Impact of the Body Shape Index on Mortality in Patients With Acute Heart Failure
10.3969/j.issn.1000-3614.2025.10.004
- VernacularTitle:身体形态指数与急性心力衰竭患者死亡的相关性研究
- Author:
Yaoyao WANG
1
;
Zhanyuan CHEN
;
Rui ZHU
;
Lili LIU
;
Yu WEI
;
Lihua ZHANG
;
Jianfang CAI
Author Information
1. 中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院 肾内科,北京 100037
- Publication Type:Journal Article
- Keywords:
heart failure;
death;
risk factors;
body shape index
- From:
Chinese Circulation Journal
2025;40(10):977-984
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To analyze the correlation between the the body shape index(ABSI)and all-cause mortality(ACM)as well as cardiovascular mortality(CVM)in patients with acute heart failure.Methods:This study analyzed data from the National Registration Study of Major Chronic Diseases,a prospective cohort on heart failure.A total of 4 907 patients with acute heart failure were enrolled from multiple centers nationwide,of which 4 375 were eligible for this study.The relationships of between body mass index(BMI),waist circumference,and ABSI with ACM and CVM were assessed using multivariable cox proportional hazards models.Results:The mean age of the patients was(65.0±13.4)years,62.3%was male.The median follow-up time was 4.6(4.59,4.65)years,there were 1 972(45.1%)ACM and 1 400(32.0%)CVM.Multivariable cox regression analysis showed that higher ABSI was associated with an increased risk of mortality.Compared to the second quartile of ABSI,the hazard ratio(HR)for the highest(fourth)quartile were 1.29(95%CI:1.14-1.46,P<0.05)for ACM and 1.23(95%CI:1.06-1.43,P<0.05)for CVM.In contrast,BMI and waist circumference were inversely associated with risks of both ACM and CVM.Conclusions:ABSI can more intuitively reflect the correlation between obesity and death in patients with heart failure than BMI and waist circumference,which has important clinical significance.
