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Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality
To investigate the longitudinal association of different phenotypes of diabetes and obesity with the incidence of cardiovascular disease (CVD), CVD- and all-cause mortality. A total of 5432 adults, aged ≥ 35 years and free of CVD were included in this cohort study. Diabesity phenotypes were defined...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338480/ https://www.ncbi.nlm.nih.gov/pubmed/37438573 http://dx.doi.org/10.1038/s41598-023-38221-7 |
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author | Mehrabani-Zeinabad, Kamran Haghighatdoost, Fahimeh Mohammadifard, Noushin Najafian, Jamshid Sadeghi, Masoumeh Boshtam, Maryam Roohafza, Hamidreza Nouri, Fatemeh Aune, Dagfinn Sarrafzadegan, Nizal |
author_facet | Mehrabani-Zeinabad, Kamran Haghighatdoost, Fahimeh Mohammadifard, Noushin Najafian, Jamshid Sadeghi, Masoumeh Boshtam, Maryam Roohafza, Hamidreza Nouri, Fatemeh Aune, Dagfinn Sarrafzadegan, Nizal |
author_sort | Mehrabani-Zeinabad, Kamran |
collection | PubMed |
description | To investigate the longitudinal association of different phenotypes of diabetes and obesity with the incidence of cardiovascular disease (CVD), CVD- and all-cause mortality. A total of 5432 adults, aged ≥ 35 years and free of CVD were included in this cohort study. Diabesity phenotypes were defined in six categories based on the presence of diabetes (normal (NG), prediabetes and diabetes) and obesity (obese, non-obese). Fasting blood sugar, 2-h post prandial glucose, or using anti-diabetic medicines were used to define diabetes, and body mass index and waist circumference were used to define obesity. Cox proportional hazards models were used to estimate hazard ratios (HRs) for incident CVD, CVD- and all-cause mortality across these categories. After a median follow-up of 11.25 years, 819 CVD cases, 181 CVD deaths and 488 all-cause deaths occurred. In multivariable-adjusted models and irrespective of obesity definition, the phenotypes of normal glucose-obese, prediabetes-obese and pre-diabetes-non obese were not associated with CVD incidence in comparison with NG-non obese phenotype, however, the phenotypes of diabesity, either defined by general or abdominal obesity, were associated with increased risk of incident CVD events (HR = 1.42, 95% CI 1.01, 1.99, and HR = 1.46, 95% CI 1.07, 1.98, respectively). These findings were sex-specific and only in men with a phenotype of abdominal obesity-diabetes, a positive link was observed for CVD incidence (HR = 1.60, 95% CI 1.01, 2.52). No significant association was found between diabesity and death from CVD or all causes. Diabesity is a predictor of CVD and stroke incidence, but not CVD or all-cause mortality, among Iranians. This association is more pronounced amongst men than women. |
format | Online Article Text |
id | pubmed-10338480 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-103384802023-07-14 Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality Mehrabani-Zeinabad, Kamran Haghighatdoost, Fahimeh Mohammadifard, Noushin Najafian, Jamshid Sadeghi, Masoumeh Boshtam, Maryam Roohafza, Hamidreza Nouri, Fatemeh Aune, Dagfinn Sarrafzadegan, Nizal Sci Rep Article To investigate the longitudinal association of different phenotypes of diabetes and obesity with the incidence of cardiovascular disease (CVD), CVD- and all-cause mortality. A total of 5432 adults, aged ≥ 35 years and free of CVD were included in this cohort study. Diabesity phenotypes were defined in six categories based on the presence of diabetes (normal (NG), prediabetes and diabetes) and obesity (obese, non-obese). Fasting blood sugar, 2-h post prandial glucose, or using anti-diabetic medicines were used to define diabetes, and body mass index and waist circumference were used to define obesity. Cox proportional hazards models were used to estimate hazard ratios (HRs) for incident CVD, CVD- and all-cause mortality across these categories. After a median follow-up of 11.25 years, 819 CVD cases, 181 CVD deaths and 488 all-cause deaths occurred. In multivariable-adjusted models and irrespective of obesity definition, the phenotypes of normal glucose-obese, prediabetes-obese and pre-diabetes-non obese were not associated with CVD incidence in comparison with NG-non obese phenotype, however, the phenotypes of diabesity, either defined by general or abdominal obesity, were associated with increased risk of incident CVD events (HR = 1.42, 95% CI 1.01, 1.99, and HR = 1.46, 95% CI 1.07, 1.98, respectively). These findings were sex-specific and only in men with a phenotype of abdominal obesity-diabetes, a positive link was observed for CVD incidence (HR = 1.60, 95% CI 1.01, 2.52). No significant association was found between diabesity and death from CVD or all causes. Diabesity is a predictor of CVD and stroke incidence, but not CVD or all-cause mortality, among Iranians. This association is more pronounced amongst men than women. Nature Publishing Group UK 2023-07-12 /pmc/articles/PMC10338480/ /pubmed/37438573 http://dx.doi.org/10.1038/s41598-023-38221-7 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Mehrabani-Zeinabad, Kamran Haghighatdoost, Fahimeh Mohammadifard, Noushin Najafian, Jamshid Sadeghi, Masoumeh Boshtam, Maryam Roohafza, Hamidreza Nouri, Fatemeh Aune, Dagfinn Sarrafzadegan, Nizal Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality |
title | Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality |
title_full | Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality |
title_fullStr | Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality |
title_full_unstemmed | Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality |
title_short | Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality |
title_sort | impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338480/ https://www.ncbi.nlm.nih.gov/pubmed/37438573 http://dx.doi.org/10.1038/s41598-023-38221-7 |
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