Differential associations of novel metaflammation indices with incident stroke across traditional Chinese medicine constitutions: a retrospective community-based cohort study of older adults - Report - MDSpire

Differential associations of novel metaflammation indices with incident stroke across traditional Chinese medicine constitutions: a retrospective community-based cohort study of older adults

  • By

  • Yang Li

  • Jun Ni

  • You Li

  • Suyan Zhao

  • Yun Chen

  • June 3, 2026

  • 0 min

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Clinical Report: Associations of New Metaflammation Indices with First Stroke Risk

Overview

This study investigates the relationship between novel metaflammation indices and first stroke risk in older adults. Significant associations were found for LHR and PHR, particularly among certain Traditional Chinese Medicine constitution types.

Background

Stroke is a leading cause of mortality and disability in older adults, necessitating improved risk assessment strategies. Traditional cardiovascular risk factors often fail to capture the complexity of stroke risk in this population. Metaflammation indices may provide additional insights into stroke risk by integrating inflammation and metabolic health.

Data Highlights

IndexHazard Ratio (HR)95% Confidence Interval (CI)
LHR1.681.09–2.61
PHR1.011.00–1.01
High-risk Biased Constitution3.421.32–8.80

Key Findings

  • LHR and PHR are significantly associated with increased stroke risk in older adults.
  • Individuals with high-risk biased constitutions show a markedly elevated stroke risk.
  • The associations of LHR and PHR with stroke risk vary across different TCM constitution types.
  • No significant interaction was observed between metaflammation indices and TCM constitution types.
  • Further validation of these findings is necessary to refine stroke risk assessment strategies.

Clinical Implications

Healthcare providers should consider incorporating metaflammation indices alongside traditional risk factors when assessing stroke risk in older adults. Understanding the influence of TCM constitution types may enhance personalized risk stratification and management strategies.

Conclusion

The study highlights the potential role of metaflammation indices in predicting stroke risk among older adults, emphasizing the need for further research to validate these findings and their clinical applicability.

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  3. Frontiers in Neurology, 2026 -- Network analysis of rehabilitation needs and influencing factors in aged patients recovering from first-time stroke
  4. Hub, 2024 -- 2024 Guideline for the Primary Prevention of Stroke: A Guideline From the American Heart Association/American Stroke Association
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  6. Hub - 2024 Guideline for the Primary Prevention of Stroke: A Guideline From the American Heart Association/American Stroke Association - Professional Heart Daily | American Heart Association
  7. The Monocyte-to-HDL ratio (MHR) as a prognostic and diagnostic biomarker in Acute Ischemic Stroke: A systematic review with meta-analysis (P9-14.010) | Neurology
  8. Colchicine and cardiovascular events: An updated meta‐analysis of published randomized controlled trials - PMC

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