Prevention of coronary heart disease - role of body weight

被引:0
作者
Wirth, A
Gohlke, H
机构
[1] Teutoburger Wald Klin, D-49214 Bad Rothenfelde, Germany
[2] Klin Kardiol 2, Herzzentrum, Bad Krozingen, Germany
来源
ZEITSCHRIFT FUR KARDIOLOGIE | 2005年 / 94卷
关键词
obesity; risk factors; coronary heart disease; atherosclerosis;
D O I
10.1007/s00392-005-1305-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The prevalence of obesity has increased considerably in recent years; only one third of our population displays a desirable, healthy weight. Persons with increased body fat mass are in a constant pro-inflammatory and pro-thrombotic condition; in addition they are often insulin-resistant und show cardiovascular risk factors. Therefore, obesity induces the development of atherosclerosis as an independent risk factor as well as a promoter for other risk factors. In addition, congestive heart failure is more frequent in obese subjects. By reducing body weight with a decrease of predominantly visceral fat all risk factors are improved as well as endothelial function. Effects on coronary atherosclerosis and congestive heart disease are until now insufficiently investigated.
引用
收藏
页码:22 / 29
页数:8
相关论文
共 29 条
[1]   Body fat distribution predicts the degree of endothelial dysfunction in uncomplicated obesity [J].
Arcaro, G ;
Zamboni, M ;
Rossi, L ;
Turcato, E ;
Covi, G ;
Armellini, F ;
Bosello, O ;
Lechi, A .
INTERNATIONAL JOURNAL OF OBESITY, 1999, 23 (09) :936-942
[2]  
Assmann G, 1993, LIPID METABOLISM DIS, P19
[3]  
Bergmann K E, 1999, Gesundheitswesen, V61 Spec No, pS115
[4]   Usefulness of visceral obesity (waist/hip ratio) in predicting vascular endothelial function in healthy overweight adults [J].
Brook, RD ;
Bard, RL ;
Rubenfire, M ;
Ridker, PM ;
Rajagopalan, S .
AMERICAN JOURNAL OF CARDIOLOGY, 2001, 88 (11) :1264-1269
[5]   Body-mass index and mortality in a prospective cohort of US adults [J].
Calle, EE ;
Thun, MJ ;
Petrelli, JM ;
Rodriguez, C ;
Heath, CW .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 341 (15) :1097-1105
[6]  
*DTSCH AD GES, 2003, LEITL DTSCH AD GES
[7]   Impact of body mass index on outcome after percutaneous coronary intervention (the obesity paradox) [J].
Gurm, HS ;
Brennan, DM ;
Booth, J ;
Tcheng, JE ;
Lincoff, AM ;
Topol, EJ .
AMERICAN JOURNAL OF CARDIOLOGY, 2002, 90 (01) :42-+
[8]   Lifestyle modification improves endothelial function in obese subjects with the insulin resistance syndrome [J].
Hamdy, O ;
Ledbury, S ;
Mullooly, C ;
Jarema, C ;
Porter, S ;
Ovalle, K ;
Moussa, A ;
Caselli, A ;
Caballero, AE ;
Economides, PA ;
Veves, A ;
Horton, ES .
DIABETES CARE, 2003, 26 (07) :2119-2125
[9]   INFLUENCE OF OBESITY ON MORBIDITY AND MORTALITY AFTER ACUTE MYOCARDIAL-INFARCTION [J].
HOIT, BD ;
GILPIN, EA ;
MAISEL, AA ;
HENNING, H ;
CARLISLE, J ;
ROSS, J .
AMERICAN HEART JOURNAL, 1987, 114 (06) :1334-1341
[10]   OBESITY AS AN INDEPENDENT RISK FACTOR FOR CARDIOVASCULAR-DISEASE - A 26-YEAR FOLLOW-UP OF PARTICIPANTS IN THE FRAMINGHAM HEART-STUDY [J].
HUBERT, HB ;
FEINLEIB, M ;
MCNAMARA, PM ;
CASTELLI, WP .
CIRCULATION, 1983, 67 (05) :968-977