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Weight change and the incidence of heart failure in the Korean population: data from the National Health Insurance Health checkup 2005-2015

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Abstract
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Aims: Heart failure (HF) is associated with obesity, but the relationship between weight change and HF is inconsistent.
We examined the relationship between weight change and the incidence of HF in the Korean population.
Design: Retrospective cohort study design.
Methods and results: A total of 11 210 394 subjects (6 198 542 men and 5 011 852 women) >20 years of age were enrolled in this study. Weight change over 4 years divided into seven categories from weight loss >_15% to weight gain >_15%. The
hazard ratios (HRs) and 95% confidence intervals for the incidence of HF were analysed. The HR of HF showed a slightly
reverse J-shaped curve by increasing weight change in total and >15% weight loss shows the highest HR (HR 1.647) followed by -15 to -10% weight loss (HR = 1.444). When using normal body mass index with stable weight group as a reference, HR of HF decreased as weight increased in underweight subjects and weight gain >_15% in obesity Stage II showed the highest HR (HR = 2.97). Sustained weight for 4 years in the underweight and obesity Stages I and II increased the incidence of HF (HR = 1.402, 1.092, and 1.566, respectively).
Conclusion: Both weight loss and weight gain increased HR for HF. Sustained weight in the obesity or underweight
categories increased the incidence of HF.
Author(s)
김선미김양현박혜순유순집이성수이원영정진형한경도
Issued Date
2021
Type
Article
Keyword
Body mass indexHeart failureThe National Health Insurance System health checkupWeight change
DOI
10.1093/eurjpc/zwaa049
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7881
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2509608990&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Weight%20change%20and%20the%20incidence%20of%20heart%20failure%20in%20the%20Korean%20population:%20data%20from%20the%20National%20Health%20Insurance%20Health%20checkup%202005-2015&offset=0&pcAvailability=true
Publisher
European Journal of Preventive Cardiology
Location
미국
Language
영어
ISSN
2047-4873
Citation Volume
1
Citation Number
1
Citation Start Page
1
Citation End Page
7
Appears in Collections:
Medicine > Medicine
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