Prevention & lipids

Examining the relationship between anthropometric and body composition measures with coronary heart disease events: the multi-ethnic study of atherosclerosis

Eur J Prev CardiolPublished Prospective cohort study

Authors' conclusion

Higher FM, waist-to-height ratio, and waist circumference were associated with increased risk for hard CHD events while higher FFM was associated with decreased risk.

Study context

Population
Men and women aged 45–85 years without clinically apparent CVD (Multi-Ethnic Study of Atherosclerosis (MESA) cohort)
Participants
6,814 men
Exposure
Anthropometric and body composition measures and hard coronary heart disease (CHD) events
Outcome
Incident hard CHD events:
  • Non-fatal myocardial infarction (MI)
  • Resuscitated cardiac arrest
  • CHD death
Follow-up
10 years
Methodological detailspopulation-based, multi-ethnic, fat mass (FM) and fat free mass (FFM) estimated from bioelectrical impedance analysis at baseline (Exam 1)
  • Population-based
  • Multi-ethnic
  • FM and FFM estimated from bioelectrical impedance analysis at baseline (Exam 1)

Main finding

As reported in the abstract

Hard CHD events, HR per SD unit increase
Hazard ratio (CI)P value
FM (per SD increase)
1.64(1.09–2.48)
P-value 0.019
FFM (per SD increase)
0.24(0.08–0.76)
P-value 0.014
Waist-to-height ratio (per SD increase)
1.21(1.08–1.35)
P-value 0.001
Waist circumference (per SD increase)
1.14(1.03–1.28)
P-value 0.016
BMInot significant
1.08(0.97–1.21)
P-value 0.158

Each row per its own increment, as printed

Observational data: associations, not effects.

Original publication

Examining the relationship between anthropometric and body composition measures with coronary heart disease events: the multi-ethnic study of atherosclerosis. Eur J Prev Cardiol. Published 8 April 2025. doi:10.1093/eurjpc/zwaf212

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

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