The Obesity Paradox, Weight Loss, and Coronary Disease

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Presentation transcript:

The Obesity Paradox, Weight Loss, and Coronary Disease Carl J. Lavie, MD, Richard V. Milani, MD, Surya M. Artham, MD, MPH, Dharmendrakumar A. Patel, MD, MPH, Hector O. Ventura, MD The American Journal of Medicine Volume 122, Issue 12, Pages 1106-1114 (December 2009) DOI: 10.1016/j.amjmed.2009.06.006 Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 1 Three-year mortality in 529 coronary patients who attended cardiac rehabilitation grouped by body mass index (BMI). Mortality was inversely related with BMI (P <.0001). The American Journal of Medicine 2009 122, 1106-1114DOI: (10.1016/j.amjmed.2009.06.006) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 2 All-cause mortality in 529 coronary patients following formal cardiac rehabilitation: (A) divided by baseline body mass index (BMI); (B) divided by baseline percent body fat (>25% in men and >35% in women); and (C) in 393 patients with baseline BMI ≥25 kg/m2, divided by median weight change. The American Journal of Medicine 2009 122, 1106-1114DOI: (10.1016/j.amjmed.2009.06.006) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 3 Actuarial cumulative hazard plot for survival time in 529 coronary patients based on: (A) Baseline body mass index (BMI) status (high=BMI ≥25 kg/m2 vs low=BMI <25 kg/m2) and (B) Baseline percent body fat (high=fat >25% in men and >35% in women vs low fat). The American Journal of Medicine 2009 122, 1106-1114DOI: (10.1016/j.amjmed.2009.06.006) Copyright © 2009 Elsevier Inc. Terms and Conditions