Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality
Abstract To investigate the longitudinal association of different phenotypes of diabetes and obesity with the incidence of cardiovascular disease (CVD), CVD- and all-cause mortality. A total of 5432 adults, aged ≥ 35 years and free of CVD were included in this cohort study. Diabesity phenotypes were...
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| Format: | Article |
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Nature Portfolio
2023-07-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-38221-7 |
| _version_ | 1797778913518157824 |
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| author | Kamran Mehrabani-Zeinabad Fahimeh Haghighatdoost Noushin Mohammadifard Jamshid Najafian Masoumeh Sadeghi Maryam Boshtam Hamidreza Roohafza Fatemeh Nouri Dagfinn Aune Nizal Sarrafzadegan |
| author_facet | Kamran Mehrabani-Zeinabad Fahimeh Haghighatdoost Noushin Mohammadifard Jamshid Najafian Masoumeh Sadeghi Maryam Boshtam Hamidreza Roohafza Fatemeh Nouri Dagfinn Aune Nizal Sarrafzadegan |
| author_sort | Kamran Mehrabani-Zeinabad |
| collection | DOAJ |
| description | Abstract To investigate the longitudinal association of different phenotypes of diabetes and obesity with the incidence of cardiovascular disease (CVD), CVD- and all-cause mortality. A total of 5432 adults, aged ≥ 35 years and free of CVD were included in this cohort study. Diabesity phenotypes were defined in six categories based on the presence of diabetes (normal (NG), prediabetes and diabetes) and obesity (obese, non-obese). Fasting blood sugar, 2-h post prandial glucose, or using anti-diabetic medicines were used to define diabetes, and body mass index and waist circumference were used to define obesity. Cox proportional hazards models were used to estimate hazard ratios (HRs) for incident CVD, CVD- and all-cause mortality across these categories. After a median follow-up of 11.25 years, 819 CVD cases, 181 CVD deaths and 488 all-cause deaths occurred. In multivariable-adjusted models and irrespective of obesity definition, the phenotypes of normal glucose-obese, prediabetes-obese and pre-diabetes-non obese were not associated with CVD incidence in comparison with NG-non obese phenotype, however, the phenotypes of diabesity, either defined by general or abdominal obesity, were associated with increased risk of incident CVD events (HR = 1.42, 95% CI 1.01, 1.99, and HR = 1.46, 95% CI 1.07, 1.98, respectively). These findings were sex-specific and only in men with a phenotype of abdominal obesity-diabetes, a positive link was observed for CVD incidence (HR = 1.60, 95% CI 1.01, 2.52). No significant association was found between diabesity and death from CVD or all causes. Diabesity is a predictor of CVD and stroke incidence, but not CVD or all-cause mortality, among Iranians. This association is more pronounced amongst men than women. |
| first_indexed | 2024-03-12T23:24:23Z |
| format | Article |
| id | doaj.art-8c470d7e8e1248da9997bcfff2a5ea52 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-12T23:24:23Z |
| publishDate | 2023-07-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-8c470d7e8e1248da9997bcfff2a5ea522023-07-16T11:16:25ZengNature PortfolioScientific Reports2045-23222023-07-0113111110.1038/s41598-023-38221-7Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortalityKamran Mehrabani-Zeinabad0Fahimeh Haghighatdoost1Noushin Mohammadifard2Jamshid Najafian3Masoumeh Sadeghi4Maryam Boshtam5Hamidreza Roohafza6Fatemeh Nouri7Dagfinn Aune8Nizal Sarrafzadegan9Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesInterventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesPediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesHypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesCardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesHeart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College LondonIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical SciencesAbstract To investigate the longitudinal association of different phenotypes of diabetes and obesity with the incidence of cardiovascular disease (CVD), CVD- and all-cause mortality. A total of 5432 adults, aged ≥ 35 years and free of CVD were included in this cohort study. Diabesity phenotypes were defined in six categories based on the presence of diabetes (normal (NG), prediabetes and diabetes) and obesity (obese, non-obese). Fasting blood sugar, 2-h post prandial glucose, or using anti-diabetic medicines were used to define diabetes, and body mass index and waist circumference were used to define obesity. Cox proportional hazards models were used to estimate hazard ratios (HRs) for incident CVD, CVD- and all-cause mortality across these categories. After a median follow-up of 11.25 years, 819 CVD cases, 181 CVD deaths and 488 all-cause deaths occurred. In multivariable-adjusted models and irrespective of obesity definition, the phenotypes of normal glucose-obese, prediabetes-obese and pre-diabetes-non obese were not associated with CVD incidence in comparison with NG-non obese phenotype, however, the phenotypes of diabesity, either defined by general or abdominal obesity, were associated with increased risk of incident CVD events (HR = 1.42, 95% CI 1.01, 1.99, and HR = 1.46, 95% CI 1.07, 1.98, respectively). These findings were sex-specific and only in men with a phenotype of abdominal obesity-diabetes, a positive link was observed for CVD incidence (HR = 1.60, 95% CI 1.01, 2.52). No significant association was found between diabesity and death from CVD or all causes. Diabesity is a predictor of CVD and stroke incidence, but not CVD or all-cause mortality, among Iranians. This association is more pronounced amongst men than women.https://doi.org/10.1038/s41598-023-38221-7 |
| spellingShingle | Kamran Mehrabani-Zeinabad Fahimeh Haghighatdoost Noushin Mohammadifard Jamshid Najafian Masoumeh Sadeghi Maryam Boshtam Hamidreza Roohafza Fatemeh Nouri Dagfinn Aune Nizal Sarrafzadegan Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality Scientific Reports |
| title | Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality |
| title_full | Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality |
| title_fullStr | Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality |
| title_full_unstemmed | Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality |
| title_short | Impact of diabesity phenotype on cardiovascular diseases, major cardiovascular events and all-cause mortality |
| title_sort | impact of diabesity phenotype on cardiovascular diseases major cardiovascular events and all cause mortality |
| url | https://doi.org/10.1038/s41598-023-38221-7 |
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