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Waist-to-height ratio predicts coronary heart failure incidence, based on analysis introduced at Coronary heart Failure 2025.
Weight problems impacts a considerable proportion of sufferers with coronary heart failure (HF) and it has been reported that the danger of HF will increase as physique mass index (BMI) will increase.
Research presenter, Dr. Amra Jujic from Lund College, Malmö, Sweden, defined why the present evaluation was carried out. “BMI is the commonest measure of weight problems, however it’s influenced by components equivalent to intercourse and ethnicity, and doesn’t keep in mind the distribution of physique fats.
“Waist-to-height ratio (WtHR) is considered a more robust measure of central adiposity, the harmful deposition of fat around visceral organs. In addition, whereas BMI is associated with paradoxically good HF outcomes with high BMI, this is not seen with WtHR. We conducted this analysis to investigate the relationship between WtHR and the development of HF.”
The examine inhabitants consisted of 1,792 contributors from the Malmö Preventive Challenge. Contributors had been aged 45–73 years at baseline and had been chosen in order that roughly one-third had regular blood glucose ranges, one-third had impaired fasting glucose and one-third had diabetes. All contributors had been adopted prospectively for incident HF.
The examine inhabitants had a imply age of 67 years and 29% had been girls. The median WtHR was 0.57 (interquartile vary, 0.52–0.61).
Throughout the median follow-up of 12.6 years, 132 HF occasions occurred. Greater WtHR was related to a considerably elevated danger of incident HF (hazard ratio [HR] per one normal deviation enhance 1.34; 95% CI, 1.12–1.61; p=0.001), unbiased of confounders.
When WtHR was categorized into quartiles, people with the very best values of WtHR (median of 0.65) had a considerably greater danger of HF in contrast with people within the different three quartiles (HR 2.71; 95% CI, 1.64–4.48; p
Research co-author, Dr. John Molvin from Lund College and Malmö College Hospital, Sweden, famous, “The median WtHR in our analysis was considerably higher than 0.5, the cut-off for increased cardiometabolic risk. Having a waist measurement that is less than half your height is ideal.”
He concluded, “We found that WtHR was a significant predictor of incident HF and our results suggest that WtHR may be a better metric than BMI to identify patients with HF who could benefit from therapies for obesity. Our next step is to investigate whether WtHR predicts incident HF and also other cardiometabolic disorders in a larger cohort.”
Extra info:
Waist-to-height ratio as a predictor of incident coronary heart failure. esc365.escardio.org/Coronary heart-Fail … -prognosis-outcome-3
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European Society of Cardiology
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Waist-to-height ratio predicts coronary heart failure incidence, examine signifies (2025, Might 18)
retrieved 18 Might 2025
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