Obesity

Association of Obesity Severity With Cardiometabolic and Renal Disease Burden in the United States

Obesity (Silver Spring)Published Cross-sectional study

Authors' conclusion

Obesity severity is incrementally associated with cardiometabolic and renal disease burden, particularly among adults with BMI ≥ 50 kg/m2. These findings highlight the urgent need for early, aggressive interventions targeting individuals with all classes of obesity.

Study context

Population
US adults, Behavioral Risk Factor Surveillance System (BRFSS), 2011–2023
Exposure
Increasing BMI categories
Outcome
Diagnosis of diabetes, hypertension, hyperlipidemia, kidney disease, MI, stroke and coronary artery disease
Methodological detailssurvey-weighted logistic regression
  • Survey-weighted logistic regression

Main finding

As reported in the abstract

Diabetes, BMI ≥ 50 kg/m²
OR 8.32; 95% CI: 7.78-8.91
Hypertension, BMI ≥ 50 kg/m²
OR 6.07; 95% CI: 5.58-6.61
Kidney disease, BMI ≥ 50 kg/m²
OR 3.60; 95% CI: 3.21-4.03
MI, BMI ≥ 50 kg/m²
OR 2.89; 95% CI: 2.56-3.28
Coronary artery disease, BMI ≥ 50 kg/m²
OR 3.44; 95% CI: 3.08-3.84

Observational data: associations, not effects.

Further findings

Mean age at diabetes diagnosis

Mean age at diabetes diagnosis

Decreased with increasing BMI

Original publication

Association of Obesity Severity With Cardiometabolic and Renal Disease Burden in the United States. Obesity (Silver Spring). Published 18 November 2025. doi:10.1002/oby.70099

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