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Fat Mass Index, Not BMI, Associated With Cardiovascular Events in People With Diabetes

In people with diabetes, fat mass index, not body mass index (BMI), is associated with a higher risk of cardiovascular events, according to new research in CMAJ (Canadian Medical Association Journal).

Heart disease is a major cause of death worldwide, and obesity is a major risk factor. Body mass index, a common measure of obesity, has been recently shown to be an imperfect metric because it does not distinguish between lean muscle mass and fat mass. When issues related to obesity are studied, suitable metrics that describe obesity accurately are extremely important.

Researchers analyzed data on 10 251 adults from the ACCORD study, a randomized controlled trial in the United States looking at diabetes and cardiovascular disease (CVD). The mean age was almost 63 years, and 62% of participants were men. The researchers found that people with type 2 diabetes and higher fat mass were at increased risk of major cardiovascular events compared to people with lower fat mass.

For details of study: Canadian Medical Association Journal (2019). www.cmaj.ca/lookup/doi/10.1503/cmaj.190124

Provided by Canadian Medical Association Journal

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