Open research questions in Cardiovascular Health and Risk Factors
180 unresolved questions extracted from the limitations and future-work sections of 837 Cardiovascular Health and Risk Factors papers in our library. Each links back to the study that raised it.
What the literature leaves open
The paper identifies a gap in the understanding of gender differences in cardiovascular awareness and lifestyle behaviors among young adults. There is a need to investigate the prevalence of overweight, obesity, and hypertension among 18-year-olds and its association with gender.
Nationwide survey reveals gender disparities in cardiovascular awareness and lifestyle behaviors among polish adolescents aged 18 years · 2026 · DOIfurther studies are needed to explore the relationship between LE8, TyG index, and CRP levels on CMM, - research on the combined effects of lifestyle factors on CMD risk is warranted
Exploring the synergistic effects of Life’s Essential 8, insulin resistance, and CRP on cardiometabolic multimorbidity risk · 2025 · DOIThe relationship between LE8 and CMM remains unexplored. The potential mediators of the LE8-CMM association are unknown. The dose-response relationships between LE8 and CMM risk are not well understood.
Exploring the synergistic effects of Life’s Essential 8, insulin resistance, and CRP on cardiometabolic multimorbidity risk · 2025 · DOIFurther studies are needed to explore the relationship between LE8 scores and liver function in different populations, - longitudinal studies could investigate the temporal relationship between LE8 scores and liver function
The study adjusted for a limited number of covariates to avoid overfitting the model, - the study used a cross-sectional design
These hypothesis-generating findings motivate further study of effect modification using more detailed exposure measurement.
Meditation Practice and Long-Term Mortality in US Adults: A Doubly Robust Analysis of Pooled National Health Interview Survey Cohorts with a Trial-Informed Bayesian Subgroup Analysis · 2026 · DOIABSTRACT Introduction: Trial evidence in older adults with hypertension suggests that meditation may lower mortality, but this association has not been tested in a nationally representative study with linked-mortality data.
Meditation Practice and Long-Term Mortality in US Adults: A Doubly Robust Analysis of Pooled National Health Interview Survey Cohorts with a Trial-Informed Bayesian Subgroup Analysis · 2026 · DOIWhether multidimensional cardiometabolic, inflammatory, renal, behavioral, and psychosocial factors define distinct cardiovascular risk phenotypes in RA remains unclear.
Cardiometabolic and Psychobehavioral Phenotypes Define Cardiovascular Risk Heterogeneity in Rheumatoid Arthritis · 2026 · DOIAbstract Background Cardiovascular health (CVH) is associated with individual age-related health outcomes, but its relation to unhealthy aging trajectories remains uncertain.
Its effectiveness in reducing CVD risk factors has been demonstrated, and although HeartHealth was developed to address the negative impact of social determinants of health (SDOH), it remains unclear whether its impact is modified by key SDOH.
Effectiveness of a self‐care intervention addressing social determinants of health in reducing cardiovascular disease risk in rural populations · 2025 · DOIImportance: Significant racial and ethnic differences exist in Life's Essential 8 (LE8), but the trends in these differences over time are not well understood.
Trends and Key Factors Associated With Racial and Ethnic Differences in Life’s Essential 8 Scores · 2025 · DOIWhile countries in the Arab world continue to lack public health data and be severely understudied in health research, previous research has shown that compared to 1990, CVDs had a higher burden of disease in the Arab World in 2010.
The burden of Cardiovascular diseases in Jordan: a longitudinal analysis from the global burden of disease study, 1990–2019 · 2024 · DOIBACKGROUND: Risk factors for non-communicable diseases (NCDs, cardiovascular diseases, cancers, chronic respiratory diseases, diabetes, and mental disorders) arise in adolescence but are mostly framed as relevant to health in adulthood; little is known about the relationship between co-occurring NCD risks and mental wellbeing in young people.
The relationship between non-communicable disease risk and mental wellbeing in adolescence: a cross-sectional study utilising objective measures in Indonesia · 2024 · DOIFew studies have investigated the association of Life’s Essential 8 (LE8), the updated measurement of cardiovascular health (CVH), with MetS.
The inverse relationship between Life’s Essential 8 and risk of metabolic syndrome: evidence from NHANES 2005-2018 · 2024 · DOIHowever, the association between LE8 and the risk of prediabetes or diabetes is not yet fully understood.
Association between the AHA life’s essential 8 and prediabetes/diabetes: a cross-sectional NHANES study · 2024 · DOIBackground The association between healthy lifestyle and American Heart Association (AHA) Life's Essential 8 (LE8) score and apparent treatment-resistant hypertension(aTRH)remains uncertain.
Association between “Life's Essential 8” cardiovascular health and apparent treatment-resistant hypertension among US adults from the NHANES, 2005 to 2018 · 2024 · DOIBACKGROUND AND OBJECTIVES: Cardiovascular health (CVH) has been associated with cognitive decline and dementia, but the extent to which CVH affects brain health remains unclear.
Association of Cardiovascular Health With Brain Age Estimated Using Machine Learning Methods in Middle-Aged and Older Adults · 2024 · DOIAbstract Background Limited information is available on the effect of ideal cardiovascular health (CVH) and abnormal glucose metabolism in elderly people.
Association between ideal cardiovascular health and abnormal glucose metabolism in the elderly: evidence based on real-world data · 2024 · DOIThe development of digital technologies and artificial intelligence to promote health across all demographics. The integration of lifestyle medicine into the existing conventional medical system.
The lack of integration of lifestyle medicine into the existing conventional medical system. The need for substantial efforts in medical education reform to equip healthcare professionals with the knowledge and skills necessary for effective lifestyle counseling and prescription.
Future research should focus on developing culturally-friendly preventive measures, particularly for South Asian populations. Future research should investigate the complex effect of pre-existing comorbidities on mortality rates and incidence of ICU admission. Future research should explore the regional disparities in mortality relative to CVD in Asian populations.
Trends in Cardiovascular Disease Risk and Outcomes Among Asian Communities Post-COVID-19 Pandemic: A Systematic Review and Meta-Analysis · 2026 · DOIThe study identifies a gap in the understanding of the impact of the COVID-19 pandemic on cardiovascular disease risks and outcomes in Asian populations. The study highlights the limitations of conventional cardiovascular risk assessment models in Asian populations.
Trends in Cardiovascular Disease Risk and Outcomes Among Asian Communities Post-COVID-19 Pandemic: A Systematic Review and Meta-Analysis · 2026 · DOIThe study faced challenges in terms of the cross-sectional design, which limits the ability to establish causality. The study's findings may be limited by the use of self-reported data. The study's results may not be generalizable to other populations or settings.
Life’s Essential 8 and Suicide Risk: A Population-Level Study of Cardiovascular Health as a Mental Health Indicator · 2026 · DOIThe association between cardiovascular health and mental health remains underexplored. Previous research has primarily focused on symptomatology, with limited direct analysis of behavioral outcomes.
Life’s Essential 8 and Suicide Risk: A Population-Level Study of Cardiovascular Health as a Mental Health Indicator · 2026 · DOIPostmenopausal women are at increased risk of CVD due to hormonal changes. Lifestyle-related risk factors, such as low physical activity and high sodium intake, may further contribute to the elevated risk of CVD in postmenopausal women. There is a lack of understanding of factors associated with CVD-preventive health behavior in postmenopausal women.
Path analysis of cardiovascular disease preventive health behavior in postmenopausal Korean women based on the I-Change model · 2026 · DOI
Most-cited papers in Cardiovascular Health and Risk Factors
- Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study · The Lancet · 2004 · 9,202 citations
- Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association · Circulation · 2022 · 4,869 citations
- Physical Fitness and All-Cause Mortality · JAMA · 1989 · 4,724 citations
- Actual Causes of Death in the United States, 2000 · JAMA · 2004 · 4,043 citations
- Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017 · The Lancet · 2018 · 3,929 citations
- What's the Relative Risk? · JAMA · 1998 · 3,408 citations
- Mortality, morbidity, and risk factors in China and its provinces, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017 · The Lancet · 2019 · 3,229 citations
- Multiple Risk Factor Intervention Trial · JAMA · 1982 · 2,777 citations
- Body-Mass Index and Mortality in a Prospective Cohort of U.S. Adults · New England Journal of Medicine · 1999 · 2,740 citations
- Coronary Calcium as a Predictor of Coronary Events in Four Racial or Ethnic Groups · New England Journal of Medicine · 2008 · 2,621 citations
Most recent work
- Lifestyle Medicine in China: The Fuwai Hospital Lifestyle Medicine Initiative · American Journal of Lifestyle Medicine · 2026
- Awareness of Cardiovascular Disease as the Primary Cause of Mortality in Women: Insights from a Survey of 7,920 Individuals · Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology · 2026
- Modifiable Risk Factors and Attributable Ischemic Heart Disease Mortality in US States, 1990-2023 · JAMA Cardiology · 2026
- Cardiovascular Risk Reclassification With the 2026 Dyslipidemia Guideline · JAMA · 2026
- Patterns and trends of mortality in patients with arrhythmia and cerebrovascular disease in the United States: a nationwide analysis of older adults · Scientific Reports · 2026
- Risk Reclassification Beyond BMI by Waist Circumference and Waist-to-Hip Ratio Across 9 Cardiovascular Outcomes · Journal of the American College of Cardiology · 2026
- Longitudinal Changes in Heart Stress and the Risk for Cardiovascular Disease and Mortality in Older Adults · Annals of Internal Medicine · 2026
- Cardiovascular Health Characterization Using Life's Essential 8 Score in Perimenopausal Women: An Analysis of the National Health and Nutritional Examination Survey · Journal of the American Heart Association · 2026
- Higher Neighborhood Social Vulnerability is Associated with Lower Life's Essential 8 Cardiovascular Health Scores: the Coronary Artery Risk Development in Young Adults (CARDIA) Study · medRxiv · 2026
- Cardiovascular disease burden, trends, and projections in Vietnam, 1990-2050: a first comprehensive national analysis from the Global Burden of Disease Study 2023 · medRxiv · 2026
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