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Physical activity and cardiorespiratory fitness as underappreciated modulators of obesity-related risk of sudden cardiac death
  1. Sae Young Jae1,
  2. Sudhir Kurl2,
  3. Jari A Laukkanen2,
  4. Barry A Franklin3
  1. 1Department of Sport Science, University of Seoul, Seoul, South Korea
  2. 2Department of Medicine, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
  3. 3Preventive Cardiology and Cardiac Rehabilitation, William Beaumont Hospital, Royal Oak, Michigan, USA
  1. Correspondence to Dr Jari A Laukkanen, Department of Medicine, Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio 70100, Finland; jariantero.laukkanen{at}uef.fi

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To the Editor

We read with great interest the recent report by Adabag et al.1 Among a large cohort of middle-aged adults (n=14 491 African American and white men and women; 55% female), baseline measures of obesity, including body mass index (BMI), waist circumference and waist-to-hip ratio (WHR), were related to the incidence of sudden cardiac death (SCD, 253 cases) over a 12.6-year follow-up. BMI was indirectly associated with SCD through its adverse effects on cardiovascular risk factors, diabetes and heart disease, whereas …

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