Fig. 4

Dose-response relationship between CMI and CMM. Values represent difference in predicted response in reference to CMI of mean. Red solid lines represent restricted cubic spline models. The black vertical dashed line indicates the CMI median, and the red vertical dashed line indicates the changepoint. Adjusted for age, sex, race, PIR, BMI, smoking behavior, drinking behavior, physical activity, and lipid-lowering therapy. CMM cardiometabolic multimorbidity, CMI cardiometabolic index, PIR the poverty-to-income ratio, BMI body mass index.