Belly fat linked to heart failure risk through inflammation
- On March 17, researchers presented that waist-based measures predicted future heart failure risk more strongly than body mass index at the American Heart Association EP Lifestyle Scientific Sessions 2026.
- Because body mass index can't show fat distribution, its usefulness for cardiovascular risk is limited, while visceral abdominal fat links to inflammation and harmful metabolic signals.
- Using waist circumference and waist-to-height ratio, the team observed that higher measures were linked to greater heart failure risk, with inflammation explaining about one-third of that link.
- Study authors recommended integrating waist measures into routine care, urging belly fat measurement to detect adults with 'normal-weight obesity' despite preliminary, not peer-reviewed findings.
- Practical guidance recommends using a tape measure around bare abdomen above hips and below ribs in line with the bellybutton, with Cleveland Clinic thresholds of 35-plus inches for women and 40-plus inches for men and a healthy British Heart Foundation waist-to-height ratio up to 0.49.
17 Articles
17 Articles
You Can Have a Normal Weight and Still Be at Risk for Heart Failure
Research Highlights Fat stored around the waist, often called belly fat or visceral fat, showed a much stronger link to heart failure risk than body mass index (BMI), making waist size a more revealing measure of risk. Inflammation throughout the body emerged as a major factor connecting abdominal fat to heart failure, accounting for roughly [...]
Waist-to-height ratio predicts heart failure incidence
Risk of heart failure (HF) has been shown to increase as body mass index (BMI) increases; however, BMI has limitations as an obesity measure. Over median follow-up of 13 years, waist-to-height ratio (WtHR) was found to significantly predict incident HF in almost 2,000 individuals in the Malm Preventive Project. WtHR may be a better metric than BMI to identify patients with HF who could benefit from targeted obesity interventions.
Belly fat linked to heart failure risk through inflammation
New research suggests that measures of excess weight around the waist (central obesity or visceral fat) may increase the risk of heart failure primarily due to inflammation, according to findings presented at the American Heart Association's EPI|Lifestyle Scientific Sessions 2026.
This metric is a better predictor of heart failure than high BMI
Extra belly fat may be a bigger red flag for heart health than body mass index (BMI), according to a new study. BMI, a screening tool widely used to determine whether people are at a “normal” weight, may not be as useful in assessing health and cardiovascular risk as previously thought. Researchers found that having higher levels of fat stored around the abdomen was more strongly associated with heart failure risk than a high bodyweight or BMI, …
Excess abdominal fat can be a more reliable indicator of the risk of heart failure and inflammation than body mass index (BMI).
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