Overweight and obesity – a major contributor to VTE
In a recent study, we showed that 1/4 of all venous thromboembolism (VTE) events in the population can be attributed to overweight and obesity.
Obesity has emerged as one of the most relevant modifiable risk factors for venous thromboembolism (VTE) over the past decades. Obesity is associated with a two- to three-fold increased risk of VTE, and the risk increases linearly with increasing body mass index (BMI). However, data on the proportion of incident VTEs attributed to overweight and obesity in the general population are limited. We therefore investigated the population attributable fraction of overweight and obesity for VTE using data from the 4-7 surveys of the Tromsø study. More than 36 000 people were included in the study and followed for a median of 14 years.
We found that almost 25% of all VTEs in the population could be attributed to overweight and obesity. Thus, from a public health perspective, overweight and obesity are major contributors to the VTE burden in the general population. Our findings further suggest that public health efforts to lower the prevalence of obesity along with targeted interventions to reduce thrombosis risk in overweight and obese individuals may substantially lower the incidence of VTE in the general population.
The paper was published online in Thrombosis and Haemostasis in August 2023, and it also received an accompanying editorial commentary.
You can find the original paper here:
Frischmuth et al. The Risk of Incident Venous Thromboembolism Attributed to Overweight and Obesity: The Tromsø Study. Thromb Haemost 2023 Aug 7. doi: 10.1055/s-0043-1772212.
Editorial commentary:
Martin et al. Venous Thromboembolism and Obesity: Moving Toward a Better Understanding of the Population-Attributable Risk. Thromb Haemost. 2023 Oct 9. doi: 10.1055/s-0043-1776010.
Obesity is a risk factor for VTE. Illustration: MostPhotos.com
Published: 07.08.2023
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