Body Fat Distribution, Incident Cardiovascular Disease, Cancer, and All-cause Mortality
By K. Britton, J. Massaro, Joanne M. Murabito, B. Kreger, U. Hoffmann, Caroline S. Fox. Journal of the American College of Cardiology, 2013
629 citations recorded by the source corpus.
Objective To determine whether ectopic fat depots are prospectively associated with cardiovascular disease, cancer and all-cause mortality. Background The morbidity associated with excess body weight varies among individuals of similar body mass index. Ectopic fat depots may underlie this risk differential. However, prospective studies of directly measured fat are limited. Methods Participants from the Framingham Heart Study (n=3086, 49% women, mean age 50.2 years) underwent assessment of fat depots (visceral adipose tissue, pericardial adipose tissue, and periaortic adipose tissue) using multidetector computed tomography, and were followed longitudinally for a median of 5.0 years. Cox proportional hazards regression models were used to examine the association of each fat depot (per 1 standard deviation increment) with the risk of incident cardiovascular disease, cancer, and all-cause mortality after adjustment for standard risk factors, including body mass index. Results Overall, there were 90 cardiovascular events, 141 cancer events, and 71 deaths. After multivariable adjustment, visceral adipose tissue was associated with cardiovascular disease (HR 1.44, 95% CI 1.08–1.92, p=0.01) and cancer (HR 1.43, 95% CI 1.12–1.84, p=0.005). Addition of visceral adipose tissue to a multivariable model that included body mass index modestly improved cardiovascular risk prediction (net reclassification improvement of 16.3%). None of the fat depots were associated with all-cause mortality. Conclusion Visceral adiposity is associated with incident cardiovascular disease and cancer after adjustment for clinical risk factors and generalized adiposity. These findings support the growing appreciation of a pathogenic role of ectopic fat.
Subfields: Cardiology and Cardiovascular Medicine, Epidemiology, Rheumatology
View Paper: https://www.semanticscholar.org/paper/fba3ad591b0e934d7c9247e17a5318407d3d8cfa
How researchers see this paper
The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.
Citations in the corpus
- Obesity as a Major Risk Factor for Cancer (2013, background): “Recently, Jaggers et al. found a positive multivariable-adjusted association between cancer mortality and abdominal obesity that increases the risk of cancer mortality up to 24% [29].”