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Obesity is associat...
Obesity is associated with coronary artery stenosis independently of metabolic risk factors : the population-based SCAPIS study
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- Lind, Lars (author)
- Uppsala University,Uppsala universitet,Klinisk epidemiologi,Uppsala Univ, Sweden; Univ Hosp, Sweden
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- Markstad, Hanna (author)
- Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Kardiovaskulär forskning - translationella studier,Cardiovascular Research - Epidemiology,Lund University Research Groups,Cardiovascular Research - Translational Studies,Skåne University Hospital
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- Ahlström, Håkan, 1953- (author)
- Uppsala University,Uppsala universitet,Radiologi,Uppsala Univ, Sweden
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- Angerås, Oskar, 1976 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Brandberg, John, 1966 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för radiologi,Institute of Clinical Sciences, Department of Radiology
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- Brunström, Mattias (author)
- Umeå University,Umeå universitet,Avdelningen för medicin,Umea Univ, Sweden; Karolinska Inst, Sweden
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- Engström, Gunnar (author)
- Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups
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- Engvall, Jan (author)
- Linköping University,Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Region Östergötland, Fysiologiska kliniken US
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- Eriksson, Maria J. (author)
- Karolinska Institutet,Karolinska Institute,Karolinska University Hospital
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- Eriksson, Mats (author)
- Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, Sweden
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- Gottsäter, Anders (author)
- Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Skåne University Hospital
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- Hagström, Emil (author)
- Uppsala University,Lund University,Lunds universitet,Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR),Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.,Karolinska Inst, Sweden; Uppsala Univ, Sweden; Uppsala Univ, Sweden,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups
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- Krachler, Benno (author)
- Umeå University,Umeå universitet,Avdelningen för hållbar hälsa,Umea Univ, Sweden
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- Lampa, Erik, 1977- (author)
- Uppsala University,Uppsala universitet,Klinisk epidemiologi,Uppsala Univ, Sweden
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- Nilsson, Peter M. (author)
- Karolinska Institutet,Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups
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- Nilsson, Peter M. (author)
- Department of Clinical Sciences in Malmö, Lund University, Lund, Sweden
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- Nyström, Fredrik H (author)
- Linköping University,Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Vårdcentralen Cityhälsan Centrum,Karolinska Inst, Sweden
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- Persson, Anders (author)
- Linköping University,Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Region Östergötland, Röntgenkliniken i Linköping
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- Redfors, Björn (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Sandström, Anette, 1966- (author)
- Umeå University,Umeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
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- Themudo, Raquel (author)
- Karolinska Institutet,Karolinska Institute,Karolinska University Hospital
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- Völz, Sebastian, 1980 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Ärnlöv, Johan, 1970- (author)
- Karolinska Institutet,Karolinska Institute,Dalarna University College,Högskolan Dalarna,Medicinsk vetenskap,Karolinska Inst, Sweden; Dalarna Univ, Sweden
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- Östgren, Carl Johan (author)
- Linköping University,Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Region Östergötland, Vårdcentralen Ekholmen
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- Bergström, Göran, 1964 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Extern,Institute of Medicine, Department of Molecular and Clinical Medicine,External
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(creator_code:org_t)
- Elsevier, 2022
- 2022
- English.
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In: Atherosclerosis. - : Elsevier. - 0021-9150 .- 1879-1484. ; 362, s. 1-10
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Abstract
Subject headings
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- Background and aims: Previous studies reported divergent results on whether metabolically healthy obesity is associated with increased coronary artery calcium and carotid plaques. We investigated this in a cross-sectional fashion in a large, well-defined, middle-aged population using coronary CT angiography (CCTA) and carotid ultrasound. Methods: In the SCAPIS study (50–65 years, 51% female), CCTA and carotid artery ultrasound were performed in 23,674 individuals without clinical atherosclerotic disease. These subjects were divided into six groups according to BMI (normal weight, overweight, obese) and the presence of metabolic syndrome (MetS) according to the NCEP consensus criteria. Results: The severity of coronary artery stenosis was increased in individuals with obesity without MetS compared to normal-weight individuals without MetS (OR 1.47, 95%CI 1.34–1.62; p < 0.0001), even after adjusting for non-HDL-cholesterol and several lifestyle factors. Such difference was not observed for the presence of carotid artery plaques (OR 0.94, 95%CI 0.87–1.02; p = 0.11). Obese or overweight individuals without any MetS criteria (except the waist criterion) showed significantly more pronounced stenosis in the coronary arteries as compared to the normal-weight individuals, while one criterion was needed to show increased plaque prevalence in the carotid arteries. High blood pressure was the most important single criterion for increased atherosclerosis in this respect. Conclusions: Individuals with obesity without MetS showed increased severity of coronary artery stenosis, but no increased occurrence of carotid artery plaques compared to normal-weight individuals without MetS, further emphasizing that obesity is not a benign condition even in the absence of MetS.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- Atherosclerosis
- Carotid artery
- Coronary arteries
- Epidemiology
- Metabolic syndrome
- Obesity
- Atherosclerosis
- Carotid artery
- Coronary arteries
- Epidemiology
- Metabolic syndrome
- Obesity
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Lind, Lars
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Markstad, Hanna
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Ahlström, Håkan, ...
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Angerås, Oskar, ...
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Brandberg, John, ...
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Brunström, Matti ...
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show more...
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Engström, Gunnar
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Engvall, Jan
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Eriksson, Maria ...
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Eriksson, Mats
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Gottsäter, Ander ...
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Hagström, Emil
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Krachler, Benno
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Lampa, Erik, 197 ...
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Nilsson, Peter M ...
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Nyström, Fredrik ...
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Persson, Anders
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Redfors, Björn
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Sandström, Anett ...
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Themudo, Raquel
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Völz, Sebastian, ...
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Ärnlöv, Johan, 1 ...
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Östgren, Carl Jo ...
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Bergström, Göran ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
- Articles in the publication
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Atherosclerosis
- By the university
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Umeå University
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Högskolan Dalarna
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Uppsala University
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Linköping University
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Lund University
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Karolinska Institutet
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University of Gothenburg
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