Navigation Links
Obese People Seem to Do Better With Heart Disease
Date:5/18/2009

Still, it's best to lose that excess weight, review says

MONDAY, May 18 (HealthDay News) -- The excess fat that leads people to develop heart disease can help them fight against the condition's worst effects, a review of cardiac studies shows.

It's the "obesity paradox," said Dr. Carl J. Lavie, medical director of cardiac rehabilitation and prevention at the Ochsner Medical Center in New Orleans, and lead author of the review, which appears in the May 26 issue of the Journal of the American College of Cardiology.

"Obesity is a major problem that contributes significantly to increased risk of heart disease and mortality," Lavie said. "But once you get high blood pressure, blocked heart arteries and peripheral arterial disease, the obese patients do better than the lean patients. The obesity paradox has been written about for years, but still many doctors are not aware of it."

His report looked at data from 40 studies of 250,000 people with heart disease, Lavie said. He wanted not only to remind doctors of the paradox, but also to warn them and the general public that it offers no excuse for being fat, he said.

Some physicians have misinterpreted the evidence to mean that obese people with heart disease should not be encouraged to lose weight, Lavie said.

"Obesity causes many of the known risk factors, such as diabetes and high blood pressure, and it is an independent risk factor on its own," he said. "The patients with heart disease who do the best are the obese who lose weight."

There are several possible explanations for the paradox, Lavie said.

One is that obese people visit physicians earlier than others because they develop symptoms, such as fatigue and breathing problems. Heart disease is more treatable if identified early.

It's also conceivable that something in the excess fat cells of obese people might have a protective value, Lavie said.

"People who have more weight can have more reserve ability to fight disease," he said. "Take breast cancer. Obesity may help cause breast cancer, but a 200-pound woman might be able to fight breast cancer better than a 100-pound woman because she has more metabolic reserve."

It's well-known that obesity leads to heart disease, and that's a big part of the paradox, Lavie said. "These people wouldn't have developed heart disease in the first place if they weren't obese," he said. "A thin person is getting it [heart disease] for a different reason, so he or she is getting a worse form of the disease, getting the disease despite being thin."

Lavie worries that people might get the wrong idea from his report. "Obesity in the United States is a major problem," he said. "It is increasing in skyrocketing proportions. It is a major contributor to the epidemic of heart disease. We don't want people to be hearing that obesity is good."

More information

Obesity in the United States and the medical problems associated with it are described by the U.S. Centers for Disease Control and Prevention.



SOURCES: Carl J. Lavie, M.D., medical director, cardiac rehabilitation and prevention, Ochsner Medical Center, New Orleans; May 26, 2009, Journal of the American College of Cardiology


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Morbidly Obese Lose Hundreds of Pounds, Gain New Mentality at Live-In Fitness Retreat
2. Extra support helps obese women cycle to and from work
3. Obese Children More Likely to Suffer Lower Body Injuries
4. New Study Shows Morbidly Obese Workforce Has Higher Prevalence of 100+ Diseases and Conditions
5. Omega-3s May Benefit Newborns, Menopausal Women and Obese Individuals
6. Most New EMS Recruits Overweight or Obese
7. Obese women play cancer roulette
8. Stress May Raise Diabetes Risk for Obese Black Women
9. Fasting Signal Offers Clues to Insulin Resistance in the Obese
10. One in Five Augustans With Type 2 Diabetes Mistakenly Believe That Being Obese or Overweight Can Positively Impact Their Disease
11. Obese Moms More Likely to Have Babies With Birth Defects
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/5/2016)... ... 05, 2016 , ... In sleep, when the defenses of the day are ... of patients with eating disorders is significant self-criticism, and consequently these patients experience this ... regarded as maladaptive means for coping with this unease, but also leads to a ...
(Date:2/5/2016)... ... 2016 , ... California Mobile Kitchens , a company ... latest mobile kitchen model, featuring customizable stainless steel interiors and a new, 26-foot ... use anywhere in the U.S. Many of their units can be seen at ...
(Date:2/5/2016)... ... 05, 2016 , ... Calls Blacklist has just been updated by mobile app ... the developer has fixed known bugs within the app. Calls Blacklist allows its users ... not consuming any of their device’s battery power or memory. It provides a powerful ...
(Date:2/5/2016)... ... ... –This week, Atascadero water heater company First Call Plumbing has ... the report, click here or see below. , There are two ... cons, the type chosen is almost entirely up to personal preference. However, tankless water ...
(Date:2/5/2016)... ... ... one is tired of trying to cram belongings into spare space that just isn’t there, ... unit, but before hastily spending money on a unit, take these tips into consideration. , ... one is often not told when utilizing these services are some tips on how to ...
Breaking Medicine News(10 mins):
(Date:2/4/2016)... -- Frontier Pharma: Chronic Obstructive Pulmonary Disease (COPD) ... Chronic Obstructive Pulmonary Disease (COPD) is a ... airways and lungs. Persistent breathing difficulties and repeated ... of the leading causes of morbidity and the ... is linked to cumulative exposure to risk factors, ...
(Date:2/4/2016)... 2016  Aethlon Medical, Inc. (Nasdaq: AEMD ... to treat life-threatening diseases, today announced results for ... 31, 2015. --> ... in our last quarterly call, we strategically advanced ... objective to establish the Aethlon Hemopurifier® as a ...
(Date:2/4/2016)... , Feb. 4, 2016  Blueprint Medicines Corporation ... and developing highly selective investigational kinase medicines for ... appointment to its board of directors of ... nearly 30 years of industry-related experience. ... Blueprint Medicines. "Lonnel,s strong strategic experience developing and ...
Breaking Medicine Technology: