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Obesity paradox in patients with heart failure

Czech version

Authors: Ján Murín 1;  Martin Wawruch 2;  Jozef Bulas 1;  František Mikla 1;  Soňa Kiňová 1
Authors‘ workplace: I. interná klinika LF UK a UNB, Nemocnica Staré Mesto, Bratislava 1;  Ústav farmakológie a klinickej farmakológie LF UK v Bratislave 2
Published in: Forum Diab 2018; 7(2): 105-107
Category: Review Article

Overview

Obesity and heart failure are nowadays frequent epidemics. If a young person (about 20–25 years old) is obese, it is in greater risk to be cardiovascularly ill (heart failure included) when being ≥ 50–60 years old in comparison with another non-obese person and it will also be at risk for development of type 2 diabetes when ≥ 50 years old. Basic research is able to explain these associations. Many years ago clinicians noticed that overweight/obese persons suffering a chronic cardiovascular (heart failure included) disease have a lower morbidity / mortality in comparison with a normal weight patients. The greatest morbidity / mortality risk is in low-weight (cachectic) patients. Authors try to explain this pathophysiology of „obesity paradox“. It is a “paradox“ in healthy persons, but in patients it is „obesity paradigm“.

Key words:

cardiovascular diseases heart failure obesity obesity paradox

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Labels
Diabetology Endocrinology Internal medicine
The current situation in the management of obese patients in Slovakia: the concept of national comprehensive obesity management in the Slovak Republic
The management of the obesity-induced hypertension
Is obesity a real cardiovascular risk factor?
Nonalcoholic fatty liver disease and metabolic syndrome
Can bariatric surgery help in the treatment of obese type 2 diabetic patients?
Predictors of weight loss and weight regain after bariatric surgery
Management after bariatric surgery
Article was published in

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2018 Issue 2
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