Table 2.
Adjusted* hazard ratios (95% confidence intervals) for the association between categories of overweight and obesity with risk of incident atrial fibrillation (AF) in men and women in the Atherosclerosis Risk in Communities Study (ARIC), 1987 – 2009
Body mass index (kg/m2) | |||||
18.5–24.9 (Ref) | 25–29.9 (Overweight) | ≥30 (Obese) | Ptrend** | ||
n | 4650 | 5667 | 3902 | ||
AF cases | 444 | 690 | 641 | ||
HR (95% CI) | 1.00 | 1.20 (1.06–1.36) | 1.95 (1.72–2.21) | <0.0001 | |
Waist circumference (quartiles) | |||||
1st (Ref) | 2nd | 3rd | 4th | Ptrend** | |
n | 3696 | 3665 | 3441 | 3417 | |
AF cases | 293 | 375 | 476 | 631 | |
HR (95% CI) | 1.00 | 1.18 (1.01–1.37) | 1.52 (1.31–1.76) | 2.13 (1.85–2.46) | <0.0001 |
Adjusted for age, sex, race, study site, education, income, prior cardiovascular disease, cigarette smoking, height, physical activity and alcohol consumption.
Linear trend by body mass index group or waist circumference quartiles as an ordinal variable. Non-significant sex interaction between BMI categories and risk of atrial fibrillation (p = 0.34) and between waist circumference and risk of atrial fibrillation (p = 0.76). Sex specific quartiles for WC in men (women) were ≤ 92 (≤ 84) cm, 93 –98 (85 – 94) cm, 99 – 105 (95 – 105) and ≥ 106 (≥106) cm.