Key result
Adult obesity is linked to a ~57% higher prevalence of CHD.
Why the study?
Although obesity is a major risk factor for CHD, some studies have reported an inverse relationship between BMI and CHD outcomes, making epidemiology in these groups essential to guide health planning.
What is the prevalence and what are the predictors of coronary heart disease among adults with and without obesity in North Dakota?
Cross-Sectional (n=17,092)
What is the prevalence and what are the predictors of coronary heart disease among adults with and without obesity in North Dakota?
Obesity is associated with a significantly higher prevalence of coronary heart disease among adults in North Dakota, though the traditional risk factor predictors remain similar regardless of obesity status.
Answers are grounded in this paper and cite their sources.
Obesity linked to higher CHD prevalence warrants awareness in primary care; cross-sectional data leaves open causality and generalizability.
INTRODUCTION: Coronary heart disease (CHD) is the most common cardiovascular disease in the United States and heart disease is the leading cause of death in North Dakota. Although obesity is a major risk factor for CHD, some studies have reported an inverse relationship between body mass index (BMI) and CHD outcomes. Understanding the epidemiology of CHD among individuals with and without obesity is essential to guide health planning. Therefore, the objectives of this study were to estimate the prevalence and identify predictors of CHD among North Dakota adults with and without obesity. METHODS: Behavioral Risk Factor Surveillance System data from 2017 to 2021 were provided by the North Dakota Department of Health and Human Services. Weighted prevalence estimates and 95% confidence intervals (CIs) were computed for CHD and potential risk factors among respondents with and without obesity (BMI ≥30 kg/m2). Multivariable logistic regression was used to identify significant predictors of CHD in both groups. RESULTS: A total of 17,092 respondents were included in the study. Respondents with obesity had a higher prevalence of CHD (4.7%, 95% CI: 4.2-5.4) than those without obesity (3.0%, 95% CI: 2.7-3.4). Predictors of CHD among both groups included age, sex, self-reported general health, high blood pressure, high cholesterol, chronic obstructive pulmonary disease, and diabetes. Having a personal doctor (Odds Ratio [OR] = 1.91, 95% CI: 1.13-3.23) and arthritis (OR = 1.72, 95% CI: 1.34-2.22) were significant predictors of CHD among respondents without obesity, but not among those without obesity. CONCLUSION: While the prevalence of CHD was significantly higher among adults with obesity compared to those without obesity, the findings of the stratified analysis indicated that predictors of the condition tended to be similar for the two groups. This study provides useful information to guide health planning and control programs that aim to reduce the burden of CHD in North Dakota.
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Mensah et al. (2024) conducted a cross-sectional in Coronary heart disease (n=17,092). Obesity vs. Without obesity was evaluated on Prevalence of coronary heart disease. Adults with obesity had a higher prevalence of coronary heart disease (4.7%) than those without obesity (3.0%), with similar predictors of the condition in both groups.
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