Obesity

Subclassification of obesity for precision prediction of cardiometabolic diseases

Nat MedPublished Population-based cohort study

An erratum to this article was published (Nat Med, Feb 2025 ↗)

Study context

Population
Four European population-based cohorts
Participants
≈ 173,000 participants4 cohorts
Exposure
Discordant vs concordant cardiometabolic biomarker profiles given body mass index (BMI)
Outcome
MACE risk per 10% higher probability of a discordant lipid profile
Methodological detailsunsupervised clustering, four European cohorts
  • Unsupervised clustering
  • Four European cohorts

Main finding

As reported in the abstract

Per 10% higher probability of discordant lipid profile
Hazard ratio (95% CI)P value
Women
1.05(1.03–1.06)
P = 4.19 × 10-10
Men
1.05(1.04–1.06)
P = 9.33 × 10-14

Per 10% higher probability of discordant lipid, as printed

Observational data: associations, not effects.

Further findings

Multivariate prediction of major adverse cardiovascular events (MACE) and T2D with discordant profile information

Better model performance (likelihood ratio test)
P < 0.001
Additional correct interventions per 10,000 tested
4-15
Additional unnecessary interventions correctly avoided per 10,000 tested
37-135

Original publication

Subclassification of obesity for precision prediction of cardiometabolic diseases. Nat Med. Published 24 October 2024. doi:10.1038/s41591-024-03299-7

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.