Abdominal Obesity Associated With Heart Failure In Swedish Adults

Ruzanna Harutyunyan's picture
Advertisement

A higher waist size was associated with heart failure in women at all levels of body mass index (BMI), and both waist size and BMI were predictors of heart failure among men, researchers report in Circulation: Heart Failure.

Participants from two population-based studies, the Swedish Mammography Cohort and the Cohort of Swedish Men, were followed from January 1, 1998 to December 31, 2004. The 36,873 women (aged 48-83) and 43,487 men (aged 45-79) self-reported height, weight and waist circumference. During the study there were 382 first heart failure events among women (357 hospital admissions and 25 deaths) and 718 first heart failure events among men (679 hospital admissions and 39 deaths).

Researchers found:

* 34 percent of the women were overweight and 11 percent were obese.

Advertisement

* 46 percent of the men were overweight and 10 percent were obese.

* A 10 centimeter higher waist circumference was associated with a 15 percent higher heart failure rate in women with a BMI of 25 and an 18 percent higher heart failure rate in women with a BMI of 30.

* A 10 centimeter higher waist circumference was associated with a 16 percent higher heart failure rate in men with a BMI of 25 and an 18 percent higher heart failure rate in men with a BMI of 30.

* In men, a 1 unit higher BMI was associated with a 4 percent higher heart failure rate at all waist sizes; BMI was only associated with heart failure rate in women with the biggest waists.

* Strength of the association between BMI and heart failure events declined with age.

“In women, higher waist circumference was associated with heart failure at all levels of BMI, but BMI appeared to predict heart failure only among those with high waist circumference,” said Emily B. Levitan, Sc.D., lead author of the study and Research Fellow at the Cardiovascular Epidemiology Research Unit, Beth Israel Deaconess Medical Center in Boston, Mass. “Both BMI and waist circumference were predictors in men.”

Share this content.

If you liked this article and think it may help your friends, consider sharing or tweeting it to your followers.
Advertisement