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ORIGINAL RESEARCH article

Front. Med.

Sec. Geriatric Medicine

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1610867

The Relationship Between Peptic Ulcer and Cardiovascular Disease in Elderly Population: A Study on Mortality and Disease Development

Provisionally accepted
Lin  HeLin He1Qianlei  WangQianlei Wang2Yang  QiuYang Qiu1Nan  ShenNan Shen1Peimin  PuPeimin Pu1Ruiqing  WangRuiqing Wang1Hongyu  MiaoHongyu Miao1Haiyan  ZhangHaiyan Zhang1Xiao  YuXiao Yu1Dinghong  XiaoDinghong Xiao1Lianjun  XingLianjun Xing1*Zhidong  LiuZhidong Liu1*
  • 1Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China
  • 2Shanghai University of Traditional Chinese Medicine, Shanghai, Shanghai Municipality, China

The final, formatted version of the article will be published soon.

Background: Peptic ulcer (PU) and cardiovascular disease (CVD) are significant chronic illnesses, particularly in the elderly. This study investigates the relationship between PU and CVD in older adults and the impact on mortality risk. Methods: This study was conducted utilizing data from a nationwide health survey of the elderly in China. Kaplan-Meier curves and log-rank tests were applied in survival analysis to evaluate mortality differences between the groups. Stratified models were applied to evaluate the effects of factors. Results: This study included 3636 participants. CVD was significantly associated with an increased PU risk (OR = 1.31, 95%CI 1.03-1.66, p = 0.04), while PU had no significant effect on CVD incidence (OR = 1.08, 95%CI 0.77-1.51, p = 0.64). Mortality risk was significantly higher in the CVD group (HR = 1.22, 95%CI 1.03-1.45, p = 0.02) compared to the non-comorbid group. No significant difference in mortality was observed between the PU-only and combined PU-CVD groups. Stratified analysis identified advanced age (≥75 years) (HR = 1.45, 95%CI 1.06-1.87, p < 0.01) and male gender (HR = 1.29, 95%CI 1.05-1.62, p < 0.01) as significant mortality risk factors among PU patients. Conclusion: PU does not have a significant impact on overall mortality or the prognosis of CVD patients. CVD was a risk factor for PU, but PU did not significantly increase CVD risk. A higher mortality risk was observed in older and male PU patients. These findings suggest the need for gender-sensitive and age-stratified management strategies for PU in high-risk groups.

Keywords: Peptic Ulcer, cardiovascular disease, elderly population, Comorbidity research, mortality risk

Received: 02 Jun 2025; Accepted: 04 Aug 2025.

Copyright: © 2025 He, Wang, Qiu, Shen, Pu, Wang, Miao, Zhang, Yu, Xiao, Xing and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Lianjun Xing, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China
Zhidong Liu, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China

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