Why the study?
Waist circumference better reflects visceral fat than BMI, but few studies have examined the combined long-term prognostic value of waist circumference and diabetes for cardiovascular mortality in the general population.
Does high waist circumference coexisting with diabetes increase the risk of cardiovascular death in a general population free of baseline cardiovascular disease?
Population
1521 consecutive subjects free of clinical cardiovascular disease
Comparison
Different waist circumference levels with or without diabetes
Design
Prospective cohort study
Follow-up
Median 9.2 years
Authors
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WC may aid long-term CVD risk assessment in diabetes beyond BMI; extends observational data but leaves causal role and practice change open.
Does high waist circumference coexisting with diabetes increase the risk of cardiovascular death in a general population free of baseline cardiovascular disease?
The combination of high waist circumference (>94cm) and diabetes is a strong predictor of cardiovascular mortality in individuals without prior clinical cardiovascular disease.
Li et al. (2021) studied this question.
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