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August 19, 2010ObesityOpen Access

Cardiovascular Disease Risk of Abdominal Obesity vs. Metabolic Abnormalities

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Key result

Abdominal obesity was not significantly associated with an increased risk of incident CVD after adjusting for metabolic syndrome components and diabetes (HR 1.09; 95% CI 0.98-1.20).

Why the study?

Does abdominal obesity independently increase the risk of incident CHD and stroke compared to metabolic syndrome and diabetes in adults aged ≥45 years?

Population

20,298 men and women aged ≥45 years pooled from the Framingham Offspring, Atherosclerosis Risk in…

Comparison

Abdominal obesity, metabolic syndrome, and… vs Absence of these conditions

Design

Cohort

Follow-up

average 8.3 (s.d. 1.9) years

Authors

RWRachel P. WildmanAMAileen P. McGinnJLJuan Lin

Discussion

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Member takes

Overview

Metabolic syndrome and diabetes should guide CVD risk assessment over abdominal obesity alone; observational data leaves open independent effects in other populations.

Study Design

Type

Cohort (n=20,298)

Multicenter

Yes

Structured PICO

Does abdominal obesity independently increase the risk of incident CHD and stroke compared to metabolic syndrome and diabetes in adults aged ≥45 years?

P
Population
20,298 men and women aged ≥45 years from three pooled cohorts, followed for an average of 8.3 years for incident CHD and stroke.
E
Exposure
Abdominal obesity (waist circumference >102 cm for men and >88 cm for women), metabolic syndrome (excluding waist circumference criterion), and diabetes
C
Comparator
Absence of these conditions
O
Outcome
Incident coronary heart disease (CHD) and stroke (CVD events)hard clinical

Main Result

Hazard Ratio: 1.09 (95% CI 0.98–1.2)

Metabolic syndrome and diabetes are considerably more important prognostic indicators of cardiovascular disease risk than abdominal obesity alone.

Cite This Study

Wildman et al. (2010) conducted a cohort in Cardiovascular disease (n=20,298). Abdominal obesity vs. Absence of abdominal obesity was evaluated on Incident coronary heart disease (CHD) and stroke (HR 1.09, 95% CI 0.98-1.20). Abdominal obesity was not significantly associated with an increased risk of incident CVD after adjusting for metabolic syndrome components and diabetes (HR 1.09; 95% CI 0.98-1.20).

synapsesocial.com/papers/6a201bbbeaa49a33b5fbe699https://doi.org/10.1038/oby.2010.168
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical Importance of Obesity Versus the Metabolic Syndrome in Cardiovascular Risk in Women2004 · 415 citations
  2. 2Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study.1983 · 4,273 citations
  3. 3Insulin resistance syndrome, body mass index and the risk of ischemic heart disease2005 · 147 citations
  4. 4Diagnosis and Management of the Metabolic Syndrome2005 · 11,930 citations
  5. 5The Obese Without Cardiometabolic Risk Factor Clustering and the Normal Weight With Cardiometabolic Risk Factor Clustering2008 · 1,615 citations