Obesity management remains challenge in CHD prevention in wo
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Despite weight-loss benefits for secondary CHD prevention, obesity management remains prevalent and challenging, especially among women and younger individuals, according to study findings.

Prevention guidelines have identified the management of obese patients as an important priority to reduce the burden of incident and recurrent cardiovascular disease. Still, studies have demonstrated that over 80% of patients with coronary heart disease (CHD) fail to achieve their weight target. Here, we describe advice received and actions reported by overweight CHD patients since being discharged from hospital and how weight changes relate to their risk profile.

Based on data from 10 507 CHD patients participating in the EUROASPIRE IV and V studies, researchers analyzed weight changes from hospital admission to the time of a study visit more than 6 and less than 24?months later. At hospitalization, 34.9% were obese and another 46.0% were overweight. Obesity was more frequent in women and associated with more comorbidities. By the time of the study visit, 19.5% of obese patients had lost more than 5% of weight. However, in 16.4% weight had increased more than 5%. Weight gain in those overweight was associated with physical inactivity, non-adherence to dietary recommendations, smoking cessation, raised blood pressure, dyslipidemia, dysglycaemia, and lower levels of quality of life. Less than half of obese patients was considering weight loss in the coming month.

Conclusively, the management of obesity remains a challenge in the secondary prevention of CHD despite a beneficial effect of weight loss on risk factor prevalences and quality of life. Cardiac rehabilitation programmes should include weight loss interventions as a specific component and the incremental value of telehealth intervention as well as recently described pharmacological interventions need full consideration.

Source: https://academic.oup.com/ehjqcco/advance-article/doi/10.1093/ehjqcco/qcab043/6328626?searchresult=1
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