Effect of body mass index and abdominal obesity on mortality after percutaneous coronary intervention: a nationwide, population-based study
Background/Aims We investigated the impact of obesity on the clinical outcomes following percutaneous coronary intervention (PCI). Methods We included South Koreans aged > 20 years who underwent the Korean National Health Screening assessment between 2009 and 2012. Obesity was defined using the b...
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The Korean Association of Internal Medicine
2021-03-01
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| Series: | The Korean Journal of Internal Medicine |
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| Online Access: | http://www.kjim.org/upload/pdf/kjim-2020-099.pdf |
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| author | Woo-Hyuk Song Eun Hui Bae Jeong Cheon Ahn Tae Ryom Oh Yong-Hyun Kim Jin Seok Kim Sun-Won Kim Soo Wan Kim Kyung-Do Han Sang Yup Lim |
| author_facet | Woo-Hyuk Song Eun Hui Bae Jeong Cheon Ahn Tae Ryom Oh Yong-Hyun Kim Jin Seok Kim Sun-Won Kim Soo Wan Kim Kyung-Do Han Sang Yup Lim |
| author_sort | Woo-Hyuk Song |
| collection | DOAJ |
| description | Background/Aims We investigated the impact of obesity on the clinical outcomes following percutaneous coronary intervention (PCI). Methods We included South Koreans aged > 20 years who underwent the Korean National Health Screening assessment between 2009 and 2012. Obesity was defined using the body mass index (BMI), according to the World Health Organization’s recommendations. Abdominal obesity was defined using the waist circumference (WC), as defined by the Korean Society for Obesity. The odds and hazard ratios in all-cause mortality were calculated after adjustment for multiple covariates. Patients were followed up to the end of 2017. Results Among 130,490 subjects who underwent PCI, the mean age negatively correlated with BMI. WC, hypertension, diabetes, dyslipidemia, fasting glucose, total cholesterol, low-density lipoprotein cholesterol, and triglyceride levels correlated with the increased BMI. The mortality rates were higher in the lower BMI and WC groups than the higher BMI and WC groups. The non-obese with abdominal obesity group showed a mortality rate of 2.11 per 1,000 person-years. Obese with no abdominal obesity group had the lowest mortality rate (0.88 per 1,000 person-years). The mortality showed U-shaped curve with a cut-off value of 29 in case of BMI and 78 cm of WC. Conclusions The mortality showed U-shaped curve and the cut-off value of lowest mortality was 29 in case of BMI and 78 cm of WC. The abdominal obesity may be associated with poor prognosis in Korean patients who underwent PCI. |
| first_indexed | 2024-12-14T14:21:27Z |
| format | Article |
| id | doaj.art-f49ff8256a854df78c89453a0723f6a0 |
| institution | Directory Open Access Journal |
| issn | 1226-3303 2005-6648 |
| language | English |
| last_indexed | 2024-12-14T14:21:27Z |
| publishDate | 2021-03-01 |
| publisher | The Korean Association of Internal Medicine |
| record_format | Article |
| series | The Korean Journal of Internal Medicine |
| spelling | doaj.art-f49ff8256a854df78c89453a0723f6a02022-12-21T22:58:03ZengThe Korean Association of Internal MedicineThe Korean Journal of Internal Medicine1226-33032005-66482021-03-0136Suppl 1S90S9810.3904/kjim.2020.099170474Effect of body mass index and abdominal obesity on mortality after percutaneous coronary intervention: a nationwide, population-based studyWoo-Hyuk Song0Eun Hui Bae1Jeong Cheon Ahn2Tae Ryom Oh3Yong-Hyun Kim4Jin Seok Kim5Sun-Won Kim6Soo Wan Kim7Kyung-Do Han8Sang Yup Lim9 Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea Department of Statistics and Actuarial Science, Soongsil University, Seoul, Korea Department of Internal Medicine, Korea University Ansan Hospital, Ansan, KoreaBackground/Aims We investigated the impact of obesity on the clinical outcomes following percutaneous coronary intervention (PCI). Methods We included South Koreans aged > 20 years who underwent the Korean National Health Screening assessment between 2009 and 2012. Obesity was defined using the body mass index (BMI), according to the World Health Organization’s recommendations. Abdominal obesity was defined using the waist circumference (WC), as defined by the Korean Society for Obesity. The odds and hazard ratios in all-cause mortality were calculated after adjustment for multiple covariates. Patients were followed up to the end of 2017. Results Among 130,490 subjects who underwent PCI, the mean age negatively correlated with BMI. WC, hypertension, diabetes, dyslipidemia, fasting glucose, total cholesterol, low-density lipoprotein cholesterol, and triglyceride levels correlated with the increased BMI. The mortality rates were higher in the lower BMI and WC groups than the higher BMI and WC groups. The non-obese with abdominal obesity group showed a mortality rate of 2.11 per 1,000 person-years. Obese with no abdominal obesity group had the lowest mortality rate (0.88 per 1,000 person-years). The mortality showed U-shaped curve with a cut-off value of 29 in case of BMI and 78 cm of WC. Conclusions The mortality showed U-shaped curve and the cut-off value of lowest mortality was 29 in case of BMI and 78 cm of WC. The abdominal obesity may be associated with poor prognosis in Korean patients who underwent PCI.http://www.kjim.org/upload/pdf/kjim-2020-099.pdfobesitycoronary artery diseasemortality |
| spellingShingle | Woo-Hyuk Song Eun Hui Bae Jeong Cheon Ahn Tae Ryom Oh Yong-Hyun Kim Jin Seok Kim Sun-Won Kim Soo Wan Kim Kyung-Do Han Sang Yup Lim Effect of body mass index and abdominal obesity on mortality after percutaneous coronary intervention: a nationwide, population-based study The Korean Journal of Internal Medicine obesity coronary artery disease mortality |
| title | Effect of body mass index and abdominal obesity on mortality after percutaneous coronary intervention: a nationwide, population-based study |
| title_full | Effect of body mass index and abdominal obesity on mortality after percutaneous coronary intervention: a nationwide, population-based study |
| title_fullStr | Effect of body mass index and abdominal obesity on mortality after percutaneous coronary intervention: a nationwide, population-based study |
| title_full_unstemmed | Effect of body mass index and abdominal obesity on mortality after percutaneous coronary intervention: a nationwide, population-based study |
| title_short | Effect of body mass index and abdominal obesity on mortality after percutaneous coronary intervention: a nationwide, population-based study |
| title_sort | effect of body mass index and abdominal obesity on mortality after percutaneous coronary intervention a nationwide population based study |
| topic | obesity coronary artery disease mortality |
| url | http://www.kjim.org/upload/pdf/kjim-2020-099.pdf |
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