肥胖与韩国和英国的心房颤动事件的关联。
Association of obesity with incident atrial fibrillation in Korea and the United Kingdom.
机构信息
Division of Cardiology, Department of Internal Medicine, Severance Cardiovascular Hospital, Yonsei University College of Medicine, 50-1 Yonseiro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Department of Cardiology, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.
出版信息
Sci Rep. 2023 Mar 30;13(1):5197. doi: 10.1038/s41598-023-32229-9.
Obesity has been linked to atrial fibrillation (AF) burden and severity, and epidemiological studies suggest that AF is more prevalent in whites than Asian. We aimed to investigate whether obesity mediates associations with AF in Europe and Asia using patient-level data comparisons of two cohort studies. Using Korean National Health Insurance Service's Health Screening (NHIS-HealS) and U.K. Biobank data, we included 401,206 Korean and 477,926 British aged 40-70 years without previous AF who received check-ups. The incidence and risk of AF were evaluated regarding different body mass index (BMI) values. The obese proportion (BMI ≥ 30.0 kg/m, 2.8% vs. 24.3%, P < 0.001) was higher in the U.K. than the Korean. In the Korean and U.K. cohort, the age- and sex-adjusted incidence rates of AF were 4.97 and 6.54 per 1000 person-years among obese individuals. Compared to Koreans, the risk of AF was higher in the British population, with adjusted hazard ratios of 1.41 (Korea, 95% CI 1.26-1.58) and 1.68 (UK, 95% CI 1.54-1.82) in obese participants (P for interaction < 0.05). Obesity was associated with AF in both populations. British subjects had a greater incidence of AF related to the high proportion of obese individuals, especially participants in the obesity category, the risk of AF also increased.
肥胖与心房颤动(AF)负担和严重程度有关,流行病学研究表明,AF 在白种人中比在亚洲人中更为普遍。我们旨在使用两项队列研究的患者水平数据比较,来研究肥胖是否在欧洲和亚洲人群中介导了与 AF 的关联。我们使用韩国国民健康保险服务的健康筛查(NHIS-HealS)和英国生物银行的数据,纳入了 401206 名年龄在 40-70 岁、无既往 AF 的韩国人和 477926 名英国白人,他们接受了体检。评估了不同体重指数(BMI)值下 AF 的发生率和风险。英国的肥胖比例(BMI≥30.0 kg/m2,2.8%比 24.3%,P<0.001)高于韩国。在韩国和英国队列中,肥胖人群的年龄和性别调整后的 AF 发生率分别为 4.97 和 6.54/1000 人年。与韩国人相比,英国人 AF 的风险更高,肥胖参与者的调整后的危险比分别为 1.41(韩国,95%CI 1.26-1.58)和 1.68(英国,95%CI 1.54-1.82)(P 交互<0.05)。肥胖与这两个人群的 AF 均有关联。英国人群中肥胖人群比例较高,与肥胖相关的 AF 发生率更高,尤其是肥胖人群的参与者,AF 的风险也增加。