Abdominal obesity is associated with increased risk of acute coronary events in men

European Heart Journal

Volumn 23, Issue 9, 2002, Pages 706-713

  Lakka, H M ^a   Lakka, T A ^a   Tuomilehto, J ^b,c   Salonen, J T ^a,d  

^a UNIVERSITY OF EASTERN FINLAND   (Finland)

^b UNIVERSITY OF HELSINKI   (Finland)

^c NATIONAL PUBLIC HEALTH INSTITUTE   (Finland)

^d Inner Savo Health Centre   (Finland)

Author keywords

Abdominal obesity; Coronary disease; Obesity; Physical fitness; Population studies; Smoking

Indexed keywords

ARTICLE; BODY MASS; CARDIOVASCULAR RISK; CLINICAL TRIAL; DISEASE ASSOCIATION; HUMAN; ISCHEMIC HEART DISEASE; LIFESTYLE; MALE; META ANALYSIS; OBESITY; PRIORITY JOURNAL; REGRESSION ANALYSIS; SMOKING;

EID: 0036558732     PISSN: 0195668X     EISSN: None     Source Type: Journal    
DOI: 10.1053/euhj.2001.2889     Document Type: Article

References (33)

1. World Health Organization. Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation. WHO Technical Report Series, 894. Geneva, Switzerland: World Health Organization, 2000.
2. Seidell JC, Rissanen AM. Time trends in world-wide prevalence of obesity. In: Bray GA, Bouchard C, James WPT, eds. Handbook of Obesity. New York, NY: Marcel Dekker, 1998: 79-91.
3. Lahti-Koski M, Vartiainen E, Männistö S, Pietinen P. Age, education and occupation as determinants of trends in body mass index in Finland from 1982 to 1997. Int J Obes Relat Metab Disord 2000; 24: 1669-76.
4. UK National Audit Office. Tackling Obesity in England. Report by the Comptroller and Auditor General. HC 220, Parliamentary Session 2000-2001. 15 February 2001. http://www.nao.gov.uk/publications/nao_reports/00-01/0001220.pdf Accessed 6th July, 2001.
5. Reilly JJ, Dorosty AR, Emmett PM. Prevalence of overweight and obesity in British children: Cohort study. Br Med J 1999; 319: 1039.
6. Manson JE, Colditz GA, Stampfer MJ et al. A prospective study of obesity and risk of coronary heart disease in women. N Engl J Med 1990; 322: 882-9.
7. Higgins M, Kannel W, Garrison R, Pinsky J, Stokes J. Hazards of obesity - The Framingham experience. Acta Med Scand Suppl 1988; 723: 23-36.
8. Rimm EB, Stampfer MJ, Giovannucci E et al. Body size and fat distribution as predictors of coronary heart disease among middle-aged and older US men. Am J Epidemiol 1995; 141: 1117-27.
9. Rexrode KM, Carey VJ, Hennekens CH et al. Abdominal adiposity and coronary heart disease in women. JAMA 1998; 280: 1843-8.
10. Folsom AR, Stevens J, Schreiner PJ, McGovern PG. Body mass index, waist/hip ratio, and coronary heart disease incidence in African Americans and whites. Atherosclerosis Risk in Communities Study Investigators. Am J Epidemiol 1998; 148: 1187-94.
11. Folsom AR, Kushi LH, Anderson KE et al. Associations of general and abdominal obesity with multiple health outcomes in older women: The Iowa Women's Health Study. Arch Intern Med 2000; 160: 2117-28.
12. Larsson B, Svardsudd K, Welin L, Wilhelmsen L, Björntorp P, Tibblin G. Abdominal adipose tissue distribution, obesity, and risk of cardiovascular disease and death: 13 Year follow up of participants in the study of men born in 1913. Br Med J 1984; 288: 1401-4.
13. Lapidus L, Bengtsson C, Larsson B, Pennert K, Rybo E, Sjöström L. Distribution of adipose tissue and risk of cardiovascular disease and death: A 12 year follow up of participants in the population study of women in Gothenburg, Sweden. Br Med J 1984; 289: 1257-61.
14. Wajchenberg BL. Subcutaneous and visceral adipose tissue: their relation to the metabolic syndrome. Endocr Rev 2000; 21: 697-738.
15. Després J-P, Lemieux I, Prud'homme D. Treatment of obesity: need to focus on high risk abdominally obese patients. Br Med J 2001; 322: 716-20.
16. Salonen JT. Is there a continuing need for longitudinal epidemiologic research? The Kuopio Ischaemic Heart Disease Risk Factor Study. Ann Clin Res 1988; 20: 46-50.
17. Rose GA, Blackburn H, Gillum RF, Prineas RJ. Cardiovascular Survey Methods. Geneva, Switzerland: World Health Organization, 1982.
18. Tuomilehto J, Sarti C, Narva EV et al. The FINMONICA Stroke Register. Community-based stroke registration and analysis of stroke incidence in Finland, 1983-1985. Am J Epidemiol 1992; 135: 1259-70.
19. Lakka TA, Venäläinen JM, Rauramaa R, Salonen R, Tuomilehto J, Salonen JT. Relation of leisure-time physical activity and cardiorespiratory fitness to the risk of acute myocardial infarction. N Engl J Med 1994; 330: 1549-54.
20. Salonen JT, Lakka TA, Lakka HM, Valkonen VP, Everson SA, Kaplan GA. Hyperinsulinemia is associated with the incidence of hypertension and dyslipidemia in middle-aged men. Diabetes 1998; 47: 270-5.
21. Lakka HM, Lakka TA, Tuomilehto J, Sivenius J, Salonen JT. Hyperinsulinemia and the risk of cardiovascular death and acute coronary and cerebrovascular events in men: The Kuopio Ischaemic Heart Disease Risk Factor Study. Arch Intern Med 2000; 160: 1160-8.
22. WHO Monica Project. MONICA Manual, Part IV: Event Registration. http://www.ktl.fi/publications/monica/manual/index.htm Accessed 6th July, 2001.
23. Tuomilehto J, Arstila M, Kaarsalo E et al. Acute myocardial infarction (AMI) in Finland - Baseline data from the FINMONICA AMI register in 1983-1985. Eur Heart J 1992; 13: 577-87.
24. Salomaa V, Dobson A, Miettinen H, Rajakangas AM, Kuulasmaa K. Mild myocardial infarction - A classification problem in epidemiologic studies. WHO MONICA Project. J Clin Epidemiol 1997; 50: 3-13.
25. Lakka TA, Lakka HM, Salonen R, Kaplan GA, Salonen JT. Abdominal obesity is associated with accelerated progression of carotid atherosclerosis in men. Atherosclerosis 2001; 154: 497-504.
26. Carey DG. Abdominal obesity. Curr Opin Lipidol 1998; 9: 35-40.
27. Han TS, van Leer EM, Seidell JC, Lean ME. Waist circumference action levels in the identification of cardiovascular risk factors: Prevalence study in a random sample. Br Med J 1995; 311: 1401-5.
28. Steinberg HO, Chaker H, Learning R, Johnson A, Brechtel G, Baron AD. Obesity/insulin resistance is associated with endothelial dysfunction. Implications for the syndrome of insulin resistance. J Clin Invest 1996; 97: 2601-10.
29. Messerli FH. Cardiovascular effects of obesity and hypertension. Lancet 1982; 1: 1165-8.
30. Mohamed-Ali V, Pinkney JH, Coppack SW. Adipose tissue as an endocrine and paracrine organ. Int J Obes Relat Metab Disord 1998; 22: 1145-58.
31. Williams SR, Jones E, Bell W, Davies B, Bourne MW. Body habitus and coronary heart disease in men. A review with reference to methods of body habitus assessment. Eur Heart J 1997; 18: 376-93.
32. Molarius A, Seidell JC. Selection of anthropometric indicators for classification of abdominal fatness - A critical review. Int J Obes Relat Metab Disord 1998; 22: 719-27.
33. Marti B, Tuomilehto J, Salomaa V, Kartovaara L, Korhonen HJ, Pietinen P. Body fat distribution in the Finnish population: Environmental determinants and predictive power for cardiovascular risk factor levels. J Epidemiol Commun H 1991; 45: 131-7.