Journal
JOURNAL OF NUTRITION HEALTH & AGING
Volume 15, Issue 5, Pages 393-397Publisher
SPRINGER FRANCE
DOI: 10.1007/s12603-010-0288-2
Keywords
Body mass index; waist circumference; waist-hip ratio; heart failure; older adults
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The incidence of heart failure increases with aging. Aim of the present, study was to determine whether measures body composition predict incident heart failure in older adults. Prospective community-based cohort study. 5, 868 men and women aged 55 years and older participating the Rotterdam study. Measures of body mass index and waist circumference were obtained at baseline. Information on incident heart failure was obtained during follow-up. Cox regression analyses were performed to investigate the possible association between measure of body composition and incident heart failure. During a mean follow up of 10.9 (SD +/- 4.4) years, 765 participants had heart failure. After adjustment for age and gender, 1-standard deviation of body mass index, waist circumference and the waist-hip ratio predicted heart failure (HR 1.25; 95% CI 1.17-1.34; HR 1.26; 95% CI 1.18-1.36; and HR 1.17; 95% CI 1.08-1.27), respectively. In age-stratified analyses, 1-standard deviation of body mass index (1.17; 95% CI 1.06-1.29) and waist circumference (1.16; 95% CI 1.05-1.29) were still associated with the risk of heart failure in the oldest participants, whereas the waist-hip ratio was not (1.06; 95% CI 0.945-1.18). Although estimates decrease with age, measures of overall and central adiposity predict incident heart failure among community dwelling older adults.
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