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Here, the relationship between central obesity and CAD across albuminuria categories in type 1 diabetes was investigated. Data on 4,349 individuals without prior CAD from the Finnish Diabetic Nephropathy Study were analyzed. Central obesity was defined as waist-to-height ratio (WHtR) \u22650.5. Outcomes included acute myocardial infarction, coronary revascularizations, and CAD-related death. Associations were assessed with Cox regression adjusted for baseline covariates. Over a median 19-year follow-up, 664 CAD events (15.3%) occurred. The 10- and 20-year cumulative CAD incidences were 11.6% and 25.3%, respectively, in those with central obesity versus 4.4% and 9.9% without, respectively. In multivariable analysis, the hazard ratio for CAD per 0.1-unit WHtR increase was 1.21 (95% CI, 1.06\u20131.38; P = 0.006) overall and 1.26 (95% CI, 1.02\u20131.56; P = 0.03) among those without albuminuria. In conclusion, WHtR is associated with increased CAD risk in type 1 diabetes, particularly among those without albuminuria.<\/jats:p>","DOI":"10.2337\/dc25-2811","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T17:58:12Z","timestamp":1776189492000},"page":"1095-1099","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":2,"title":["Waist-to-Height Ratio Is Associated With the Risk of Coronary Artery Disease in Type 1 Diabetes: A 19-Year Cohort Study"],"prefix":"10.2337","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8101-912X","authenticated-orcid":false,"given":"Erika Bezerra","family":"Parente","sequence":"first","affiliation":[{"name":"Folkh\u00e4lsan Research Center 1 , Helsinki, Finland"},{"name":"Department of Nephrology, University of Helsinki and Helsinki University Hospital 2 , Helsinki, Finland"},{"name":"Research Program for Clinical and Molecular Metabolism, 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