Energy balance
A reduction in waist circumference (WC) is significantly associated with a lower risk of heart failure with preserved ejection fraction (HFpEF), but not heart failure with reduced ejection fraction (HFrEF).
For people with type 2 diabetes, reducing waist size is particularly effective at preventing heart failure with preserved ejection fraction (HFpEF). While overall fat loss helps, targeting central adiposity (waist circumference) offers specific protection against this subtype of heart failure. Monitor your waist as a key health indicator.
In contrast, short-term (1-year) decline in WC was significantly associated with lower risk of HFpEF (HR, 0.61 [95% CI, 0.44–0.83]) but not HFrEF.
Why this rating
Large randomized trial with long follow-up and adjudicated outcomes.
Source
Association of Baseline and Longitudinal Changes in Body Composition Measures With Risk of Heart Failure and Myocardial Infarction in Type 2 Diabetes
Kershaw V. Patel et al. · Circulation · 2020
DOI 10.1161/circulationaha.120.050941
More from this paper
- In adults with type 2 diabetes, a 10% reduction in fat mass (FM) over one year is significantly associated with a lower risk of incident heart failure (HF), whereas changes in lean mass (LM) are not significantly associated with HF risk.Good
- Longitudinal changes in body composition (fat mass, lean mass, or waist circumference) are not significantly associated with the risk of myocardial infarction (MI) in patients with type 2 diabetes.Good
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →