Obesity indices and the risk of total and cardiovascular mortality among people with diabetes: a long-term follow-up study in Taiwan
Authors' conclusion
ABSI demonstrated a consistent exposure-response relationship with both all-cause and cardiovascular mortality in this Asian cohort with diabetes. Our findings highlight the importance of monitoring ABSI, a surrogate index of central adiposity, in patients with diabetes.
Study context
- Population
- Adults with diabetes who underwent a standard health-screening program, Taiwan, 1996–2017; deaths till January 2022 from the National Death Registry
- Participants
- 34,686 adults
- Exposure
- Quintiles of five adiposity indices, first and fifth vs third quintile
- Outcome
- All-cause and cardiovascular mortality
- Follow-up
- Median 15 years
Methodological detailslong-term follow-up, third quintile as reference
- Long-term follow-up
- Third quintile as reference
Main finding
As reported in the abstract
All-cause mortality by adiposity index
Hazard ratio (95% CI)
First quintilevs third quintileABSI
0.78(0.69–0.89)
Fifth quintilevs third quintileABSI
1.24(1.14–1.35)
First quintilevs third quintileBMI
1.33(1.22–1.44)
First quintilevs third quintileBF%
1.42(1.30–1.56)
Observational data: associations, not effects.
Further findings
Cardiovascular mortality · median follow-up 15 years
- Cardiovascular deaths
- 1,748
- Similar results for association of BF%, waist circumference and A Body Shape Index (ABSI) with cardiovascular mortality
- No significant association between body mass index (BMI) and cardiovascular mortality
- Association of waist-hip ratio (WHR) with cardiovascular mortality stronger than with all-cause mortality
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Obesity indices and the risk of total and cardiovascular mortality among people with diabetes: a long-term follow-up study in Taiwan. Cardiovasc Diabetol. Published 13 December 2023. doi:10.
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