EditorialObesity, Heart Disease, and Favorable Prognosis—Truth or Paradox?
References (8)
- et al.
Obesity and cardiovascular disease: the Hippocrates paradox?
J Am Coll Cardiol.
(2003) - et al.
Effects of cardiac rehabilitation, exercise training, and weight reduction on exercise capacity, coronary risk factors, behavioral characteristics, and quality of life in obese coronary patients
Am J Cardiol.
(1997) - et al.
Body composition and prognosis in chronic systolic heart failure: the obesity paradox
Am J Cardiol.
(2003) - et al.
Association of bodyweight with total mortality and with cardiovascular events in coronary artery disease: a systematic review of cohort studies
Lancet
(2006)
Cited by (49)
Cost-Effectiveness of Bariatric Surgery Compared With Nonsurgical Treatment in People With Obesity and Comorbidity in Colombia
2019, Value in Health Regional IssuesImpact of Body Mass Index on Outcomes in Cardiac Surgery
2016, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :The data indicated that mild obesity could decrease short-term postoperative mortality, which was consistent with previous studies that postulated the existence of an obesity paradox in a mixed cardiac surgical population in terms of in-hospital outcomes and mortality.29-33 This beneficial effect may be related to the lower systemic vascular resistance and plasma renin activity of obese patients compared with leaner patients.34 In addition, overweight and obese patients have lower levels of circulating atrial natriuretic peptides, attenuated sympathetic nervous systems, and renin-angiotensin responses.35,36
Cardiac rehabilitation in the elderly
2014, Progress in Cardiovascular DiseasesLow weight and overweightness in older adults: Risk and clinical management
2014, Progress in Cardiovascular DiseasesCitation Excerpt :Frailty and cardiac cachexia are additional concerns related to low body weight among the elderly, as they are associated with poor clinical prognosis in many conditions. In fact, a “lean paradox” may be present in which patients with both a low BF (< 25% in men and < 35% in women) and low BMI (< 25 kg/m2)34 or low LBM 33 do worse than normal weight counterparts. This paradox between BMI and mortality is also demonstrated by Childers’s mathematical model as seen in Fig. 1.51
Effects of left ventricular geometry and obesity on mortality in women with normal ejection fraction
2014, American Journal of CardiologyCardiac rehabilitation in the United States
2014, Progress in Cardiovascular Diseases