Type 2 & other diabetes

Normal-weight visceral obesity promotes a higher 10-year atherosclerotic cardiovascular disease risk in patients with type 2 diabetes mellitus–a multicenter study in China

Cardiovasc DiabetolPublished Multicentre cross-sectional study

Authors' conclusion

T2DM patients with normal-weight visceral obesity had a higher 10-year ASCVD risk than BMI-defined overweight or obese counterparts with or without visceral obesity, which should initiate standardised management for ASCVD primary prevention.

Study context

Population
Patients with T2DM, China; separated into six groups by body mass index (BMI) and visceral fat area (VFA)six BMI/VFA groups
Participants
6,997 patients
Exposure
Combinations of BMI category and visceral obesity
Outcome
High 10-year ASCVD risk

Main finding

As reported in the abstract

  • Normal-weight visceral obesity had the highest 10-year atherosclerotic cardiovascular disease (ASCVD) risk among the six groups, with >2-fold or 3-fold higher OR than overweight or obese (by BMI) without visceral obesity (all P < 0.05)

Observational data: associations, not effects.

Further findings

VFA threshold for high 10-year ASCVD risk

VFA threshold
90 cm²

Factors affecting VFA (multilinear regression)

Age, hypertension, drinking, fasting serum insulin, FPG, 2 h postprandial C-peptide, TG, total cholesterol, HDL-C and LDL-C significantly affected VFA (all P < 0.05)

Original publication

Normal-weight visceral obesity promotes a higher 10-year atherosclerotic cardiovascular disease risk in patients with type 2 diabetes mellitus–a multicenter study in China. Cardiovasc Diabetol. Published 12 June 2023. doi:10.1186/s12933-023-01876-7

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

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