Aortic & peripheral vascular diseaseCohort study

Ascending Aortic Dimensions and Body Size

JACC Cardiovasc ImagingPublished

  • Cohort study
  • multicentre biobank cohorts (UK Biobank (UKB), PMBB)

Authors' conclusion

Among AscAo indices, area/height was allometrically correct, did not exhibit residual associations with body size, and was consistently associated with adverse events.

Study context

Population
UK Biobank and Penn Medicine BioBank participants with MRI or CT thoracic images; ascending aorta segmented by convolutional neural network
Participants
49,271 vs 8,426
Exposure
Ascending aortic dimension indices
  • UKBn = 49,271
  • PMBBn = 8,426

Main finding

As reported in the abstract

Allometric relations of ascending aortic (AscAo) dimension indices (healthy reference subgroups)
GroupAllometric exponent, area/heightResidual association of area/height with height
UKB1.04R2 = 0.04 [P = 0.411]
PMBB1.13R2 = 0.08 [P = 0.759]

Observational data: associations, not effects.

Further findings

OutcomeHRP value
Thoracic aorta events associated with area/height — UKB · area/height · Cox models3.73P < 0.001
Thoracic aorta events associated with area/height — PMBB · area/height · Cox models1.83P < 0.001

Original publication

Ascending Aortic Dimensions and Body Size. JACC Cardiovasc Imaging. Published 22 August 2025. doi:10.1016/j.jcmg.2025.06.019

Summarised from the published abstract; every number is checked against it