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June 14, 2026Journal of Diabetes ResearchOpen Access

Exploring the Joint Impact of METS‐VF and Functional Limitation on Cardiometabolic Multimorbidity Risk

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Why the study?

Research investigating the independent and joint effects of METS-VF and functional limitation on the risk of cardiometabolic multimorbidity onset is lacking.

Do high METS-VF and functional limitations jointly increase the risk of incident cardiometabolic multimorbidity?

Population

8140 participants cross-sectionally and 5356 baseline CMM-free individuals longitudinally from CHARLS

Comparison

High vs low METS-VF and functional limitations

Design

Prospective cohort study

Key result

The simultaneous presence of high METS-VF and functional limitations significantly increased the risk of developing cardiometabolic multimorbidity (HR 2.43; 95% CI 1.78-3.31).

Authors

XCX P ChenYWYing WangJWJiaofen Wu

Discussion

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Member takes

Overview

High METS-VF was associated with incident CMM; leaves open whether targeting visceral fat or function alters multimorbidity risk.

Key Points

  • This study aims to investigate the independent and joint effects of METS-VF and functional limitation on the risk of cardiometabolic multimorbidity (CMM).
  • Prospective cohort study using data from the China Health and Retirement Longitudinal Study (CHARLS).
  • Cross-sectional analysis included 8140 participants; longitudinal analysis followed 5356 individuals free of CMM at baseline.
  • Multivariable Cox proportional hazards regression and restricted cubic spline analysis were employed to evaluate associations between METS-VF, functional limitations, and CMM incidence.
  • High METS-VF group exhibited an increased risk of developing CMM (HR = 1.77, 95% CI: 1.39-2.26).
  • Continuous functional limitations were associated with incident CMM (HR = 1.12, 95% CI: 1.08-1.16).
  • Joint presence of high METS-VF and functional limitations indicated the highest risk of CMM (HR = 2.43, 95% CI: 1.78-3.31).

Study Design

Type

Cohort (n=5,356)

Structured PICO

Do high METS-VF and functional limitations jointly increase the risk of incident cardiometabolic multimorbidity?

P
Population
5,356 individuals free of cardiometabolic multimorbidity at baseline followed longitudinally to assess the impact of METS-VF and functional limitations.
E
Exposure
High metabolic score for visceral fat (METS-VF) and functional limitations (assessed using ADL and IADL scales)
C
Comparator
Low METS-VF and no functional limitations
O
Outcome
Incident cardiometabolic multimorbidity (CMM), defined as the coexistence of at least two cardiometabolic diseases: heart disease, diabetes, stroke, or hypertensioncomposite

Main Result

Hazard Ratio: 2.43 (95% CI 1.78–3.31)

The combination of high visceral fat (METS-VF) and functional limitations significantly increases the risk of developing cardiometabolic multimorbidity, suggesting utility for risk stratification.

Cite This Study

Chen et al. (2026) conducted a cohort in Cardiometabolic multimorbidity (CMM) (n=5,356). High METS-VF and functional limitations vs. Low METS-VF and no functional limitations was evaluated on Incidence of cardiometabolic multimorbidity (CMM) (HR 2.43, 95% CI 1.78-3.31). The simultaneous presence of high METS-VF and functional limitations significantly increased the risk of developing cardiometabolic multimorbidity (HR 2.43; 95% CI 1.78-3.31).

synapsesocial.com/papers/6a2e465cb1cc60ccdea8b1bchttps://doi.org/10.1155/jdr/6450867
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