Extremes of both weight gain and weight loss are associated with increased incidence of heart failure and cardiovascular death: evidence from the CANVAS Program and CREDENCE

Cardiovasc DiabetolPublished Secondary analysis of the CANVAS Program and CREDENCE randomised trials

Authors' conclusion

Extremes of weight gain or loss were independently associated with a higher risk of the composite of hHF and CV death.

Study context

Population
Patients with T2D and high cardiovascular (CV) risk in the CANVAS Program and CREDENCE trials of canagliflozin
Comparison
Extreme weight gain or weight loss vs stable weight
Primary endpoint
hHF and the composite of hHF and CV death
Methodological detailspost hoc pooled cohort of two RCTs of canagliflozin, univariate and multivariate Cox proportional hazards models
  • Post hoc pooled cohort of two RCTs of canagliflozin
  • Univariate and multivariate Cox proportional hazards models

Primary result

As reported in the abstract

hHF/CV death (multivariate analysis)
Each group vs stableEstimate (95% CI)
GainersCANVAS
HR 1.61(1.20–2.16)
LosersCANVAS
HR 1.53(1.14–2.03)
GainersCREDENCE
adjusted HR 1.62(1.19–2.16)

Further findings

Median, kg

OutcomeGainersLosers
Magnitude of weight change · randomization to week 52-78Gain in gainers, loss in losers4.58.5

Magnitude of weight change · randomization to week 52-78

Weight change within each category only slightly larger with canagliflozin than placebo

Original publication

Extremes of both weight gain and weight loss are associated with increased incidence of heart failure and cardiovascular death: evidence from the CANVAS Program and CREDENCE. Cardiovasc Diabetol. Published 29 April 2023. doi:10.1186/s12933-023-01832-5

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