Heart failure & cardiomyopathies

Association between cumulative exposure to cardiometabolic index and risk of heart failure: a prospective cohort study

ESC Heart FailPublished prospective cohort study

Authors' conclusion

High cumulative CMI was independently associated with increased HF risk. Long-term monitoring and maintenance of an optimal CMI level may aid in early identification and prevention of HF in the general population.

Study context

Population
Participants from the Kailuan Study who attended three health examinations in 2006, 2008, and 2010 and were free of cardiovascular disease or cancer at baselinemean age 53.1 ± 11.9 years, 78.6% men
Participants
44,773 participants
Exposure
Quartiles of cumulative cardiometabolic index (CMI), compared with the lowest quartile
Outcome
Incident HF
Follow-up
Median 12.0 years (IQR 11.7-12.3)

Main finding

As reported in the abstract

Each group vs lowest quartileAdjusted hazard ratio (95% CI)
Q2
1.18(0.95–1.50)
Q3
1.32(1.05–1.65)
Q4
1.40(1.11–1.76)
Heart failure (HF) events
1018

Observational data: associations, not effects.

Further findings

Interaction between cumulative CMI and diabetes, age, sex, hypertension

Significant interaction between cumulative CMI and diabetes
P = 0.043
No significant interaction with age, sex, or hypertension

Sensitivity analyses

Sensitivity analyses yielded consistent results

Original publication

Association between cumulative exposure to cardiometabolic index and risk of heart failure: a prospective cohort study. ESC Heart Fail. Published 22 January 2026. doi:10.1093/eschf/xvaf040

Composed by AI from the published abstract and checked against it. How Briefs are made →

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