Abstract：
OBJECTIVE: Marital quality (MQ) is a psychosocial factor that has been neglected in cardiovascular prevention guidelines, although its association with cardiovascular diseases has been identified in several studies. Therefore, we aim to investigate how MQ either in positive or negative dimensions affect different cardiovascular risk factors and diseases.
RESULTS: We systematically searched different databases in September 2023 for longitudinal studies conducted to assess the contribution of MQ to well-established cardiovascular risk factors and diseases. Two independent researchers screened studies and carried out data extraction and quality assessment of included ones. From 12,175 potential studies screened, 40 were included. The presence of significant heterogeneity in methodology, follow-up, and subsequent effect estimates made it unfeasible to do a meta-analysis. Despite the variation, most studies found a significant association of negative MQ measures with physical inactivity (2/2), high levels of smoking (4/5) and alcohol (3/3) use, increased metabolic syndrome risk (3/3), elevated type 2 diabetes mellitus (T2DM) risk and poor T2DM management (3/6), elevated cardiovascular disease risk and progression (9/11), increased body weight and obesity risk (2/3), elevated blood pressure and hypertension risk (7/8). Positive MQ measures were mainly associated with improvement in blood pressure control (2/2), reduced T2DM risk and its good management (1/1), reduced body weight and obesity risk (2/2), and increased survival in cardiovascular diseases (4/4). Based on current evidence, MQ seems to play a crucial role in developing established cardiovascular risk factors and diseases and is worth considering in preventive strategies.
RESULTS: We systematically searched different databases in September 2023 for longitudinal studies conducted to assess the contribution of MQ to well-established cardiovascular risk factors and diseases. Two independent researchers screened studies and carried out data extraction and quality assessment of included ones. From 12,175 potential studies screened, 40 were included. The presence of significant heterogeneity in methodology, follow-up, and subsequent effect estimates made it unfeasible to do a meta-analysis. Despite the variation, most studies found a significant association of negative MQ measures with physical inactivity (2/2), high levels of smoking (4/5) and alcohol (3/3) use, increased metabolic syndrome risk (3/3), elevated type 2 diabetes mellitus (T2DM) risk and poor T2DM management (3/6), elevated cardiovascular disease risk and progression (9/11), increased body weight and obesity risk (2/3), elevated blood pressure and hypertension risk (7/8). Positive MQ measures were mainly associated with improvement in blood pressure control (2/2), reduced T2DM risk and its good management (1/1), reduced body weight and obesity risk (2/2), and increased survival in cardiovascular diseases (4/4). Based on current evidence, MQ seems to play a crucial role in developing established cardiovascular risk factors and diseases and is worth considering in preventive strategies.
摘要：
目的：婚姻质量（MQ）是一种在心血管预防指南中被忽视的心理社会因素，尽管在几项研究中已经确定了它与心血管疾病的关联。因此,我们的目的是研究MQ在阳性或阴性方面如何影响不同的心血管危险因素和疾病。
结果：我们在2023年9月系统地搜索了不同的数据库，以进行纵向研究，以评估MQ对公认的心血管危险因素和疾病的贡献。两名独立研究人员筛选了研究，并对所包含的研究进行了数据提取和质量评估。从筛选的12175项潜在研究中，包括40个。在方法论上存在显著的异质性，后续行动,和随后的效果估计使得进行荟萃分析变得不可行。尽管有变化，大多数研究发现，负MQ测量值与缺乏体力活动显著相关(2/2)，高水平的吸烟（4/5）和酒精（3/3）的使用，代谢综合征风险增加（3/3），2型糖尿病（T2DM）风险升高和T2DM管理不良（3/6），心血管疾病风险和进展升高（9/11），增加体重和肥胖风险（2/3），血压升高和高血压风险（7/8）。积极的MQ措施主要与血压控制的改善有关（2/2），降低T2DM风险及其良好管理(1/1)，降低体重和肥胖风险（2/2），增加心血管疾病的生存率（4/4）。根据目前的证据,MQ似乎在发展既定的心血管危险因素和疾病中起着至关重要的作用，值得在预防策略中考虑。
结果：我们在2023年9月系统地搜索了不同的数据库，以进行纵向研究，以评估MQ对公认的心血管危险因素和疾病的贡献。两名独立研究人员筛选了研究，并对所包含的研究进行了数据提取和质量评估。从筛选的12175项潜在研究中，包括40个。在方法论上存在显著的异质性，后续行动,和随后的效果估计使得进行荟萃分析变得不可行。尽管有变化，大多数研究发现，负MQ测量值与缺乏体力活动显著相关(2/2)，高水平的吸烟（4/5）和酒精（3/3）的使用，代谢综合征风险增加（3/3），2型糖尿病（T2DM）风险升高和T2DM管理不良（3/6），心血管疾病风险和进展升高（9/11），增加体重和肥胖风险（2/3），血压升高和高血压风险（7/8）。积极的MQ措施主要与血压控制的改善有关（2/2），降低T2DM风险及其良好管理(1/1)，降低体重和肥胖风险（2/2），增加心血管疾病的生存率（4/4）。根据目前的证据,MQ似乎在发展既定的心血管危险因素和疾病中起着至关重要的作用，值得在预防策略中考虑。
