Type 1 diabetes

Beyond overweight, visceral adiposity is associated with estimation of cardiovascular risk in patients living with type 1 diabetes: findings from the SFDT1 cohort

Cardiovasc DiabetolPublished Cross-sectional study

Authors' conclusion

In PWT1D in condition of primary CV prevention, visceral adiposity, assessed by WHtR, is a more robust marker of estimated 10-year CV risk than overweight/obesity status in both men and women.

Study context

Population
People living with T1D in primary cardiovascular (CV) prevention, SFDT1 cohort
Participants
1,482 people
Exposure
Body mass index (BMI) ≥25 vs normal BMI; Waist-to-height ratio (WHtR) ≥0.5 vs <0.5
Outcome
High estimated 10-year CV risk (> 20%, Steno Type 1 Risk Engine)
Follow-up
10-year
Methodological detailsSFDT1 cohort
  • SFDT1 cohort

Main finding

As reported in the abstract

High estimated 10-year CV risk
BMI associated with high CV risk in men
P = 0.001
BMI non-significant trend with high CV risk in women
P = 0.053
WHtR associated with high CV risk in men
P < 0.001
WHtR associated with high CV risk in women
P = 0.046

Observational data: associations, not effects.

Further findings

OutcomeOverweight/obesityNormal BMI
BMI distribution50.1%49.9%

ROC thresholds associated with high CV risk

BMI threshold, men
24.9 kg/m²
WHtR threshold, men and women
0.5

Original publication

Beyond overweight, visceral adiposity is associated with estimation of cardiovascular risk in patients living with type 1 diabetes: findings from the SFDT1 cohort. Cardiovasc Diabetol. Published 14 June 2025. doi:10.1186/s12933-025-02789-3

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