{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T18:36:02Z","timestamp":1793126162228,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100007051","name":"Uppsala Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007051","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To quantify real\u2010world diagnosis and treatment of obesity in Sweden, describe cardiometabolic comorbidity burden across obesity classes, and compare long\u2010term cardiovascular outcomes with the general population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      This population\u2010based cohort study used the AROS\n                      <jats:italic>(Analysis of Real\u2010world data of patients with Obesity in Sweden)<\/jats:italic>\n                      database to identify adults with a recorded BMI \u2265\u200930\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      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\u201010: E66), healthcare setting at first BMI \u2265\u200930\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , cardiometabolic comorbidity profiles, treatment patterns and long\u2010term cardiovascular outcomes. Cardiovascular outcomes were compared with a matched general population.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In 2022, recorded obesity prevalence was 13.6%. Amongst 328\u2009094 individuals with obesity (mean age 53.5\u2009years; 55.0% women), 67.6% had at least one cardiometabolic comorbidity. At the first observed BMI \u2265\u200930\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (index), 28.8% had a recorded obesity diagnosis, increasing to 48.0% 5\u2009years later. Index BMI was most often recorded in primary care (39.7%). Within 5\u2009years after index, 7.8% had received obesity\u2010management 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\u20132.40).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Obesity remains underdiagnosed and undertreated in Swedish healthcare, despite a high burden of cardiometabolic comorbidities and substantially higher long\u2010term cardiovascular risk compared with the general population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70845","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T05:22:51Z","timestamp":1778736171000},"page":"6787-6800","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Underdiagnosed and Undertreated: Obesity and Its Cardiometabolic Burden in Swedish Clinical Practice\u2014Insights From the\n                    <scp>AROS<\/scp>\n                    Database"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3385-4777","authenticated-orcid":false,"given":"Viveca","family":"Ritsinger","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Medicine Solna Karolinska Institute  Stockholm Sweden"},{"name":"Department of Research and Development Region Kronoberg  V\u00e4xj\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magnus","family":"Sundbom","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonatan","family":"Dereke","sequence":"additional","affiliation":[{"name":"Novo Nordisk Scandinavia AB  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c5sa","family":"Ericsson","sequence":"additional","affiliation":[{"name":"Novo Nordisk Scandinavia AB  Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Cars","sequence":"additional","affiliation":[{"name":"Sence Research AB  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria K.","family":"Svensson","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Renal Medicine Uppsala University  Uppsala Sweden"},{"name":"Uppsala Clinical Research Centre  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4467-0132","authenticated-orcid":false,"given":"Anna","family":"Norhammar","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Solna Karolinska Institute  Stockholm Sweden"},{"name":"Capio S:T G\u00f6rans Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"EU\u2010SILC \u201cOverweight and Obesity\u2014BMI Statistics \u201d2024 https:\/\/ec.europa.eu\/eurostat\/statistics\u2010explained\/index.php?title=Overweight_and_obesity_\u2010_BMI_statistics."},{"key":"e_1_2_10_3_1","unstructured":"Folkh\u00e4lsomyndigheten \u201cStatistik om \u00f6vervikt och obesitas 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