The impact of obesity on risk factors and prevalence and prognosis of coronary heart disease-the obesity paradox
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Publication Details
Output type: Journal article
Author list: De Schutter A., Lavie C., Milani R.
Publisher: Elsevier
Publication year: 2014
Journal: Progress in Cardiovascular Diseases (0033-0620)
Volume number: 56
Issue number: 4
Start page: 401
End page: 408
Number of pages: 8
ISSN: 0033-0620
eISSN: 1873-1740
URL: http://api.elsevier.com/content/abstract/scopus_id:84892432214
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Open access status: closed
Abstract
Obesity is associated with a host of cardiovascular risk factors and its prevalence is rising rapidly. Despite strong evidence that obesity predisposes to the development and progression of coronary heart disease (CHD), numerous studies have shown an inverse relationship between various measures of obesity (most commonly body mass index) and outcomes in established CHD. In this article we review the evidence surrounding the < obesity paradox. ≫ in the secondary care of CHD patients and the CHD presentations where a paradox has been found. Finally we discuss the impact of cardiorespiratory fitness and a number of mechanisms which may offer potential explanations for this puzzling phenomenon. © 2014 Elsevier Inc.
Keywords
Coronary heart disease, Obesity, Obesity paradox
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