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Seven body-size measures linked to cardiovascular disease

Hazard ratios, which compare rates of new disease, ranged from 1.13 to 1.49 for the highest versus lowest thirds across seven body-size measures.

Paper by JunCong Mao, Yunfei Hong, Shujing Yang, Yerui Cai · Third People's Hospital of Yunnan Province
Figure 1. Flow chart of study inclusion and follow-up outcomes.
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Figure 1. Flow chart of study inclusion and follow-up outcomes.Flow chart of study inclusion and follow-up outcomes.Mao et al., CC BY
Preprint: cohort study of 15,788 adults free of cardiovascular disease, 7-year windowBiomarkers

Dose-response, independent replication

Limit: Lipids and medication could confound the associations; baseline data were unavailable in one cohort

Edited by Boris Djordjevic · AgingResearch.News

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An observational study followed 10,557 adults in China and 5,231 in England, all aged 45 or older and initially free of cardiovascular disease. Researchers compared seven measured body-size indicators, including body mass index, which relates weight to height, and waist size. The cohorts recorded 3,175 new cases of cardiovascular disease, which affects the heart and blood vessels.

All seven measures were associated with higher disease rates as their values rose, even after accounting for other factors. Prediction models developed in one country also distinguished higher-risk from lower-risk participants in the other. However, the authors concluded that estimates of absolute risk needed country-specific adjustment. They recommended adding waist size and a waist measure adjusted for body weight to body mass index in cardiovascular risk assessment.

Why it matters

The study addressed which measures of body fat might help assess cardiovascular risk in aging populations with different body-fat distributions.

Caveats

This observational analysis cannot establish that greater body fat caused cardiovascular disease. The preprint has not been peer-reviewed, and the findings concern adults aged 45 or older without cardiovascular disease at baseline.

From the paper

Participants

After applying these criteria, the analytic sample comprised 15,788 participants (China 10,557; England 5,231) (Fig. 1).

Methods, Study population

Result

A simultaneous one-tertile increase in the adiposity–blood-pressure mixture yielded a joint hazard ratio of 1.59 (95% CI 1.49–1.70).

Results

Quoted word for word from the full text on researchsquare.com.