Table 3

Incidence rate and HR of SCD in relation to waist circumference categories in ARIC, stratified by smoking status

Waist circumference categories*
ReferenceHigh category 1High category 2High category 3P for trend
Non-smokers
 N4968198820442036
 SCD cases58222446
 Person-years63 86525 35926 00025 477
 SCD incidence†0.560.680.711.08
 Model 1 HR‡1 (ref)1.22 (0.74 to 2.01)1.25 (0.76 to 2.03)2.35 (1.56 to 3.54)0.0002
 Model 2 HR§1 (ref)0.89 (0.54 to 1.48)0.89 (0.54 to 1.47)1.27 (0.81 to 2.00)0.36
Current smokers
 N2101650636518
 SCD cases59191510
 Person-years25 125798977976246
 SCD incidence†1.812.351.831.19
 Model 1 HR‡1 (ref)1.25 (0.73 to 2.13)0.99 (0.55 to 1.77)0.75 (0.38 to 1.49)0.53
 Model 2 HR§1 (ref)1.05 (0.60 to 1.83)0.65 (0.35 to 1.20)0.42 (0.20 to 0.85)0.01
  • *Reference: <88 cm (women); <102 cm (men).

  • High category 1: 88–95 cm (women); 102–105 cm (men).

  • High category 2: 96–106 cm (women); 106–111 cm (men).

  • High category 3: 107–168 cm (women); 112–178 cm (men).

  • †Per 1000 person-year. Adjusted for age, sex, and race.

  • ‡Model 1: Cox proportional hazard model adjusted for age, sex and race, field centre, education level.

  • §Model 2: Model 1+ adjustment for SBP, antihypertensive medication use, diabetes, LDLc, HDLc, triglycerides, prevalent CHD, prevalent heart failure, resting heart rate on ECG and LVH at baseline ECG.ARIC, Atherosclerosis Risk in Communities; CHD, coronary heart disease; HDLc, high density lipoprotein cholesterol; LDLc, low density lipoprotein cholesterol; LVH, LV hypertrophy; SBP, systolic blood pressure; SCD, sudden cardiac death.