Impact of Obesity on Cardiovascular Disease

被引:102
作者
Zalesin, Kerstyn C. [1 ]
Franklin, Barry A. [2 ]
Miller, Wendy M. [3 ]
Peterson, Eric D. [4 ]
McCullough, Peter A. [1 ]
机构
[1] William Beaumont Hosp, Dept Med, Div Nutr & Preventat Med, Royal Oak, MI 48073 USA
[2] William Beaumont Hosp, Cardiac Rehabil & Exercise Labs, Royal Oak, MI 48073 USA
[3] William Beaumont Hosp, Weight Control Ctr, Div Nutr & Preventat Med, Royal Oak, MI 48073 USA
[4] Duke Univ, Sch Med, Duke Clin Res Inst, Durham, NC 27705 USA
关键词
D O I
10.1016/j.ecl.2008.06.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The epidemiology of cardiovacular disease risk factors is changing rapidly with the obesity pandemic. Obesity is independently associated with the risks for coronary heart disease, atrial fibrillation, and heart failure. Intra-abdominal obesity is also unique as a cardiovascular risk state in that it contributes to or directly causes most other modifiable risk factors, namely, hypertension, dysmetabolic syndrome, and type 2 diabetes mellitus. Obesity can also exacerbate cardiovascular disease through a variety of mechanisms including systemic inflammation, hypercoagulability, and activation of the sympathetic and reninangiotensin systems. Thus, weight reduction is a key strategy for simultaneous improvement in global cardiovascular risk, with anticipated improvements in survival and quality of life.
引用
收藏
页码:663 / +
页数:23
相关论文
共 122 条
[1]   Annual deaths attributable to obesity in the United States [J].
Allison, DB ;
Fontaine, KR ;
Manson, JE ;
Stevens, J ;
VanItallie, TB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (16) :1530-1538
[2]   Obesity cardiomyopathy: Pathophysiology and evolution of the clinical syndrome [J].
Alpert, MA .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 2001, 321 (04) :225-236
[3]   Endothelium-dependent coronary vasomotion relates to the susceptibility of LDL to oxidation in humans [J].
Anderson, TJ ;
Meredith, IT ;
Charbonneau, F ;
Yeung, AC ;
Frei, B ;
Selwyn, AP ;
Ganz, P .
CIRCULATION, 1996, 93 (09) :1647-1650
[4]  
[Anonymous], 2001, The Surgeon Generals call to action to prevent and decrease overweight and obesity
[5]   ATHEROGENIC LIPOPROTEIN PHENOTYPE - A PROPOSED GENETIC-MARKER FOR CORONARY HEART-DISEASE RISK [J].
AUSTIN, MA ;
KING, MC ;
VRANIZAN, KM ;
KRAUSS, RM .
CIRCULATION, 1990, 82 (02) :495-506
[6]   Hypertriglyceridemia as a cardiovascular risk factor [J].
Austin, MA ;
Hokanson, JE ;
Edwards, KL .
AMERICAN JOURNAL OF CARDIOLOGY, 1998, 81 (4A) :7B-12B
[7]   Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults [J].
Berenson, GS ;
Srinivasan, SR ;
Bao, WH ;
Newman, WP ;
Tracy, RE ;
Wattigney, WA .
NEW ENGLAND JOURNAL OF MEDICINE, 1998, 338 (23) :1650-1656
[8]   Bilateral leg edema, obesity, pulmonary hypertension, and obstructive sleep apnea [J].
Blankfield, RP ;
Hudgel, DW ;
Tapolyai, AA ;
Zyzanski, SJ .
ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (15) :2357-2362
[9]   Association of overweight with increased risk of coronary heart disease partly independent of blood pressure and cholesterol levels - A meta-analysis of 21 cohort studies including more than 300,000 persons [J].
Bogers, Rik P. ;
Bemelmans, Wanda J. E. ;
Hoogenveen, Rudolf T. ;
Boshuizen, Hendriek C. ;
Woodward, Mark ;
Knekt, Paul ;
van Dam, Rob M. ;
Hu, Frank B. ;
Visscher, Tommy L. S. ;
Menotti, Alessandro ;
Thorpe, Roland J., Jr. ;
Jamrozik, Konrad ;
Calling, Susanna ;
Strand, Bjorn Heine ;
Shipley, Martin J. .
ARCHIVES OF INTERNAL MEDICINE, 2007, 167 (16) :1720-1728
[10]   Obesity as a prognostic factor in chronic symptomatic heart failure [J].
Bozkurt, B ;
Deswal, A .
AMERICAN HEART JOURNAL, 2005, 150 (06) :1233-1238