Diabetes complications

Waist-to-Height Ratio Is Associated With the Risk of Coronary Artery Disease in Type 1 Diabetes: A 19-Year Cohort Study

Diabetes CarePublished Cohort study

Main finding · CAD per 0.1-unit WHtR increaseResult — go to the resultHazard ratio 1.21 95% CI 1.06–1.38

Authors' conclusion

In conclusion, WHtR is associated with increased CAD risk in type 1 diabetes, particularly among those without albuminuria.

Study context

Population
Individuals with T1D without prior coronary artery disease (CAD), Finnish Diabetic Nephropathy Study
Participants
4,349 individuals
Exposure
Central obesity vs no central obesity
Outcome
CAD: acute MI, coronary revascularizations and CAD-related death
Follow-up
median 19-year follow-up
Methodological detailsmultivariable Cox regression adjusted for baseline covariates
  • Multivariable Cox regression adjusted for baseline covariates

Main finding

CAD per 0.1-unit WHtR increase

Hazard ratio

1.21

95% CI 1.06–1.38

P = 0.006

Per 0.1-unit WHtR increase
HR 1.21 (95% CI 1.06–1.38); P = 0.006

Per 0.1-unit WHtR increase, as printed

As reported in the abstract

CAD events overall
664 (15.3%)

Observational data: associations, not effects.

Further findings

Cumulative CAD incidence · 10 years

Cumulative CAD incidence · 20 years

OutcomeHR (95% CI)P value
CAD per 0.1-unit WHtR increase, subgroup without albuminuriaWithout albuminuria1.26 (1.02–1.56)P = 0.03

Original publication

Waist-to-Height Ratio Is Associated With the Risk of Coronary Artery Disease in Type 1 Diabetes: A 19-Year Cohort Study. Diabetes Care. Published 14 April 2026. doi:10.2337/dc25-2811

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