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February 11, 2025European Journal of Internal MedicineOpen Access

Including any obesity index in SCORE2 improves risk reclassification for 20-year ASCVD.

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Why the study?

Despite the established link between obesity and cardiovascular disease, the optimal anthropometric index for risk prediction remains uncertain.

Does the inclusion of obesity indices in the SCORE2 model improve the prediction and reclassification of 20-year ASCVD risk in healthy adults?

Population

3,042 adults free of CVD in Athens metropolitan area, Greece

Comparison

Various anthropometric indices included in the SCORE2 model vs SCORE2 alone

Design

Prospective cohort study

Follow-up

20-year

Key result

The inclusion of any individual obesity index within the SCORE2 model enhanced its discriminatory power and improved risk reclassification for 20-year ASCVD incidence.

Authors

SGSofia‐Panagiota GiannakopoulouFBFotios BarkasCCChristina Chrysohoou

Discussion

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Overview

May refine SCORE2-based ASCVD prediction; leaves open prospective validation before any practice change.

Study Design

Type

Cohort (n=3,042)

Multicenter

No

Structured PICO

Does the inclusion of obesity indices in the SCORE2 model improve the prediction and reclassification of 20-year ASCVD risk in healthy adults?

P
Population
3,042 adults free of CVD at baseline, residing in Athens metropolitan area, Greece (1,845 with complete data at 20-year follow-up).
I
Intervention
Inclusion of various anthropometric/obesity indices in the SCORE2 risk model
C
Comparator
SCORE2 model alone
O
Outcome
20-year atherosclerotic cardiovascular disease (ASCVD) incidencehard clinical

Obesity indices enhance the predictive accuracy and risk reclassification of the SCORE2 model for 20-year ASCVD risk in the general population.

Cite This Study

Giannakopoulou et al. (2025) conducted a cohort in Cardiovascular disease risk (n=3,042). Anthropometric indices (obesity indices) vs. SCORE2 model alone was evaluated on 20-year atherosclerotic cardiovascular disease (ASCVD) incidence. The inclusion of any individual obesity index within the SCORE2 model enhanced its discriminatory power and improved risk reclassification for 20-year ASCVD incidence.

synapsesocial.com/papers/6a194438cc4b10f5fb88bbf2https://doi.org/10.1016/j.ejim.2025.02.007
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