Obesity

Clinical Obesity and New‐Onset Atrial Fibrillation: A Population‐Based Cohort Study From the Kailuan Cohort

Diabetes Obes MetabPublished Population-based cohort study

Main finding · New-onset AFResult — go to the resultHazard ratio 1.29 95% CI 1.12–1.47

Authors' conclusion

Clinical obesity is an independent risk factor for new-onset AF, with age- and sex-specific associations, while metabolic-targeted therapies were associated with attenuated obesity-associated new-onset AF risk.

Study context

Population
Individuals at first health examinations June 2006–October 2007 in Kailuan, free from atrial fibrillation (AF) at baseline1,343 developed AF
Participants
98,730 individuals
Exposure
Clinical obesity and preclinical obesity vs no obesity
Outcome
New-onset AF
Follow-up
Median 16.97 years

Main finding

As reported in the abstract

Hazard ratio

1.29

95% CI 1.12–1.47

By group

No obesity

0.67 per 1000 person-years

Preclinical obesity

0.68 per 1000 person-years

Clinical obesity

1.25 per 1000 person-years

Clinical obesityvs No obesity
HR 1.29 (95% CI 1.12–1.47)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
New-onset AF, age <45 yearsClinical obesityvs No obesity2.34 (1.42–3.86)
New-onset AF, age 45–<60 yearsClinical obesityvs No obesity1.40 (1.14–1.71)
New-onset AF, menClinical obesityvs No obesity1.34 (1.16–1.55)
New-onset AF, history of anti-hypertensive agent useClinical obesityvs No obesity0.98 (0.73–1.30)

Original publication

Clinical Obesity and New‐Onset Atrial Fibrillation: A Population‐Based Cohort Study From the Kailuan Cohort. Diabetes Obes Metab. Published 21 May 2026. doi:10.1111/dom.70893

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