Obesity and cardiovascular risk: a call for action from the European Society of Hypertension Working Group of Obesity, Diabetes and the High-risk Patient and European Association for the Study of Obesity: part B: obesity-induced cardiovascular disease, early prevention strategies and future research directions

被引:50
作者
Kotsis, Vasilios [1 ]
Tsioufis, Konstantinos [2 ]
Antza, Christina [1 ]
Seravalle, Gino [3 ]
Coca, Antonio [4 ]
Sierra, Cristina [4 ]
Lurbe, Empar [5 ,6 ]
Stabouli, Stella [7 ]
Jelakovic, Bojan [8 ]
Redon, Josep [9 ]
Redon, Pau [9 ]
Nilsson, Peter M. [10 ]
Jordan, Jens [11 ]
Micic, Dragan [11 ]
Finer, Nicholas [12 ]
Leitner, Deborah R. [13 ]
Toplak, Hermann [14 ]
Tokgozoglu, Lale [15 ]
Athyros, Vasilios [16 ]
Elisaf, Moses [17 ]
Filippatos, Theodosios D. [18 ]
Grassi, Guido [19 ,20 ]
机构
[1] Aristotle Univ Thessaloniki, Papageorgiou Hosp, Dept Internal Med 3, Hypertens ABPM ESH Ctr Excellence 24 H, Thessaloniki, Greece
[2] Natl & Kapodistrian Univ Athens, Sch Med, Cardiol Clin 1, Hippokrat Hosp, Athens, Greece
[3] S Luca Hosp, Ist Auxol Italiano, Cardiol Dept, Milan, Italy
[4] Univ Barcelona, Hosp Clin Barcelona, Dept Internal Med, IDIBAPS,Hypertens & Vasc Risk Unit, Barcelona, Spain
[5] Univ Valencia, Consorcio Hosp Gen, Pediat Dept, Valencia, Spain
[6] Inst Salud Carlos III, CIBERObn CB06 03, Madrid, Spain
[7] Aristotle Univ Thessaloniki, Hippokrat Hosp, Dept Pediat 1, Thessaloniki, Greece
[8] Univ Hosp Ctr Zagreb, Dept Nephrol Hypertens Dialysis & Transplantat, Zagreb, Croatia
[9] Univ Valencia, INCLIVA Res Inst, Valencia, Spain
[10] Skane Univ Hosp, Dept Internal Med, Malmo, Sweden
[11] Med Sch Hannover, Inst Clin Pharmacol, Hannover, Germany
[12] Clin Ctr Serbia, Clin Endocrinol Diabet & Dis Metab, Ctr Obes, Belgrade, Serbia
[13] UCL Inst Cardiovasc Sci, Natl Ctr Cardiovasc Prevent & Outcomes, London, England
[14] Med Univ Graz, Dept Med, Graz, Austria
[15] Hacettepe Univ, Dept Cardiol, Fac Med, Ankara, Turkey
[16] Aristotle Univ Thessaloniki, Sch Med, Hippokrat Hosp, Propedeut Dept Internal Med 2, Thessaloniki, Greece
[17] Univ Ioannina, Sch Med, Dept Internal Med, Ioannina, Greece
[18] Univ Crete, Sch Med, Dept Internal Med, Iraklion, Crete, Greece
[19] Milano Bicocca Univ, Sch Med & Surg, Clin Med, Milan, Italy
[20] Multimedica, IRCCS, Milan, Italy
关键词
adolescent hypertension; atrial fibrillation; cardiorespiratory fitness; cardiovascular risk; chronic kidney disease; diabetes; dyslipidemia; hypertension; metabolically healthy obesity; obesity; sudden cardiac death; BODY-MASS INDEX; CHRONIC KIDNEY-DISEASE; GLOMERULAR-FILTRATION-RATE; METABOLICALLY HEALTHY OBESITY; OBSTRUCTIVE SLEEP-APNEA; LEFT-VENTRICULAR HYPERTROPHY; AMBULATORY BLOOD-PRESSURE; CONGESTIVE-HEART-FAILURE; VISCERAL ADIPOSE-TISSUE; INTIMA-MEDIA THICKNESS;
D O I
10.1097/HJH.0000000000001731
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Obesity predisposes for atrial fibrillation, heart failure, sudden cardiac death, renal disease and ischemic stroke, which are the main causes of cardiovascular hospitalization and mortality. As obesity and the cardiovascular effects on the vessels and the heart start early in life, even from childhood, it is important for health policies to prevent obesity very early before the disease manifestation emerge. Key roles in the prevention are strategies to increase physical exercise, reduce body weight and to prevent or treat hypertension, lipids disorders and diabetes earlier and efficiently to prevent cardiovascular complications.
引用
收藏
页码:1441 / 1455
页数:15
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