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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Nature Portfolio
2021
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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) |
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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) |
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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 |
work_keys_str_mv |
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