Obesity and the Obesity Paradox in Heart Failure

被引:133
作者
Clark, Adrienne L. [1 ]
Fonarow, Gregg C. [2 ]
Horwich, Tamara B. [2 ]
机构
[1] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Los Angeles, CA 90095 USA
[2] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA
关键词
Body mass index; Heart failure; Obesity paradox; Waist circumference; BODY-MASS INDEX; NATRIURETIC PEPTIDE LEVELS; ALL-CAUSE MORTALITY; WAIST CIRCUMFERENCE; CARDIOVASCULAR-DISEASE; PHYSICAL-ACTIVITY; ADIPOSE-TISSUE; BARIATRIC SURGERY; EPICARDIAL FAT; WEIGHT-LOSS;
D O I
10.1016/j.pcad.2013.10.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Obesity is a growing public health problem in the general population, and significantly increases the risk for the development of new-onset heart failure (HF). However, in the setting of chronic HF, overweight and mild to moderate obesity is associated with substantially improved survival compared to normal-weight patients. Evidence exists for an "obesity paradox" in HF, with the majority of data measuring obesity by body mass index, but also across various less-frequently used measures of body fat (BF) and body composition including waist circumference, waist-hip ratio, skinfold estimates of percent BF, and bioelectrical impedance analysis of body composition. Other emerging areas of investigation such as the relationship of the obesity paradox to cardiorespiratory fitness are also discussed. Finally, this review explores various explanations for the obesity paradox, and summarizes the current evidence for intentional weight loss treatments for HF in context. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:409 / 414
页数:6
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