Lipids & metabolic liver disease

Short‐Term Changes in General and Central Adiposity and Subsequent Cardiometabolic Risk in Japanese Adults Undergoing Routine Health Screening

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

One-year changes in BMI and WHtR were associated with subsequent cardiometabolic risk and CKM stage progression.

Study context

Population
Japanese employees aged 40–74 years undergoing annual health screening, 2008–2023
Participants
144,394 employees
Exposure
1-year changes in body mass index (BMI) and waist-to-height ratio (WHtR)
Outcome
Incident hypertension, dyslipidemia, hyperuricemia, diabetes, MACE, all-cause mortality and CKM stage progression
Follow-up
Following year
Methodological detailslongitudinal health examination data, pooled logistic regression with natural cubic splines, stratified by baseline BMI or WHtR quartiles
  • Longitudinal health examination data
  • Pooled logistic regression with natural cubic splines
  • Stratified by baseline BMI or WHtR quartiles

Main finding

As reported in the abstract

  • Increases in BMI and WHtR consistently associated with higher risks of hypertension, dyslipidemia, hyperuricemia and early cardiovascular-kidney-metabolic (CKM) stage progression across baseline body size categories
  • Diabetes: increases in BMI and WHtR associated with higher risk; decreases also associated with higher risk among leaner individuals
  • Associations with MACE generally U-shaped
  • BMI loss associated with higher mortality odds; estimates imprecise and potentially affected by reverse causation

Observational data: associations, not effects.

Original publication

Short‐Term Changes in General and Central Adiposity and Subsequent Cardiometabolic Risk in Japanese Adults Undergoing Routine Health Screening. Diabetes Obes Metab. Published 14 September 2026. doi:10.1111/dom.71336

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

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