ArticleDiabetes & metabolism journal2019
The Risk of Myocardial Infarction and Ischemic Stroke According to Waist Circumference in 21,749,261 Korean Adults: A Nationwide Population-Based Study.
Article in Diabetes & metabolism journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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33 citing papers in PubMed, 53 citations in OpenAlex.
- Cardiovascular Risk Associated With General and Abdominal Obesity in Young Adults Without Traditional Risk Factors: A Korean Nationwide Cohort Study.Journal of lipid and atherosclerosis · 2026Article
- Repeated Health Screening Measures and Incident Ischemic Stroke: Evidence From a Korean Population Study.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2026Article
- Joint effects of waist circumference trajectories and aging with risk of heart disease.BMC cardiovascular disorders · 2026Article
- Association between the cumulative estimated glucose disposal rate and incident stroke in adults aged 50 and above without diabetes: a prospective nationwide cohort study in China.Cardiovascular diabetology · 2025Article
- Cross sectional analysis of the association between extreme climate events and stroke incidence in middle aged and older Chinese adults.Scientific reports · 2025Article
- Article
- Multimodal machine learning-based marker enables the link between obesity-related indices and future stroke: a prospective cohort study.EClinicalMedicine · 2025Article
- Hypertension mediates the association between weight-adjusted waist index and new onset stroke risk in middle-aged and older Chinese adults: evidence from the CHARLS study.Frontiers in neurology · 2025Article
- Metabolic Syndrome in Non-diabetic Stroke Patients.Cureus · 2024Article
- Association Between Overweight/Obesity Metabolic Phenotypes Defined by Two Criteria of Metabolic Abnormality and Cardiovascular Diseases: A Cross-Sectional Analysis in a Chinese Population.Clinical cardiology · 2024Article
- Conventional and genetic associations of BMI with major vascular and non-vascular disease incidence and mortality in a relatively lean Chinese population: U-shaped relationship revisited.International journal of epidemiology · 2024Article
- Association between physical activity changes and incident myocardial infarction after ischemic stroke: a nationwide population-based study.BMC public health · 2024Article
- Usefulness of New Criteria for Metabolic Syndrome Optimized for Prediction of Cardiovascular Diseases in Japanese.Journal of atherosclerosis and thrombosis · 2024Article
- Association between weight-adjusted waist circumference index and myocardial infarction: results from the national health and nutrition examination survey, 1999-2014.Frontiers in cardiovascular medicine · 2024Article
- Sex-differential effect of waist circumference on new-onset cerebral infarction: a nationwide cohort study.Frontiers in neurology · 2024Article
- Increased risk of ischemic stroke associated with elevated gamma-glutamyl transferase level in adult cancer survivors: a population-based cohort study.Scientific reports · 2023Article
- Association between the weight-adjusted waist index and stroke: a cross-sectional study.BMC public health · 2023Article
- Association between metabolic syndrome and stroke: a population based cohort study.BMC endocrine disorders · 2023Article
- Risk factors for stroke among anthropometric indices and lipid profiles in the Korean population: a large-scale cross-sectional study.Scientific reports · 2023Article
- Body mass index, waist circumference and cardiovascular diseases in transitional ages (40 and 66 years).Journal of cachexia, sarcopenia and muscle · 2023Article
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Authors and funding
12 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWaist circumference (WC) is a well-known obesity index that predicts cardiovascular disease (CVD). We studied the relationship between baseline WC and development of incident myocardial infarction (MI) and ischemic stroke (IS) using a nationwide population-based cohort, and evaluated if its predictability is better than body mass index (BMI).
methodsOur study included 21,749,261 Koreans over 20 years of age who underwent the Korean National Health Screening between 2009 and 2012. The occurrence of MI or IS was investigated until the end of 2015 using National Health Insurance Service data.
resultsA total of 127,289 and 181,637 subjects were newly diagnosed with MI and IS. The incidence rate and hazard ratio of MI and IS increased linearly as the WC level increased, regardless of adjustment for BMI. When the analyses were performed according to 11 groups of WC, the lowest risk of MI was found in subjects with WC of 70 to 74.9 and 65 to 69.9 cm in male and female, and the lowest risk of IS in subjects with WC of 65 to 69.9 and 60 to 64.9 cm in male and female, respectively. WC showed a better ability to predict CVD than BMI with smaller Akaike information criterion. The optimal WC cutoffs were 84/78 cm for male/female for predicting MI, and 85/78 cm for male/female for predicting IS.
conclusionWC had a significant linear relationship with the risk of MI and IS and the risk began to increase from a WC that was lower than expected.
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