Obesity

Association of overweight/obesity and overweight/obesity‐related metabolic dysfunction‐associated steatotic liver disease in young adults with coronary artery calcification later in life

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

In this study, young adults with overweight/obesity-related MASLD have a higher risk of developing CAC by middle age. These abnormalities are only partially explained by traditional cardiovascular risk factors, and overweight/obesity-related MASLD has an independent impact on CAC. Our study provides evidence for identifying young adults at higher risk of developing subclinical atherosclerosis.

Study context

Population
Participants aged 28–39 years from the CARDIA study at year 10 (1995–1996), re-examined 15 years later
Participants
2,274 participants
Exposure
Overweight/obese and overweight/obese MASLD vs lean in young adulthood
Outcome
CAC measured by CT
Follow-up
Year 25

Main finding

As reported in the abstract

CAC by middle age
Each group vs leanRelative risk (95% CI)
Overweight/obese
1.09(0.93–1.28)
Overweight/obese MASLD
1.32(1.08–1.61)

Observational data: associations, not effects.

Further findings

Abdominal aortic calcification (AAC) by middle age · year 25

No difference between the three groups

Independent determinants of coronary artery calcification (CAC)

Group, systolic blood pressure and group × systolic blood pressure interaction were independent determinants of CAC
  • Linear regression models

Original publication

Association of overweight/obesity and overweight/obesity‐related metabolic dysfunction‐associated steatotic liver disease in young adults with coronary artery calcification later in life. Diabetes Obes Metab. Published 27 June 2024. doi:10.1111/dom.15733

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