Obesity

Body weight, weight change and the risk of cardiovascular disease in patients with hypertension: a primary-care cohort study

Int J Obes (Lond)Published Retrospective cohort study

Authors' conclusion

Obesity and weight change of loss ≥4% and gain >4% were related to higher risks of CVD. Close monitoring and appropriate interventions aimed at achieving an optimal weight are needed to prevent adverse cardiovascular outcomes for patients with hypertension.

Study context

Population
Patients with hypertension with valid weight measurements attending primary healthcare centers, China
Participants
24,750 patients
Exposure
BMI categories and 12-month weight change categories vs reference
Outcome
Risk of cardiovascular disease (CVD)
Methodological detailsprimary-care medical records, multivariable-adjusted Cox regression
  • Primary-care medical records
  • Multivariable-adjusted Cox regression

Main finding

As reported in the abstract

CVD
Multivariable-adjusted
Hazard ratio (95% CI)
Obesity
1.48(1.19–1.85)
Loss ≥4%vs Stable
1.33(1.04–1.70)
Gain >4%vs Stable
1.36(1.04–1.77)

Observational data: associations, not effects.

Original publication

Body weight, weight change and the risk of cardiovascular disease in patients with hypertension: a primary-care cohort study. Int J Obes (Lond). Published 6 July 2023. doi:10.1038/s41366-023-01335-z

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