Featured Research

from universities, journals, and other organizations

BMI and waist circumference can predict risk of fatal and non-fatal cardiovascular disease

Date:
December 8, 2009
Source:
European Society of Cardiology
Summary:
Body mass index and waist circumference are well known risk factors for cardiovascular diseases, but a new study now concludes that these risk factors, when accurately measured by trained staff, can actually predict the risk of fatal and non-fatal disease.

Body mass index (BMI) and waist circumference are well known risk factors for cardiovascular diseases (CVD), but a new study reported in the European Journal of Cardiovascular Prevention and Rehabilitation (a journal of the European Society of Cardiology) now concludes that these risk factors, when accurately measured by trained staff, can actually predict the risk of fatal and non-fatal disease.

The findings, which emerged from a large prospective study of more than 20,000 Dutch men and women aged 20-65 years begun in 1993, show that the associations of BMI and waist circumference with heart disease are equally strong, and explain one half of all fatal and one quarter of non-fatal CVD in those who are overweight and obese.

Studies which have so far established the association between BMI and waist circumference as risk factors for heart disease have, say the investigators, been based on self-reported data, and these measures frequently underestimate the true prevalence of obesity. For a true estimation of the association, accurate "anthropometric" measurements are necessary. And this is what the present study did. The Monitoring Project on Risk Factors for Chronic Diseases (MORGEN) of the National Institute for Public Health and the Environment in the Netherlands professionally measured between 1993 and 1997 both BMI and waist circumference (as well as other variables) in a cohort of 20,500 men and women. And then all subjects in the study were linked to hospital discharge and national cause-of-death records -- with only 556 lost to follow-up.

BMI measurements were defined according to WHO recommendations in three categories: normal as 18.5-24.9 kg/m2; overweight as 25-29.9 kg/m2; and obese as 30 kg/m2 or more. Similarly, waist circumference measurements in men were defined as normal (< 94 cm), overweight (94-101.9 cm) and abdominally obese (>102 cm); in women these measures were < 80 cm, 80-87.9 cm, and >88 cm respectively.

When age-adjusted BMI and waist circumference measurements were correlated with hospital records and cause-of-death statistics, results showed that in those categorised as overweight and obese around one half (53%) of all fatal CVD and one quarter (25-30%) of all non-fatal CVD were ascribed to the fact that the individual was overweight or obese.

The study also found that the overall risk of a first non-fatal CVD was ten times higher than that of fatal CVD.

Commenting on the public health implications of the study, principal investigator Ineke van Dis from the Netherlands Heart Foundation said: "Throughout Western Europe -- as in the Netherlands -- there has been a decline in cardiovascular mortality in recent years, which is reflected in a prevalence shift from mortality to morbidity. What this study shows is the substantial effect which overweight and obesity have on cardiovascular disease, whether fatal or non-fatal. In the near future the impact of obesity on the burden of heart disease will be even greater.

For consumer groups and our national heart foundations, these findings underline the need for policies and activities to prevent overweight in the general population. And I think that general practitioners and cardiologists can do even more to tackle these problems, especially in obese patients under 65 years, as highlighted in this study."

Extrapolating their study results to the general population, the investigators calculated (based on a population prevalence of overweight and obesity of 46%) that one third of all fatal CVD cases (and one in seven non-fatal cases) can be ascribed to overweight and obesity.


Story Source:

The above story is based on materials provided by European Society of Cardiology. Note: Materials may be edited for content and length.


Journal Reference:

  1. Van Dis I, Kromhout D, Geleijnse M, et al. Body mass index and waist circumference predict both 10-year non-fatal and fatal cardiovascular disease risk in 20,000 Dutch men and women aged 20-65. Eur J Cardiovasc Prev Rehabil, 2009; DOI: 10.1097/HJR.0b013e328331dfc0

Cite This Page:

European Society of Cardiology. "BMI and waist circumference can predict risk of fatal and non-fatal cardiovascular disease." ScienceDaily. ScienceDaily, 8 December 2009. <www.sciencedaily.com/releases/2009/12/091207164844.htm>.
European Society of Cardiology. (2009, December 8). BMI and waist circumference can predict risk of fatal and non-fatal cardiovascular disease. ScienceDaily. Retrieved April 23, 2014 from www.sciencedaily.com/releases/2009/12/091207164844.htm
European Society of Cardiology. "BMI and waist circumference can predict risk of fatal and non-fatal cardiovascular disease." ScienceDaily. www.sciencedaily.com/releases/2009/12/091207164844.htm (accessed April 23, 2014).

Share This



More Health & Medicine News

Wednesday, April 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Big Pharma Braces for M&A Wave

Big Pharma Braces for M&A Wave

Reuters - Business Video Online (Apr. 22, 2014) Big pharma on the move as Novartis boss, Joe Jimenez, tells Reuters about plans to transform his company via an asset exchange with GSK, and Astra Zeneca shares surge on speculation that Pfizer is looking for a takeover. Joanna Partridge reports. Video provided by Reuters
Powered by NewsLook.com
Study Says Most Crime Not Linked To Mental Illness

Study Says Most Crime Not Linked To Mental Illness

Newsy (Apr. 22, 2014) A new study finds most crimes committed by people with mental illness are not caused by symptoms of their illness or disorder. Video provided by Newsy
Powered by NewsLook.com
Hagel Gets Preview of New High-Tech Projects

Hagel Gets Preview of New High-Tech Projects

AP (Apr. 22, 2014) Defense Secretary Chuck Hagel is given hands-on demonstrations Tuesday of some of the newest research from DARPA _ the military's Defense Advanced Research Projects Agency program. (April 22) Video provided by AP
Powered by NewsLook.com
How Smaller Plates And Cutlery Could Make You Feel Fuller

How Smaller Plates And Cutlery Could Make You Feel Fuller

Newsy (Apr. 22, 2014) NBC's "Today" conducted an experiment to see if changing the size of plates and utensils affects the amount individuals eat. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins