Cardiometabolic & kidney

Association of weight change with cardiovascular events and all-cause mortality in obese participants with cardiovascular disease: a prospective cohort study

HeartPublished prospective population-based cohort study

Authors' conclusion

Among obese individuals with CVD, large weight gain is associated with a higher risk of CV death and all-cause mortality. Further studies are needed to understand the exact mechanisms underlying the associations between weight loss or weight gain and mortality.

Study context

Population
Obese participants with established cardiovascular disease and repeated weight measurements, UK Biobankobese participants who had CV disease (CVD) with repeated weight measurements, 43.1% female, mean age 56.6 (SD: 7.2) years, median follow-up 13.9 (IQR: 13.1–14.6) years
Participants
8,297 participants
Exposure
Weight change categories compared with stable weight
Outcome
CV death and all-cause mortality
Follow-up
Median 13.9 years

Main finding

As reported in the abstract

median follow-up 13.9 years
large weight gain vs stable weightHazard ratio (95% CI)
CV death; fully adjusted
3.05(1.40–6.67)
All-cause mortality; fully adjusted
1.93(1.15–3.26)

Observational data: associations, not effects.

Original publication

Association of weight change with cardiovascular events and all-cause mortality in obese participants with cardiovascular disease: a prospective cohort study. Heart. Published 16 January 2025. doi:10.1136/heartjnl-2024-324383

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