Kenchaiah S, Evans JC, Levy D, Wilson PW, Benjamin EJ, Larson MG, Kannel WB, Vasan RS. Obesity and the risk of heart failure. N Engl J Med. 2002;347:305 313. doi: 10.1056/NEJMoa020245. 193. Kenchaiah S, Sesso HD, Gaziano JM. Body mass index and vigorous physical activity and the risk of heart failure among men. Circulation. 2009;119:44 52. doi: 10.1161/ CIRCULATIONAHA.108.807289. 194. Hu G, Jousilahti P, Antikainen R, Katzmarzyk PT, Tuomilehto J. Joint effects of physical activity, body mass index, waist circumference, and waist-to-hip ratio on the risk of heart failure. Circulation. 2010;121: 237 244. doi: 10.1161/CIRCULATIONAHA.109.887893. 195. Loehr LR, Rosamond WD, Poole C, McNeill AM, Chang PP, Folsom AR, Chambless LE, Heiss G. Association of multiple anthropo- metrics of overweight and obesity with incident heart failure: the Atherosclerosis Risk in Communities study. Circ Heart Fail. 2009;2:18 24.doi:10.1161/CIRCHEARTFAILURE.108.813782. 196. Levitan EB, Yang AZ, Wolk A, Mittleman MA. Adiposity and inci- dence of heart failure hospitalization and mortality: a population- based prospective study. Circ Heart Fail. 2009;2:202 208. doi: 10.1161/CIRCHEARTFAILURE.108.794099. 197. Morricone L, Malavazos AE, Coman C, Donati C, Hassan T, Caviezel F. Echocardiographic abnormalities in normoten- sive obese patients: relationship with visceral fat. Obes Res. 2002;10:489 498. doi: 10.1038/oby.2002.67. 198. Voulgari C, Tentolouris N, Dilaveris P, Tousoulis D, Katsilambros N, Stefanadis C. Increased heart failure risk in normal-weight people with metabolic syndrome compared with metabolically healthy obese individuals [published correction appears in J Am Coll Cardiol. 2011;58:1832]. J Am Coll Cardiol. 2011;58:1343 1350. doi: 10.1016/j.jacc.2011.04.047. 199. Bahrami H, Bluemke DA, Kronmal R, Bertoni AG, Lloyd-Jones DM, Shahar E, Szklo M, Lima JA. Novel metabolic risk factors for in- cident heart failure and their relationship with obesity: the MESA (Multi-Ethnic Study of Atherosclerosis) study. J Am Coll Cardiol. 2008;51:1775 1783. doi: 10.1016/j.jacc.2007.12.048. 200. 