2026-06-24 カロリンスカ研究所（KI）
＜関連情報＞
- https://news.ki.se/high-risk-of-cardiovascular-disease-in-obesity
- https://dom-pubs.pericles-prod.literatumonline.com/doi/10.1111/dom.70845
診断不足と治療不足：スウェーデンの臨床現場における肥満とその心血管代謝への負担―AROSデータベースからの知見 Underdiagnosed and Undertreated: Obesity and Its Cardiometabolic Burden in Swedish Clinical Practice—Insights From the AROS Database
Viveca Ritsinger, Magnus Sundbom, Jonatan Dereke, Åsa Ericsson, Thomas Cars, Maria K. Svensson, Anna Norhammar
Diabetes, Obesity and Metabolism Published: 13 May 2026
DOI:https://doi.org/10.1111/dom.70845
ABSTRACT
Aims
To quantify real-world diagnosis and treatment of obesity in Sweden, describe cardiometabolic comorbidity burden across obesity classes, and compare long-term cardiovascular outcomes with the general population.
Materials and Methods
This population-based cohort study used the AROS (Analysis of Real-world data of patients with Obesity in Sweden) database to identify adults with a recorded BMI ≥ 30 kg/m2 between January 2013 and June 2023. Individuals were stratified by obesity class. Baseline demographics, comorbidities, medications and laboratory values were described. Outcomes included recorded obesity prevalence, obesity diagnosis (ICD-10: E66), healthcare setting at first BMI ≥ 30 kg/m2, cardiometabolic comorbidity profiles, treatment patterns and long-term cardiovascular outcomes. Cardiovascular outcomes were compared with a matched general population.
Results
In 2022, recorded obesity prevalence was 13.6%. Amongst 328 094 individuals with obesity (mean age 53.5 years; 55.0% women), 67.6% had at least one cardiometabolic comorbidity. At the first observed BMI ≥ 30 kg/m2 (index), 28.8% had a recorded obesity diagnosis, increasing to 48.0% 5 years later. Index BMI was most often recorded in primary care (39.7%). Within 5 years after index, 7.8% had received obesity-management medication and 4.2% had undergone bariatric surgery. Compared with matched population representatives, the obesity cohort had higher cumulative incidence across all cardiovascular outcomes, with the largest relative difference for heart failure hospitalisation (HR 2.34, 95% CI 2.29–2.40).
Conclusions
Obesity remains underdiagnosed and undertreated in Swedish healthcare, despite a high burden of cardiometabolic comorbidities and substantially higher long-term cardiovascular risk compared with the general population.
