Evidence map›Paper›PMID 42812711›Full record

ArticleJournal of lipid and atherosclerosis2026

Cardiovascular Risk Associated With General and Abdominal Obesity in Young Adults Without Traditional Risk Factors: A Korean Nationwide Cohort Study.

Jeen Hwa Lee, Mina Kim, Hoseob Kim, Yeon Jung Lee, Myung Soo Park, Sook Jin Lee, Seongwoo Han, Dae Young Cheon

Abstract read
In one paragraph

Article in Journal of lipid and atherosclerosis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jeen Hwa LeeDivision of Cardiology, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.ORCID https://orcid.org/0000-0003-0384-5407
Mina KimDepartment of Data Science, Hanmi Pharm. Co., Ltd., Seoul, Korea.ORCID https://orcid.org/0000-0003-3180-4565
Hoseob KimDepartment of Data Science, Hanmi Pharm. Co., Ltd., Seoul, Korea.ORCID https://orcid.org/0000-0003-3063-8024
Yeon Jung LeeDivision of Cardiology, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.ORCID https://orcid.org/0000-0002-8074-8603
Myung Soo ParkDivision of Cardiology, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.ORCID https://orcid.org/0000-0002-8352-5069
Sook Jin LeeDivision of Cardiology, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.ORCID https://orcid.org/0009-0008-1276-1081
Seongwoo HanDivision of Cardiology, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.ORCID https://orcid.org/0000-0002-0327-5021
Dae Young CheonDivision of Cardiology, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.ORCID https://orcid.org/0000-0001-6713-4300

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Body mass index (BMI) is widely used to classify obesity but does not adequately characterize central adiposity. Waist-to-height ratio (WHtR) is a simple anthropometric marker of central obesity that may detect cardiovascular risk not captured by BMI. This study examined whether WHtR provides prognostic information beyond BMI for cardiovascular risk stratification in young adults. Methods: We analyzed 1,743,968 adults aged 30-39 years who underwent health screening through the 2009 Korean National Health Insurance Service program. Participants were classified into four groups according to BMI and WHtR: BMI <25 kg/m Results: During a median follow-up of 14.2 years, 37,120 participants (2.12%) experienced the composite outcome. After multivariable adjustment, participants with normal BMI but elevated WHtR (Group 3) had an increased risk compared with Group 1 (aHR, 1.171; 95% CI, 1.118-1.226), with a slightly higher point estimate than Group 2. A similar pattern was observed for MI, whereas stroke risk was more strongly associated with elevated BMI. Conclusion: Elevated WHtR was associated with increased risk of MI and the composite outcome among young adults with normal BMI. WHtR may provide information complementary to BMI for early cardiovascular risk stratification.

Indexed as

Abdominal obesityBody mass indexCardiovascular diseaseWaist-height ratio

Identifiers

PMID42812711
PMCPMC13620177

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.