Neck circumference and waist circumference associated with cardiovascular events in type 2 diabetes (Beijing Community Diabetes Study 23)

Abstract Obesity increases the risk of developing cardiovascular disease and other metabolic diseases. We intended to compare three different anthropometric indicators of obesity, in predicting the incidence of cardiovascular events in Chinese type 2 diabetes. Beijing Community Diabetes Study was a...

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Autores principales: Guang-Ran Yang, Ming-Xia Yuan, Gang Wan, Xue-Lian Zhang, Han-Jing Fu, Shen-Yuan Yuan, Liang-Xiang Zhu, Rong-Rong Xie, Jian-Dong Zhang, Yu-Ling Li, Yan-Hua Sun, Qin-Fang Dai, Da-Yong Gao, Xue-Li Cui, Jian-Qin Gao, Zi-Ming Wang, Ying-Jun Chen, Yong-Jin Li, Dong-Ming Hu, Juan Gao, Ying Gao, Jie Miao, Yu-Jie Chen, Rury. R. Holman
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/39a795378bb7455783cb3d58f797195c
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spelling oai:doaj.org-article:39a795378bb7455783cb3d58f797195c2021-12-02T16:49:07ZNeck circumference and waist circumference associated with cardiovascular events in type 2 diabetes (Beijing Community Diabetes Study 23)10.1038/s41598-021-88927-92045-2322https://doaj.org/article/39a795378bb7455783cb3d58f797195c2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-88927-9https://doaj.org/toc/2045-2322Abstract Obesity increases the risk of developing cardiovascular disease and other metabolic diseases. We intended to compare three different anthropometric indicators of obesity, in predicting the incidence of cardiovascular events in Chinese type 2 diabetes. Beijing Community Diabetes Study was a prospective multi-center study conducted in Beijing community health centers. Type 2 diabetes patients from fourteen community health centers were enrolled at baseline. The primary endpoint was cardiovascular events. The upper quartile of neck circumference (NC) was set as greater NC. A total of 3299 diabetes patients were enrolled. In which, 941 (28.52%) had cardiovascular disease at baseline. Logistic analysis showed that central obesity (waist circumference (WC) above 90 cm in men and 85 cm in women) and greater NC were all related to baseline cardiovascular disease (adjusted OR = 1.49, and 1.55). After 10-year follow-up, 340 (10.31%) had cardiovascular events. Compared with patients without cardiovascular events, those having cardiovascular events had higher BMI, larger WC and NC. Cox regression analysis showed that greater WC and NC were all associated with the occurrence of cardiovascular events (adjusted HR = 1.41, and 1.38). A higher NC and WC might increase the risk of cardiovascular events by about 40% in type 2 diabetes patients in Beijing communities.Guang-Ran YangMing-Xia YuanGang WanXue-Lian ZhangHan-Jing FuShen-Yuan YuanLiang-Xiang ZhuRong-Rong XieJian-Dong ZhangYu-Ling LiYan-Hua SunQin-Fang DaiDa-Yong GaoXue-Li CuiJian-Qin GaoZi-Ming WangYing-Jun ChenYong-Jin LiDong-Ming HuJuan GaoYing GaoJie MiaoYu-Jie ChenRury. R. HolmanNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Guang-Ran Yang
Ming-Xia Yuan
Gang Wan
Xue-Lian Zhang
Han-Jing Fu
Shen-Yuan Yuan
Liang-Xiang Zhu
Rong-Rong Xie
Jian-Dong Zhang
Yu-Ling Li
Yan-Hua Sun
Qin-Fang Dai
Da-Yong Gao
Xue-Li Cui
Jian-Qin Gao
Zi-Ming Wang
Ying-Jun Chen
Yong-Jin Li
Dong-Ming Hu
Juan Gao
Ying Gao
Jie Miao
Yu-Jie Chen
Rury. R. Holman
Neck circumference and waist circumference associated with cardiovascular events in type 2 diabetes (Beijing Community Diabetes Study 23)
description Abstract Obesity increases the risk of developing cardiovascular disease and other metabolic diseases. We intended to compare three different anthropometric indicators of obesity, in predicting the incidence of cardiovascular events in Chinese type 2 diabetes. Beijing Community Diabetes Study was a prospective multi-center study conducted in Beijing community health centers. Type 2 diabetes patients from fourteen community health centers were enrolled at baseline. The primary endpoint was cardiovascular events. The upper quartile of neck circumference (NC) was set as greater NC. A total of 3299 diabetes patients were enrolled. In which, 941 (28.52%) had cardiovascular disease at baseline. Logistic analysis showed that central obesity (waist circumference (WC) above 90 cm in men and 85 cm in women) and greater NC were all related to baseline cardiovascular disease (adjusted OR = 1.49, and 1.55). After 10-year follow-up, 340 (10.31%) had cardiovascular events. Compared with patients without cardiovascular events, those having cardiovascular events had higher BMI, larger WC and NC. Cox regression analysis showed that greater WC and NC were all associated with the occurrence of cardiovascular events (adjusted HR = 1.41, and 1.38). A higher NC and WC might increase the risk of cardiovascular events by about 40% in type 2 diabetes patients in Beijing communities.
format article
author Guang-Ran Yang
Ming-Xia Yuan
Gang Wan
Xue-Lian Zhang
Han-Jing Fu
Shen-Yuan Yuan
Liang-Xiang Zhu
Rong-Rong Xie
Jian-Dong Zhang
Yu-Ling Li
Yan-Hua Sun
Qin-Fang Dai
Da-Yong Gao
Xue-Li Cui
Jian-Qin Gao
Zi-Ming Wang
Ying-Jun Chen
Yong-Jin Li
Dong-Ming Hu
Juan Gao
Ying Gao
Jie Miao
Yu-Jie Chen
Rury. R. Holman
author_facet Guang-Ran Yang
Ming-Xia Yuan
Gang Wan
Xue-Lian Zhang
Han-Jing Fu
Shen-Yuan Yuan
Liang-Xiang Zhu
Rong-Rong Xie
Jian-Dong Zhang
Yu-Ling Li
Yan-Hua Sun
Qin-Fang Dai
Da-Yong Gao
Xue-Li Cui
Jian-Qin Gao
Zi-Ming Wang
Ying-Jun Chen
Yong-Jin Li
Dong-Ming Hu
Juan Gao
Ying Gao
Jie Miao
Yu-Jie Chen
Rury. R. Holman
author_sort Guang-Ran Yang
title Neck circumference and waist circumference associated with cardiovascular events in type 2 diabetes (Beijing Community Diabetes Study 23)
title_short Neck circumference and waist circumference associated with cardiovascular events in type 2 diabetes (Beijing Community Diabetes Study 23)
title_full Neck circumference and waist circumference associated with cardiovascular events in type 2 diabetes (Beijing Community Diabetes Study 23)
title_fullStr Neck circumference and waist circumference associated with cardiovascular events in type 2 diabetes (Beijing Community Diabetes Study 23)
title_full_unstemmed Neck circumference and waist circumference associated with cardiovascular events in type 2 diabetes (Beijing Community Diabetes Study 23)
title_sort neck circumference and waist circumference associated with cardiovascular events in type 2 diabetes (beijing community diabetes study 23)
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/39a795378bb7455783cb3d58f797195c
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