Cardiometabolic & kidneyCross-sectional study

Association of cardiometabolic disease with subclinical cardiac remodeling in men vs. women in the Framingham Heart Study

Eur J Prev CardiolPublished

  • Cross-sectional study

Authors' conclusion

We observed that sex modifies the association of cardiometabolic disease burden with subclinical markers of cardiac dysfunction. Specifically, higher cardiometabolic disease burden was associated with worse GLS and E/e' ratio in women versus men.

Study context

Population
Framingham Heart Study participants54% women
Participants
6,182 participants
Exposure
Women vs men
Outcome
Sex-specific association of MetSS score with echocardiographic markers of subclinical cardiac remodeling (GLS, E/e' ratio)

Main finding

As reported in the abstract

Association per 1-point increase in MetSS score
GroupGLS ßE/e' ratio ß
Women0.35 (SE 0.04)0.29 (SE 0.02)
Men0.23 (SE 0.04)0.20 (SE 0.02)
  • Women vs Men: pint 0.01 — GLS: 0.35% vs 0.23% higher (worse) per 1-point MetSS; interaction P
  • Women vs Men: pint <0.001 — E/e' ratio; interaction P

Observational data: associations, not effects.

Original publication

Association of cardiometabolic disease with subclinical cardiac remodeling in men vs. women in the Framingham Heart Study. Eur J Prev Cardiol. Published 18 May 2026. doi:10.1093/eurjpc/zwag269

Summarised from the published abstract; every number is checked against it