Prevention & lipids

Long-term adiposity in early adulthood affects coronary artery calcification incidence in midlife: a 25-year longitudinal study

Eur Heart J Cardiovasc ImagingPublished Prospective cohort study

Main finding · CAC incidenceResult — go to the resultOdds ratio 2.52 95% CI 1.82–3.49

Authors' conclusion

Greater cBRI from early adulthood was associated with an elevated risk of CAC incidence in mid-life.

Study context

Population
CARDIA study participants followed from young adulthood with body roundness index (BRI) at eight visits over 25 years
Participants
2,102 participants
Exposure
Cumulative BRI (cBRI) quartiles
Outcome
Incident CAC (CAC > 0) by cardiac CT
Follow-up
Year 25 exam
Methodological details25-year longitudinal
  • 25-year longitudinal

Main finding

CAC incidence · 25 years

Odds ratio

2.52

95% CI 1.82–3.49

cBRI quartiles (top vs lower)
OR 2.52 (95% CI 1.82–3.49)

As reported in the abstract

Participants who developed coronary artery calcification (CAC) over 25-year follow-up
598

Observational data: associations, not effects.

Further findings

OutcomeEstimate
All-cause mortality (higher cBRI)Multivariable Cox regression1.009 (95% CI 1.003–1.016)

Original publication

Long-term adiposity in early adulthood affects coronary artery calcification incidence in midlife: a 25-year longitudinal study. Eur Heart J Cardiovasc Imaging. Published 15 August 2025. doi:10.1093/ehjci/jeaf236

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