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November 24, 2012European Journal of Public HealthOpen Access

Anthropometric measures in relation to risk of heart failure hospitalization: a Swedish population-based cohort study

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Key result

Higher body mass index (fourth vs. first quartile) was associated with an increased risk of heart failure hospitalization (HR 1.80; 95% CI 1.45-2.24), as were waist circumference and waist-hip ratio.

Why the study?

Do higher anthropometric measures (BMI, waist circumference, waist-hip ratio, body fat percentage) increase the risk of heart failure hospitalization in adults without prior cardiovascular disease?

Population

26,653 subjects without history of myocardial infarction, stroke or heart failure from the Malmö Diet and…

Comparison

Fourth sex-specific quartile of anthropometric… vs First sex-specific quartile of respective…

Design

Cohort

Follow-up

mean 15 years

Authors

YBYan BornéMalmö UniversityBHBo HedbladBroad InstituteBEBirgitta EssénUppsala University

Discussion

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Implication

Adiposity assessment should not yet guide HF prevention in practice; extends observational links to hospitalization but leaves causality and interventions open.

Study Design

Type

Cohort (n=26,653)

Structured PICO

Do higher anthropometric measures (BMI, waist circumference, waist-hip ratio, body fat percentage) increase the risk of heart failure hospitalization in adults without prior cardiovascular disease?

P
Population
26,653 subjects (aged 45-73 years) without history of myocardial infarction (MI), stroke or heart failure (HF) from the Malmö Diet and Cancer cohort at baseline in 1991-96
I
Intervention
Fourth sex-specific quartile of anthropometric measures (BMI, waist circumference, waist-hip ratio, body fat percentage, weight, height)
C
Comparator
First sex-specific quartile of respective anthropometric measures
O
Outcome
Incidence of heart failure (HF) hospitalizations during a mean follow-up of 15 yearshard clinical

Main Result

Effect estimate: HR 1.80 (95% CI 1.45-2.24)

Raised BMI, waist circumference, waist-hip ratio, and body fat percentage are independently associated with an increased risk of heart failure hospitalization, with joint exposure of high BMI and high central adiposity further increasing risk.

Cite This Study

Borné et al. (2012) conducted a cohort in Heart failure (n=26,653). Anthropometric measures (BMI, WC, WHR, BF%) vs. First sex-specific quartile was evaluated on Heart failure hospitalization (HR 1.80, 95% CI 1.45-2.24). Higher body mass index (fourth vs. first quartile) was associated with an increased risk of heart failure hospitalization (HR 1.80; 95% CI 1.45-2.24), as were waist circumference and waist-hip ratio.

synapsesocial.com/papers/6a157513814bf8ec9a4e9de1https://doi.org/10.1093/eurpub/cks161

Topics

Heart failureHFrEF treatmentHeart failure hospitalization
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Also Consider

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