ABSTRACT

Long-term risk of CVD has been associated with greater adiposity in men and women, and effects are seen in diabetic and nondiabetic individuals. Results from >30 years of follow-up from the Framingham study showed a positive association with CVD risk, according to BMI level. For example, 47% of nondiabetic women with a BMI > 30 kg/m2 developed CVD during follow-up in this analysis, as shown in Figure 46.1.3

Increased BMI has been associated with a greater risk for both ischemic stroke and hemorrhagic stroke, and the association has been observed more convincingly in men than in women.4-7 Experts have reported that it is difcult to consistently show that greater BMI increases the risk of stroke in

European, North American, and Asian population groups.8 Additionally, for persons who survive a stroke the data show that persons with elevated BMI experience improved survival.9