BMI is not independently associated with coronary artery calcification in a large single‐center CT cohort. (7th September 2022)

• Record Type: Journal Article
• Authors: Altintas, Sibel; van Workum, Samanta; Kok, Madeleine; Joosen, Ivo A. P. G.; Versteylen, Mathijs O.; Nelemans, Patricia J.; Wildberger, Joachim E.; Crijns, Harry J. G. M.; Das, Marco; Kietselaer, Bas L. J. H.
• Is Part Of: Obesity science and practice. Volume 9:Number 2(2023)
• Page Start: 172
• Page End: 178
• Publication Date: 2022-09-07
• Subjects: cardiovascular disease -- computed tomography -- coronary artery disease (CAD) -- obesity; Obesity -- Periodicals; 616.398005
• DOI: 10.1002/osp4.636
• Languages: English
• ISSNs: 2055-2238

Abstract

Abstract: Objective: Obesity is associated with cardiovascular disease (CVD) and CVD mortality. However, previous reports showed a paradoxical protective effect in patients with known CVD referred as "obesity paradox". Therefore, the aim of the present study was to investigate the association of body mass index (BMI) with coronary artery calcification (CAC) in a large outpatient cardiac CT cohort. Methods: 4.079 patients who underwent cardiac CT between December 2007–May 2014 were analyzed. BMI and clinical risk factors (current smoking, diabetes mellitus type 2, family history, systolic blood pressure, lipid spectrum) were assessed. Missing values were imputed using multiple imputation. CAC extent was categorized as absent (0), mild (>0–100), moderate (>100–400) and severe (>400). Results: Multivariable multinomial logistic regression analysis, including all risk factors as independent variables, showed no association between BMI and CAC. Using absence of calcification as reference category, the odds ratios per unit increase in BMI were 1.01 for mild; 1.02 for moderate; and 1.00 for severe CAC ( p ‐values ≥0.103). Conclusions: No statistically significant association was observed between BMI and CAC after adjustment for other risk factors.