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Waist Measurements Beat BMI in Flagging Heart Failure Risk, AHA Study Reports

The conference abstract links inflammatory activity from abdominal fat to later heart failure risk, suggesting waist checks could sharpen prevention.

Overview

  • An analysis of nearly 2,000 African American adults found elevated waist circumference and waist-to-height ratio associated with higher incident heart failure, while BMI was not.
  • Higher waist measures identified increased risk even when BMI appeared within a healthy range.
  • Over a median 6.9–7 years, 112 participants developed heart failure, and blood markers of inflammation mediated about 25% to 33% of the waist–heart failure association.
  • The results were presented March 17 at the AHA EPI|Lifestyle Scientific Sessions in Boston as a preliminary abstract that has not yet undergone peer review.
  • Authors and outside experts recommend incorporating simple waist-based screening in routine care, with further validation across populations and analyses by heart-failure subtype still needed.