Obesity

Comparative Associations of Traditional and New Obesity Framework With Cardio‐Kidney‐Metabolic Syndrome and All‐Cause Mortality: A Prospective Cohort Study

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

By incorporating central adiposity, the anthropometric criteria improve CKM risk stratification by identifying high-risk individuals overlooked by traditional standards, especially those with adverse body composition despite lower BMI.

Study context

Population
UK Biobank participants; mean age 56.8 years, 56% female
Participants
352,740 participants
Exposure
Obesity phenotypes by Lancet Commission anthropometric criteria vs traditional body mass index (BMI)-based criteria
Outcome
CKM syndrome and all-cause mortality
Follow-up
Median 13.2 years
Methodological detailsUK Biobank, Cox models
  • UK Biobank
  • Cox models

Main finding

As reported in the abstract

CKM syndrome
Each group vs normal weightHazard ratio (95% CI)
Anthropometric excess adiposity & Traditionally-defined non-obesity
1.55(1.52–1.59)
Traditionally-defined obesity & Non-anthropometric excess adiposity
1.61(1.29–2.02)
Both criteriahighest risk
2.61(2.56–2.66)
Anthropometric excess adiposity
2.00(1.96–2.04)
Traditionally-defined obesity
2.45(2.41–2.49)

Observational data: associations, not effects.

Further findings

Cardiovascular-kidney-metabolic (CKM) risk by anthropometric sub-categories

The three BMI-inclusive definitions yielded similar HRs for CKM risk, higher than those of Traditionally-defined obesity and the non-BMI sub-categories

Original publication

Comparative Associations of Traditional and New Obesity Framework With Cardio‐Kidney‐Metabolic Syndrome and All‐Cause Mortality: A Prospective Cohort Study. Diabetes Obes Metab. Published 21 May 2026. doi:10.1111/dom.70883

Composed by AI from the published abstract and checked against it. How Briefs are made →

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