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Correspondence
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Volume 347:1887-1889 December 5, 2002 Number 23
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Obesity and the Risk of Heart Failure

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 by Massie, B. M.
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 by Kenchaiah, S.
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To the Editor: The report by Kenchaiah et al. (Aug. 1 issue)1 and the accompanying editorial by Massie2 show the important association between any increased body-mass index and the risk of heart failure. However, several reports have now indicated that abdominal fat may be at least as important as body-mass index in determining cardiac risk. Lakka et al.3 found that the waist-to-hip ratio provided additional information beyond body-mass index that helped in predicting coronary heart disease, whereas the reverse did not apply. That study, involving 1346 Finnish men 42 to 60 years of age, showed an increase by nearly a . . . [Full Text of this Article]




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