Lifetime Average Cannabis Use in Relation to Hypertriglyceridemic Waist Phenotype in U.S. Adults: A Population-Based Cross-Sectional Study

Abstract

Background and Aims: With a growing number of states legalizing recreational or medical cannabis, prevalence of cannabis users is expected to markedly increase in the future. We aim to determine the association between lifetime cannabis use and the likelihood for hypertriglyceridemic waist (HTGW + /+) phenotype in U.S. adults. Methods: We abstracted data from the National Health and Nutrition Examination Survey from 2009 to 2016. We estimated the minimal lifetime cannabis use using the duration of regular exposure and the frequency of use. Outcomes were HTGW + /+ phenotype, defined as being waist circumference >90 cm (for men) or 85 cm (for women), and serum fasting triglycerides ‡177 mg/dL. We used multiple logistic regression models to estimate the adjusted odds ratio (AOR) and 95% confidence intervals (CIs). Results: Of the 47,364 adults included, 48.5% were women. The prevalence of HTGW + /+ phenotype was 11.7%. Current, but not former, users were less likely to show HTGW + /+ phenotype. Current cannabis users with greater or equal to four uses per week showed a significant lower likelihood for HTGW + /+ than those who never used cannabis (AOR 0.46 [95% CI, 0.22-0.97]). HTGW + /+ phenotype was associated with neither two to three uses per week (AOR 1.12 [95% CI, 0.40-3.12]) nor less than two uses per week (AOR 0.56 [95% CI, 0.18-1.73]). Conclusions: Average lifetime frequency of greater or equal to four cannabis uses per week is linked to lower odds of HTGW + /+ in current users. Former use is not associated with HTGW + / + .

Cannabis use as a factor of lower corpulence in hepatitis C-infected patients: results from the ANRS CO22 Hepather cohort

“…For instance, Ngueta et al, among Inuit adults, found an OR of 0.56 for obesity (BMI ≥ 30 kg/m 2 ) for past-year cannabis use as compared to non-users (Ngueta et al 2015 ). They also found a similar association between frequent cannabis use (but not former nor infrequent use) and concurrent elevated triglycerides and waist circumference (Ngueta 2020 ). However, causal association was not found in a recent Mendelian randomization study (Alayash et al 2021 ).…”