Waist-to-height ratio trumps BMI in heart failure outcomes

Published on March 22, 2023

New research has revealed that the long-believed ‘obesity paradox’, where overweight or obese patients with heart failure were assumed to fare better than those of normal weight, may not actually exist. The study, published in the European Heart Journal, suggests that measuring the ratio of waist to height is a more accurate indicator for predicting outcomes in these patients than relying solely on body mass index (BMI). By examining the waist-to-height ratio, doctors can effectively assess the risk of hospitalization or death among patients with heart failure. This finding challenges previous assumptions and calls for a reassessment of how healthcare professionals evaluate and address obesity and its impact on cardiac health. It is crucial for individuals suffering from heart failure to be aware of their waist-to-height ratio as a potential marker for health outcomes. Further research is needed to explore this relationship and determine the most effective interventions for improving patient outcomes.

New research has debunked the idea that there is an ‘obesity paradox’, whereby patients with heart failure who are overweight or obese are thought to be less likely to end up in hospital or die than people of normal weight. The study, which is published in the European Heart Journal, shows that if doctors measure the ratio of waist to height of their patients, rather than looking at their body mass index (BMI), the supposed survival advantage for people with a BMI of 25kg/m2 or more disappears.

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