Abstract
Obesity rates are rising and are associated with the development of premature cardiovascular and other diseases. Obesity is often identified by measures of body mass index (BMI). BMI measurement has limitations, especially when used as a metric among children and within certain populations, such as South Asians. While there is an enthusiasm for exploring endocrine functions of visceral fat and imaging it noninvasively, the benefits of such studies may have more academic than clinical merit. Of all the controversies in obesity, the obesity paradox remains one of the most elusive to explain. Perhaps the greatest controversial challenge to improve public health will be to manipulate dietary conditions whereby energy input = energy output.
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References
Diabetes & obesity: a heavy burden. Report from Diabetes UK. 2005;03:3–17.
Lavie CJ, Milani MD, Ventura HO. Obesity and cardiovascular disease. Risk factor, paradox, and impact of weight loss. J Am Coll Cardiol. 2009;53:1925–32.
Statistics on obesity, physical activity, and diet: England. The NHS Information Centre. 2012. Available at www.ic.nhs.uk/pubs/opad12.
Hardoon SL, Morris RW, Whincup PH, Shipley MJ, Britton AR, Masset G, et al. Rising adiposity curbing decline in the incidence of myocardial infarction: 20-year follow-up of British men and women in the Whitehall II cohort. Eur Heart J. 2012;33:478–85.
Lavie CJ, De Schutter A, Patel DA, Romero-Corral A, Artham SM, Milani RV. Body composition and survival in stable coronary heart disease. Impact of lean mass index and body fat in the “obesity paradox”. J Am Coll Cardiol. 2012;60(15):1374–80.
Poirier P. Cardiologists and abdominal obesity: lost in translation? Heart. 2009;95:1033–5.
Morrell J, Fox KAA. Prevalence of abdominal obesity in primary care: the IDEA UK study. Int J Clin Pract. 2009;63:1301–7.
Faeh D, Braun J, Bopp M. Body mass index vs cholesterol in cardiovascular disease risk prediction models. (Research letter). Arch Intern Med. 2012;172(22):1766–8.
Griffiths C, Gately P, Marchant PR, Cooke CB. Cross-sectional comparisons of BMI and waist circumference in British children: mixed public health messages. Obesity. 2012;20:1258–60.
Gupta M, Singh N, Verma S. South Asians and cardiovascular risk. What clinicians should know. Circulation. 2006;113:e924–9.
Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, INTERHEART Study Investigators, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case–control study. Lancet. 2004;364:937–52.
Kumar S, Hanif W, Zaman MJ, Sattar N, Patel K, Khunti K. Lower thresholds for diagnosis and management of obesity in British South Asians. Int J Clin Pract. 2011;65:375–9.
Wong CX, Abed HS, Molaee P, Nelson AJ, Brooks AG, Sharma G, et al. Pericardial fat is associated with atrial fibrillation severity and ablation outcome. J Am Coll Cardiol. 2011;57:1745–51.
Angeras O, Albertsson P, Karason K, Råmunddal T, Matejka G, James S, et al. Evidence for obesity paradox in patients with acute coronary syndromes:a report from the Swedish Coronary Angiography and Angioplasty Registry. Eur Heart J. 2013;34(5):345–53.
Purcell H, Daly C, Day C, Ziso B, Wilding J. Chapter 1. Chronic non-communicable diseases: adding weight to evidence. In: Chronic non-communicable diseases: weight of evidence for an ounce of prevention. London: NSHI Publishers; 2012. p. 1–11.
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Purcell, H.J. (2014). Obesity and the Heart Disease Patient: Controversies Abound. In: Haslam, D., Sharma, A., le Roux, C. (eds) Controversies in Obesity. Springer, London. https://doi.org/10.1007/978-1-4471-2834-2_19
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DOI: https://doi.org/10.1007/978-1-4471-2834-2_19
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