Associations among Obesity Degree, Glycemic Status, and Risk of Heart Failure in 9,720,220 Korean Adults

Background Recent studies suggest an association between diabetes and increased risk of heart failure (HF). However, the associations among obesity status, glycemic status, and risk of HF are not known. In this study, we analyzed whether the risk of HF increases in participants according to baseline...
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Autor*in:	Eun-Jung Rhee [verfasserIn] Hyemi Kwon [verfasserIn] Se Eun Park [verfasserIn] Kyung-Do Han [verfasserIn] Yong-Gyu Park [verfasserIn] Yang-Hyun Kim [verfasserIn] Won-Young Lee [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	body mass index diabetes mellitus heart failure obesity prediabetic state

Übergeordnetes Werk:	In: Diabetes & Metabolism Journal - Korean Diabetes Association, 2016, 44(2020), 4, Seite 592-601
Übergeordnetes Werk:	volume:44 ; year:2020 ; number:4 ; pages:592-601

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.4093/dmj.2019.0104

Katalog-ID:	DOAJ003934098

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520			\|a Background Recent studies suggest an association between diabetes and increased risk of heart failure (HF). However, the associations among obesity status, glycemic status, and risk of HF are not known. In this study, we analyzed whether the risk of HF increases in participants according to baseline glycemic status and whether this increased risk is associated with obesity status. Methods We analyzed the risk of HF according to baseline glycemic status (normoglycemia, impaired fasting glucose [IFG], and diabetes) in 9,720,220 Koreans who underwent Korean National Health Screening in 2009 without HF at baseline with a median follow-up period of 6.3 years. The participants were divided into five and six groups according to baseline body mass index (BMI) and waist circumference, respectively. Results Participants with IFG and those with diabetes showed a 1.08- and 1.86-fold increased risk of HF, respectively, compared to normoglycemic participants. Compared to the normal weight group (BMI, 18.5 to 22.9 kg/m2), the underweight group (BMI <18.5 kg/m2) showed a 1.7-fold increased risk of HF, and those with BMI ≥30 kg/m2 showed a 1.1-fold increased risk of HF, suggesting a J-shaped association with BMI. When similar analyses were performed for different glycemic statuses, the J-shaped association between BMI and HF risk was consistently observed in both groups with and without diabetes. Conclusion Participants with IFG and diabetes showed a significantly increased HF risk compared to normoglycemic participants. This increased risk of HF was mostly prominent in underweight and class II obese participants than in participants with normal weight.
650		4	\|a body mass index
650		4	\|a diabetes mellitus
650		4	\|a heart failure
650		4	\|a obesity
650		4	\|a prediabetic state
653		0	\|a Diseases of the endocrine glands. Clinical endocrinology
700	0		\|a Hyemi Kwon \|e verfasserin \|4 aut
700	0		\|a Se Eun Park \|e verfasserin \|4 aut
700	0		\|a Kyung-Do Han \|e verfasserin \|4 aut
700	0		\|a Yong-Gyu Park \|e verfasserin \|4 aut
700	0		\|a Yang-Hyun Kim \|e verfasserin \|4 aut
700	0		\|a Won-Young Lee \|e verfasserin \|4 aut
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allfields	10.4093/dmj.2019.0104 doi (DE-627)DOAJ003934098 (DE-599)DOAJ2c7f9911539f40ee9fa53d68ab2d8180 DE-627 ger DE-627 rakwb eng RC648-665 Eun-Jung Rhee verfasserin aut Associations among Obesity Degree, Glycemic Status, and Risk of Heart Failure in 9,720,220 Korean Adults 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Recent studies suggest an association between diabetes and increased risk of heart failure (HF). However, the associations among obesity status, glycemic status, and risk of HF are not known. In this study, we analyzed whether the risk of HF increases in participants according to baseline glycemic status and whether this increased risk is associated with obesity status. Methods We analyzed the risk of HF according to baseline glycemic status (normoglycemia, impaired fasting glucose [IFG], and diabetes) in 9,720,220 Koreans who underwent Korean National Health Screening in 2009 without HF at baseline with a median follow-up period of 6.3 years. The participants were divided into five and six groups according to baseline body mass index (BMI) and waist circumference, respectively. Results Participants with IFG and those with diabetes showed a 1.08- and 1.86-fold increased risk of HF, respectively, compared to normoglycemic participants. Compared to the normal weight group (BMI, 18.5 to 22.9 kg/m2), the underweight group (BMI <18.5 kg/m2) showed a 1.7-fold increased risk of HF, and those with BMI ≥30 kg/m2 showed a 1.1-fold increased risk of HF, suggesting a J-shaped association with BMI. When similar analyses were performed for different glycemic statuses, the J-shaped association between BMI and HF risk was consistently observed in both groups with and without diabetes. Conclusion Participants with IFG and diabetes showed a significantly increased HF risk compared to normoglycemic participants. This increased risk of HF was mostly prominent in underweight and class II obese participants than in participants with normal weight. body mass index diabetes mellitus heart failure obesity prediabetic state Diseases of the endocrine glands. Clinical endocrinology Hyemi Kwon verfasserin aut Se Eun Park verfasserin aut Kyung-Do Han verfasserin aut Yong-Gyu Park verfasserin aut Yang-Hyun Kim verfasserin aut Won-Young Lee verfasserin aut In Diabetes & Metabolism Journal Korean Diabetes Association, 2016 44(2020), 4, Seite 592-601 (DE-627)65601962X (DE-600)2602402-0 22336087 nnns volume:44 year:2020 number:4 pages:592-601 https://doi.org/10.4093/dmj.2019.0104 kostenfrei https://doaj.org/article/2c7f9911539f40ee9fa53d68ab2d8180 kostenfrei http://e-dmj.org/upload/pdf/dmj 44-592-r1.pdf kostenfrei https://doaj.org/toc/2233-6079 Journal toc kostenfrei https://doaj.org/toc/2233-6087 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 44 2020 4 592-601
spelling	10.4093/dmj.2019.0104 doi (DE-627)DOAJ003934098 (DE-599)DOAJ2c7f9911539f40ee9fa53d68ab2d8180 DE-627 ger DE-627 rakwb eng RC648-665 Eun-Jung Rhee verfasserin aut Associations among Obesity Degree, Glycemic Status, and Risk of Heart Failure in 9,720,220 Korean Adults 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Recent studies suggest an association between diabetes and increased risk of heart failure (HF). However, the associations among obesity status, glycemic status, and risk of HF are not known. In this study, we analyzed whether the risk of HF increases in participants according to baseline glycemic status and whether this increased risk is associated with obesity status. Methods We analyzed the risk of HF according to baseline glycemic status (normoglycemia, impaired fasting glucose [IFG], and diabetes) in 9,720,220 Koreans who underwent Korean National Health Screening in 2009 without HF at baseline with a median follow-up period of 6.3 years. The participants were divided into five and six groups according to baseline body mass index (BMI) and waist circumference, respectively. Results Participants with IFG and those with diabetes showed a 1.08- and 1.86-fold increased risk of HF, respectively, compared to normoglycemic participants. Compared to the normal weight group (BMI, 18.5 to 22.9 kg/m2), the underweight group (BMI <18.5 kg/m2) showed a 1.7-fold increased risk of HF, and those with BMI ≥30 kg/m2 showed a 1.1-fold increased risk of HF, suggesting a J-shaped association with BMI. When similar analyses were performed for different glycemic statuses, the J-shaped association between BMI and HF risk was consistently observed in both groups with and without diabetes. Conclusion Participants with IFG and diabetes showed a significantly increased HF risk compared to normoglycemic participants. This increased risk of HF was mostly prominent in underweight and class II obese participants than in participants with normal weight. body mass index diabetes mellitus heart failure obesity prediabetic state Diseases of the endocrine glands. Clinical endocrinology Hyemi Kwon verfasserin aut Se Eun Park verfasserin aut Kyung-Do Han verfasserin aut Yong-Gyu Park verfasserin aut Yang-Hyun Kim verfasserin aut Won-Young Lee verfasserin aut In Diabetes & Metabolism Journal Korean Diabetes Association, 2016 44(2020), 4, Seite 592-601 (DE-627)65601962X (DE-600)2602402-0 22336087 nnns volume:44 year:2020 number:4 pages:592-601 https://doi.org/10.4093/dmj.2019.0104 kostenfrei https://doaj.org/article/2c7f9911539f40ee9fa53d68ab2d8180 kostenfrei http://e-dmj.org/upload/pdf/dmj 44-592-r1.pdf kostenfrei https://doaj.org/toc/2233-6079 Journal toc kostenfrei https://doaj.org/toc/2233-6087 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 44 2020 4 592-601
allfields_unstemmed	10.4093/dmj.2019.0104 doi (DE-627)DOAJ003934098 (DE-599)DOAJ2c7f9911539f40ee9fa53d68ab2d8180 DE-627 ger DE-627 rakwb eng RC648-665 Eun-Jung Rhee verfasserin aut Associations among Obesity Degree, Glycemic Status, and Risk of Heart Failure in 9,720,220 Korean Adults 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Recent studies suggest an association between diabetes and increased risk of heart failure (HF). However, the associations among obesity status, glycemic status, and risk of HF are not known. In this study, we analyzed whether the risk of HF increases in participants according to baseline glycemic status and whether this increased risk is associated with obesity status. Methods We analyzed the risk of HF according to baseline glycemic status (normoglycemia, impaired fasting glucose [IFG], and diabetes) in 9,720,220 Koreans who underwent Korean National Health Screening in 2009 without HF at baseline with a median follow-up period of 6.3 years. The participants were divided into five and six groups according to baseline body mass index (BMI) and waist circumference, respectively. Results Participants with IFG and those with diabetes showed a 1.08- and 1.86-fold increased risk of HF, respectively, compared to normoglycemic participants. Compared to the normal weight group (BMI, 18.5 to 22.9 kg/m2), the underweight group (BMI <18.5 kg/m2) showed a 1.7-fold increased risk of HF, and those with BMI ≥30 kg/m2 showed a 1.1-fold increased risk of HF, suggesting a J-shaped association with BMI. When similar analyses were performed for different glycemic statuses, the J-shaped association between BMI and HF risk was consistently observed in both groups with and without diabetes. Conclusion Participants with IFG and diabetes showed a significantly increased HF risk compared to normoglycemic participants. This increased risk of HF was mostly prominent in underweight and class II obese participants than in participants with normal weight. body mass index diabetes mellitus heart failure obesity prediabetic state Diseases of the endocrine glands. Clinical endocrinology Hyemi Kwon verfasserin aut Se Eun Park verfasserin aut Kyung-Do Han verfasserin aut Yong-Gyu Park verfasserin aut Yang-Hyun Kim verfasserin aut Won-Young Lee verfasserin aut In Diabetes & Metabolism Journal Korean Diabetes Association, 2016 44(2020), 4, Seite 592-601 (DE-627)65601962X (DE-600)2602402-0 22336087 nnns volume:44 year:2020 number:4 pages:592-601 https://doi.org/10.4093/dmj.2019.0104 kostenfrei https://doaj.org/article/2c7f9911539f40ee9fa53d68ab2d8180 kostenfrei http://e-dmj.org/upload/pdf/dmj 44-592-r1.pdf kostenfrei https://doaj.org/toc/2233-6079 Journal toc kostenfrei https://doaj.org/toc/2233-6087 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 44 2020 4 592-601
allfieldsGer	10.4093/dmj.2019.0104 doi (DE-627)DOAJ003934098 (DE-599)DOAJ2c7f9911539f40ee9fa53d68ab2d8180 DE-627 ger DE-627 rakwb eng RC648-665 Eun-Jung Rhee verfasserin aut Associations among Obesity Degree, Glycemic Status, and Risk of Heart Failure in 9,720,220 Korean Adults 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Recent studies suggest an association between diabetes and increased risk of heart failure (HF). However, the associations among obesity status, glycemic status, and risk of HF are not known. In this study, we analyzed whether the risk of HF increases in participants according to baseline glycemic status and whether this increased risk is associated with obesity status. Methods We analyzed the risk of HF according to baseline glycemic status (normoglycemia, impaired fasting glucose [IFG], and diabetes) in 9,720,220 Koreans who underwent Korean National Health Screening in 2009 without HF at baseline with a median follow-up period of 6.3 years. The participants were divided into five and six groups according to baseline body mass index (BMI) and waist circumference, respectively. Results Participants with IFG and those with diabetes showed a 1.08- and 1.86-fold increased risk of HF, respectively, compared to normoglycemic participants. Compared to the normal weight group (BMI, 18.5 to 22.9 kg/m2), the underweight group (BMI <18.5 kg/m2) showed a 1.7-fold increased risk of HF, and those with BMI ≥30 kg/m2 showed a 1.1-fold increased risk of HF, suggesting a J-shaped association with BMI. When similar analyses were performed for different glycemic statuses, the J-shaped association between BMI and HF risk was consistently observed in both groups with and without diabetes. Conclusion Participants with IFG and diabetes showed a significantly increased HF risk compared to normoglycemic participants. This increased risk of HF was mostly prominent in underweight and class II obese participants than in participants with normal weight. body mass index diabetes mellitus heart failure obesity prediabetic state Diseases of the endocrine glands. Clinical endocrinology Hyemi Kwon verfasserin aut Se Eun Park verfasserin aut Kyung-Do Han verfasserin aut Yong-Gyu Park verfasserin aut Yang-Hyun Kim verfasserin aut Won-Young Lee verfasserin aut In Diabetes & Metabolism Journal Korean Diabetes Association, 2016 44(2020), 4, Seite 592-601 (DE-627)65601962X (DE-600)2602402-0 22336087 nnns volume:44 year:2020 number:4 pages:592-601 https://doi.org/10.4093/dmj.2019.0104 kostenfrei https://doaj.org/article/2c7f9911539f40ee9fa53d68ab2d8180 kostenfrei http://e-dmj.org/upload/pdf/dmj 44-592-r1.pdf kostenfrei https://doaj.org/toc/2233-6079 Journal toc kostenfrei https://doaj.org/toc/2233-6087 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 44 2020 4 592-601
allfieldsSound	10.4093/dmj.2019.0104 doi (DE-627)DOAJ003934098 (DE-599)DOAJ2c7f9911539f40ee9fa53d68ab2d8180 DE-627 ger DE-627 rakwb eng RC648-665 Eun-Jung Rhee verfasserin aut Associations among Obesity Degree, Glycemic Status, and Risk of Heart Failure in 9,720,220 Korean Adults 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Recent studies suggest an association between diabetes and increased risk of heart failure (HF). However, the associations among obesity status, glycemic status, and risk of HF are not known. In this study, we analyzed whether the risk of HF increases in participants according to baseline glycemic status and whether this increased risk is associated with obesity status. Methods We analyzed the risk of HF according to baseline glycemic status (normoglycemia, impaired fasting glucose [IFG], and diabetes) in 9,720,220 Koreans who underwent Korean National Health Screening in 2009 without HF at baseline with a median follow-up period of 6.3 years. The participants were divided into five and six groups according to baseline body mass index (BMI) and waist circumference, respectively. Results Participants with IFG and those with diabetes showed a 1.08- and 1.86-fold increased risk of HF, respectively, compared to normoglycemic participants. Compared to the normal weight group (BMI, 18.5 to 22.9 kg/m2), the underweight group (BMI <18.5 kg/m2) showed a 1.7-fold increased risk of HF, and those with BMI ≥30 kg/m2 showed a 1.1-fold increased risk of HF, suggesting a J-shaped association with BMI. When similar analyses were performed for different glycemic statuses, the J-shaped association between BMI and HF risk was consistently observed in both groups with and without diabetes. Conclusion Participants with IFG and diabetes showed a significantly increased HF risk compared to normoglycemic participants. This increased risk of HF was mostly prominent in underweight and class II obese participants than in participants with normal weight. body mass index diabetes mellitus heart failure obesity prediabetic state Diseases of the endocrine glands. Clinical endocrinology Hyemi Kwon verfasserin aut Se Eun Park verfasserin aut Kyung-Do Han verfasserin aut Yong-Gyu Park verfasserin aut Yang-Hyun Kim verfasserin aut Won-Young Lee verfasserin aut In Diabetes & Metabolism Journal Korean Diabetes Association, 2016 44(2020), 4, Seite 592-601 (DE-627)65601962X (DE-600)2602402-0 22336087 nnns volume:44 year:2020 number:4 pages:592-601 https://doi.org/10.4093/dmj.2019.0104 kostenfrei https://doaj.org/article/2c7f9911539f40ee9fa53d68ab2d8180 kostenfrei http://e-dmj.org/upload/pdf/dmj 44-592-r1.pdf kostenfrei https://doaj.org/toc/2233-6079 Journal toc kostenfrei https://doaj.org/toc/2233-6087 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 44 2020 4 592-601
language	English
source	In Diabetes & Metabolism Journal 44(2020), 4, Seite 592-601 volume:44 year:2020 number:4 pages:592-601
sourceStr	In Diabetes & Metabolism Journal 44(2020), 4, Seite 592-601 volume:44 year:2020 number:4 pages:592-601
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	body mass index diabetes mellitus heart failure obesity prediabetic state Diseases of the endocrine glands. Clinical endocrinology
isfreeaccess_bool	true
container_title	Diabetes & Metabolism Journal
authorswithroles_txt_mv	Eun-Jung Rhee @@aut@@ Hyemi Kwon @@aut@@ Se Eun Park @@aut@@ Kyung-Do Han @@aut@@ Yong-Gyu Park @@aut@@ Yang-Hyun Kim @@aut@@ Won-Young Lee @@aut@@
publishDateDaySort_date	2020-01-01T00:00:00Z
hierarchy_top_id	65601962X
id	DOAJ003934098
language_de	englisch
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However, the associations among obesity status, glycemic status, and risk of HF are not known. In this study, we analyzed whether the risk of HF increases in participants according to baseline glycemic status and whether this increased risk is associated with obesity status. Methods We analyzed the risk of HF according to baseline glycemic status (normoglycemia, impaired fasting glucose [IFG], and diabetes) in 9,720,220 Koreans who underwent Korean National Health Screening in 2009 without HF at baseline with a median follow-up period of 6.3 years. The participants were divided into five and six groups according to baseline body mass index (BMI) and waist circumference, respectively. Results Participants with IFG and those with diabetes showed a 1.08- and 1.86-fold increased risk of HF, respectively, compared to normoglycemic participants. Compared to the normal weight group (BMI, 18.5 to 22.9 kg/m2), the underweight group (BMI <18.5 kg/m2) showed a 1.7-fold increased risk of HF, and those with BMI ≥30 kg/m2 showed a 1.1-fold increased risk of HF, suggesting a J-shaped association with BMI. When similar analyses were performed for different glycemic statuses, the J-shaped association between BMI and HF risk was consistently observed in both groups with and without diabetes. Conclusion Participants with IFG and diabetes showed a significantly increased HF risk compared to normoglycemic participants. 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callnumber-first	R - Medicine
author	Eun-Jung Rhee
spellingShingle	Eun-Jung Rhee misc RC648-665 misc body mass index misc diabetes mellitus misc heart failure misc obesity misc prediabetic state misc Diseases of the endocrine glands. Clinical endocrinology Associations among Obesity Degree, Glycemic Status, and Risk of Heart Failure in 9,720,220 Korean Adults
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topic_title	RC648-665 Associations among Obesity Degree, Glycemic Status, and Risk of Heart Failure in 9,720,220 Korean Adults body mass index diabetes mellitus heart failure obesity prediabetic state
topic	misc RC648-665 misc body mass index misc diabetes mellitus misc heart failure misc obesity misc prediabetic state misc Diseases of the endocrine glands. Clinical endocrinology
topic_unstemmed	misc RC648-665 misc body mass index misc diabetes mellitus misc heart failure misc obesity misc prediabetic state misc Diseases of the endocrine glands. Clinical endocrinology
topic_browse	misc RC648-665 misc body mass index misc diabetes mellitus misc heart failure misc obesity misc prediabetic state misc Diseases of the endocrine glands. Clinical endocrinology
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title	Associations among Obesity Degree, Glycemic Status, and Risk of Heart Failure in 9,720,220 Korean Adults
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title_full	Associations among Obesity Degree, Glycemic Status, and Risk of Heart Failure in 9,720,220 Korean Adults
author_sort	Eun-Jung Rhee
journal	Diabetes & Metabolism Journal
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author_browse	Eun-Jung Rhee Hyemi Kwon Se Eun Park Kyung-Do Han Yong-Gyu Park Yang-Hyun Kim Won-Young Lee
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class	RC648-665
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author-letter	Eun-Jung Rhee
doi_str_mv	10.4093/dmj.2019.0104
author2-role	verfasserin
title_sort	associations among obesity degree, glycemic status, and risk of heart failure in 9,720,220 korean adults
callnumber	RC648-665
title_auth	Associations among Obesity Degree, Glycemic Status, and Risk of Heart Failure in 9,720,220 Korean Adults
abstract	Background Recent studies suggest an association between diabetes and increased risk of heart failure (HF). However, the associations among obesity status, glycemic status, and risk of HF are not known. In this study, we analyzed whether the risk of HF increases in participants according to baseline glycemic status and whether this increased risk is associated with obesity status. Methods We analyzed the risk of HF according to baseline glycemic status (normoglycemia, impaired fasting glucose [IFG], and diabetes) in 9,720,220 Koreans who underwent Korean National Health Screening in 2009 without HF at baseline with a median follow-up period of 6.3 years. The participants were divided into five and six groups according to baseline body mass index (BMI) and waist circumference, respectively. Results Participants with IFG and those with diabetes showed a 1.08- and 1.86-fold increased risk of HF, respectively, compared to normoglycemic participants. Compared to the normal weight group (BMI, 18.5 to 22.9 kg/m2), the underweight group (BMI <18.5 kg/m2) showed a 1.7-fold increased risk of HF, and those with BMI ≥30 kg/m2 showed a 1.1-fold increased risk of HF, suggesting a J-shaped association with BMI. When similar analyses were performed for different glycemic statuses, the J-shaped association between BMI and HF risk was consistently observed in both groups with and without diabetes. Conclusion Participants with IFG and diabetes showed a significantly increased HF risk compared to normoglycemic participants. This increased risk of HF was mostly prominent in underweight and class II obese participants than in participants with normal weight.
abstractGer	Background Recent studies suggest an association between diabetes and increased risk of heart failure (HF). However, the associations among obesity status, glycemic status, and risk of HF are not known. In this study, we analyzed whether the risk of HF increases in participants according to baseline glycemic status and whether this increased risk is associated with obesity status. Methods We analyzed the risk of HF according to baseline glycemic status (normoglycemia, impaired fasting glucose [IFG], and diabetes) in 9,720,220 Koreans who underwent Korean National Health Screening in 2009 without HF at baseline with a median follow-up period of 6.3 years. The participants were divided into five and six groups according to baseline body mass index (BMI) and waist circumference, respectively. Results Participants with IFG and those with diabetes showed a 1.08- and 1.86-fold increased risk of HF, respectively, compared to normoglycemic participants. Compared to the normal weight group (BMI, 18.5 to 22.9 kg/m2), the underweight group (BMI <18.5 kg/m2) showed a 1.7-fold increased risk of HF, and those with BMI ≥30 kg/m2 showed a 1.1-fold increased risk of HF, suggesting a J-shaped association with BMI. When similar analyses were performed for different glycemic statuses, the J-shaped association between BMI and HF risk was consistently observed in both groups with and without diabetes. Conclusion Participants with IFG and diabetes showed a significantly increased HF risk compared to normoglycemic participants. This increased risk of HF was mostly prominent in underweight and class II obese participants than in participants with normal weight.
abstract_unstemmed	Background Recent studies suggest an association between diabetes and increased risk of heart failure (HF). However, the associations among obesity status, glycemic status, and risk of HF are not known. In this study, we analyzed whether the risk of HF increases in participants according to baseline glycemic status and whether this increased risk is associated with obesity status. Methods We analyzed the risk of HF according to baseline glycemic status (normoglycemia, impaired fasting glucose [IFG], and diabetes) in 9,720,220 Koreans who underwent Korean National Health Screening in 2009 without HF at baseline with a median follow-up period of 6.3 years. The participants were divided into five and six groups according to baseline body mass index (BMI) and waist circumference, respectively. Results Participants with IFG and those with diabetes showed a 1.08- and 1.86-fold increased risk of HF, respectively, compared to normoglycemic participants. Compared to the normal weight group (BMI, 18.5 to 22.9 kg/m2), the underweight group (BMI <18.5 kg/m2) showed a 1.7-fold increased risk of HF, and those with BMI ≥30 kg/m2 showed a 1.1-fold increased risk of HF, suggesting a J-shaped association with BMI. When similar analyses were performed for different glycemic statuses, the J-shaped association between BMI and HF risk was consistently observed in both groups with and without diabetes. Conclusion Participants with IFG and diabetes showed a significantly increased HF risk compared to normoglycemic participants. This increased risk of HF was mostly prominent in underweight and class II obese participants than in participants with normal weight.
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title_short	Associations among Obesity Degree, Glycemic Status, and Risk of Heart Failure in 9,720,220 Korean Adults
url	https://doi.org/10.4093/dmj.2019.0104 https://doaj.org/article/2c7f9911539f40ee9fa53d68ab2d8180 http://e-dmj.org/upload/pdf/dmj 44-592-r1.pdf https://doaj.org/toc/2233-6079 https://doaj.org/toc/2233-6087
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