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Table 3 Cardiovascular disease, heart failure and death in the BMI trajectory groups

From: Long-term body mass index changes in overweight and obese adults and the risk of heart failure, cardiovascular disease and mortality: a cohort study of over 260,000 adults in the UK

 

Trajectory 1

(overweight-S)

(n = 95,944)

Trajectory 2

(obese class 1-S)

(n = 104,616)

Trajectory 3

(obese class 2-S)

(n = 50,866)

Trajectory 4

(obese class 3-S)

(n = 12,804)

Cardiovascular disease and heart failure outcomes

 Age (years) at first CVD diagnosis (mean (SD))

65.9 (12.0)

66.2 (11.8)

65.2 (11.8)

64.1 (10.9)

 Follow-up (1000 person years)

1100

1100

517.7

123.1

Number of events (%)

 Any CVD

10,054 (10.5)

12,666 (12.1)

6137 (12.1)

1543 (12.1)

 CHD

6074 (6.3)

7569 (7.2)

3329 (6.5)

714 (5.6)

 Stroke/TIA

2675 (2.8)

3152 (3.0)

1436 (2.8)

300 (2.3)

 PVD

1246 (1.3)

1425 (1.4)

595 (1.2)

108 (0.8)

 Heart failure

1836 (1.9)

3175 (3.0)

1947 (3.8)

702 (5.5)

Incidence rate (95% CI) of CVD and heart failure, per (1000 person-years)

 Any CVD

9.30 (9.1–9.5)

11.44 (11.2–11.6)

11.86 (11.6–12.2)

12.54 (11.9–13.2)

 Coronary heart disease

5.62 (5.5–5.8)

6.83 (6.7–7.0)

6.43 (6.2–6.7)

5.80 (5.4–6.2)

 Stroke/TIA

2.48 (2.4–2.6)

2.85 (2.7–2.90)

2.77 (2.6–2.9)

2.44 (2.2–2.7)

 Peripheral vascular disease

1.15 (1.1–1.2)

1.29 (1.2–1.4)

1.15 (1.1–1.2)

0.88 (0.7–1.1)

 Heart failure

1.70 (1.6–1.8)

2.87 (2.8–3.0)

3.76 (3.6–3.9)

5.70 (5.3–6.1)

Mortality outcomes

 Deaths during follow-up n(%) (total n = 24,022)

7938 (8.3)

9175 (8.8)

5092 (10.0)

1817 (14.2)

 Age (years) at death (mean (SD))

74.5 (12.1)

73.6 (12.0)

70.9 (12.3)

67.3 (11.8)

 CVD related death n(%) (total n = 2827)

761 (0.8)

1165 (1.1)

679 (1.3)

222 (1.7)

Mortality rate (95% CI), number of events per 1000 person-years

 All-cause mortality rate

7.35 (7.2–7.5)

8.28 (8.1–8.5)

9.84 (9.6–10.1)

14.76 (14.1–15.5)

 CVD-related mortality rate

0.70 (0.7–0.8)

1.05 (1.0–1.1)

1.31 (1.2–1.4)

1.80 (1.6–2.1)