife adults[J]. J Psychosom Res, 2016,85(6):1-8.
[9] 张 婉, 王红阳, 赵雅宁,等. 糖尿病患者效能水平与理想心血管健康行为和健康因素的相关性[J]. 中国老年学杂志, 2015,35(13):3720-3722.
[10] 闫小芳, 曹瑞秋, 郝正玮,等. 老年高血压患者效能水平与心血管病知信行、理想心血管健康行为和健康因素的相关性研究[J]. 现代预防医学, 2015,42(13):2380-2384.
[11] Vallianou N G, Mitesh S, Gkogkou A, et al. Chronic kidney disease and cardiovascular disease: is there any relationship?[J]. Curr Cardiol Rev, 2019,15(1):55-63.
[12] 上海市肾内科临床质量控制中心专家组. 慢性肾脏病早期筛查、诊断及防治指南(2022年版)[J]. 中华肾脏病杂志, 2022,38(5):453-464.
[13] 赵雪桐, 黄 静, 王南方,等. 慢性肾病病人心血管健康知识掌握度量表的编制及信效度检验[J]. 护理研究, 2025,39(1):91-95.
[14] 贾 雪. 慢性病老年人社会支持与疾病管理自我效能的相关性研究[D].沈阳:辽宁中医药大学, 2022.
[15] 杨漫丽. 渐进式肌肉放松训练在乳腺癌化疗患者中的应用及效果评价[D].衡阳:南华大学, 2020.
[16] Gao X, Ma X, Lin P, et al. Predictive value of cardiovascular health score for health outcomes in patients with PCI: comparison between life's simple 7 and life's essential 8[J]. Int J Environ Res Public Health, 2023,20(4):3084.
[17] Huo Z, Huang Z, Feng J, et al. Life's Essential 8 and heart failure among patients with chronic kidney disease: the Kailuan Cohort Study[J]. Eur J Prev Cardiol, 2023,19(10):398.
[18] Larkin C T, Fernández Y A K, Carmona P E, et al. Ideal cardiovascular health in Mexican adults with CKD living in Mexico City Versus Chicago[J]. J Immigr Minor Health, 2023,25(6):1488-1492.
[19] 薛涛涛, 王丽敏, 赵振平,等. 基于“生命八要素”评分的中国成年居民心血管健康状况分析[J]. 中华流行病学杂志, 2023,44(7):1054-1062.
[20] Kendrick J, Ritchie M, Andrews E. Exercise in individuals with CKD: a focus group study exploring patient attitudes, motivations, and barriers to exercise[J]. Kidney Med, 2019,1(3):131-138.
[21] Katayιfçι N, Hüzmeli I, Iriş D, et al. Impairments of functional exercise capacity, muscle strength, balance and kinesiophobia in patients with chronic kidney disease: a cross-sectional study[J]. BMC Nephrol, 2024,25(1):19.
[22] 陈 潼. 南方社区人群慢性病变化特点以及新型脂肪评价指标与慢性肾脏病相关性研究[D]. 广州:南方医科大学, 2021.
[23] Group KDIGOKCW. KDIGO 2012 Clinical Practice Guideline for the evaluation and management if chronic kidney disease[J]. Kidney Int Suppl, 2013,3(1):1-150.
[24] Baker L A, March D S, Wilkinson T J, et al. Clinical practice guideline exercise and lifestyle in chronic kidney disease[J]. BMC Nephrol, 2022,23(1):75.
[25] 中华医学会心血管病学分会, 中国康复医学会心脏预防与康复专业委员会, 中国老年学和老年医学会心脏专业委员会,等. 中国心血管病一级预防指南[J]. 中华心血管病杂志, 2020,48(12):1000-1038.
[26] 张妮潇, 何锦丽, 刘 洋,等. 扩张型心肌病心力衰竭患者血尿素与心房颤动的相关性[J]. 中华老年心脑血管病杂志, 2018,20(9):901-905.
[27] Kanda T, Wakino S, Hayashi K, et al. Cardiovascular disease, chronic kidney disease, and type 2 diabetes mellitus: proceeding with caution at a dangerous intersection[J]. J Am Soc Nephrol, 2008,19(1):4-7.
[28] Zeng G, Lin Y, Lin J, et al. Association of cardiovascular health using Life's Essential 8 with depression: findings from NHANES 2007-2018[J]. Gen Hosp Psychiatry, 2024,87(3-4):60-67.
[29] 孙 丹, 孟雨姗, 余 珍,等. 心血管病预防知识水平与老年人心血管健康的相关性[J]. 中国康复理论与实践, 2017, 23(6):714-719.
[30] Giacomo D, Ranieri J, Guerra F, et al. Cardiovascular risk and biopsychosocial interplay: association among hypertension, anxiety, and emotional dysregulation-observational study in primary care setting for efficient self-care[J]. Clin Cardiol, 2024,47(1):e24152.
PDF(1019 KB)

Accesses

Citation

Detail

Sections
Recommended

/