Key result
Obesity in individuals with diabetes accentuates the 30-year lifetime risk of cardiovascular disease, reaching 78.8% in obese women and 86.9% in obese men.
Cohort
The lifetime risk of cardiovascular disease is exceptionally high in individuals with diabetes, particularly men, and is further exacerbated by concurrent obesity.
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Highlights priority for obesity management in diabetes; extends lifetime CVD risk data but leaves causal impact of weight loss open.
OBJECTIVE: We assessed the lifetime risk of cardiovascular disease (CVD) among individuals with and without obesity and diabetes. RESEARCH DESIGN AND METHODS: Participants were drawn from the original and offspring cohorts of the Framingham Heart Study. Lifetime (30-year) risk of CVD was assessed using a modified Kaplan-Meier approach adjusting for the competing risk of death, beginning from age 50 years. RESULTS: Over 30 years, the lifetime risk of CVD among women with diabetes was 54.8% among normal-weight women and 78.8% among obese women. Among normal-weight men with diabetes, the lifetime risk of CVD was 78.6%, whereas it was 86.9% among obese men. CONCLUSIONS: The lifetime risk of CVD among individuals with diabetes is high, and this relationship is further accentuated with increasing adiposity.
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Fox et al. (2008) conducted a cohort in Diabetes and obesity. Obesity vs. Normal-weight was evaluated on Lifetime (30-year) risk of cardiovascular disease. Obesity in individuals with diabetes accentuates the 30-year lifetime risk of cardiovascular disease, reaching 78.8% in obese women and 86.9% in obese men.
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