Obesity

The Association and Joint Effect of Adipocyte Fatty Acid Binding Protein and Obesity Phenotype With Cardiovascular Events

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Serum A-FABP levels were significantly associated with the risk of cardiovascular events, and this pattern of association was more prominent among the population with low fat%, which was independent of VFA.

Study context

Population
Residents without previous CVD at baseline, with body composition and serum adipocyte fatty acid binding protein (A-FABP) data; fat% by bioelectrical impedance, visceral fat area (VFA) by MRI579 men · 766 women
Participants
1,345 residents
Exposure
Serum A-FABP levels and obesity phenotype (fat%, VFA) and incident cardiovascular events
Outcome
Incident cardiovascular events
Follow-up
Mean 7.6 years

Main finding

As reported in the abstract

Cardiovascular events

Cardiovascular events (13.9 per 1000 person-years)

136

HR per 1-unit increase in loge-transformed A-FABP

1.87

95% CI 1.33–2.63

HR highest tertile of fat%

2.38

95% CI 1.49–3.81

HR highest tertile of VFA

1.79

95% CI 1.09–2.93

Observational data: associations, not effects.

Further findings

A-FABP–CV events association by obesity phenotype

Association more pronounced in participants with low fat%, regardless of VFA levels
Joint effect of high A-FABP levels and obesity resulted in a greater risk of CV events

Original publication

The Association and Joint Effect of Adipocyte Fatty Acid Binding Protein and Obesity Phenotype With Cardiovascular Events. J Clin Endocrinol Metab. Published 27 February 2023. doi:10.1210/clinem/dgad110

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