ESC Congress 2026 Abstract

Higher waist-to-hip ratio linked to sudden cardiac death

Over a median 12.3 years, the highest waist-to-hip ratio quarter had a hazard ratio of 1.95 compared with the lowest quarter.

Paper by D Kim, H J Yu, E S Kim, 5 more authorsJ C Youn · Samsung Medical Center
People with broader waists stand beside a broken dark heart, while people with narrower waists stand beside whole hearts.
Cohort study of 495,983 UK Biobank participants, median 12.3 yearsBiomarkers

Dose-response

Limit: Only participants with complete data and ≥1 year of follow-up were included

Edited by Boris Djordjevic · AgingResearch.News

Follow

An observational cohort study analyzed 495,983 UK Biobank participants aged 40–69 over a median follow-up of 12.3 years. Researchers compared several body measurements, including waist-to-hip ratio, which compares waist and hip circumferences. They identified 2,621 sudden cardiac deaths through national death and hospital records.

Waist-to-hip ratio predicted sudden cardiac death better than the other body measurements examined. After accounting for demographic, lifestyle and health factors, the highest waist-to-hip ratio quarter had a hazard ratio of 1.95 compared with the lowest. This describes relative risk over time, not the absolute chance of death. Higher waist-to-hip ratios were linked to progressively higher risk.

Why it matters

For middle-aged and older adults, the findings support considering fat distribution when assessing the risk of sudden cardiac death.

Caveats

The observational design does not establish cause and effect. These findings concerned UK Biobank participants aged 40–69 and were reported in a conference abstract.