Obesity and cardiovascular disease: mechanistic insights and management strategies. A joint position paper by the World Heart Federation and World Obesity Federation
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Publication Date: | 2022 |
Other Authors: | , , , , , , , , , |
Format: | Article |
Language: | eng |
Source: | Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
Download full: | http://hdl.handle.net/10451/55466 |
Summary: | © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
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Obesity and cardiovascular disease: mechanistic insights and management strategies. A joint position paper by the World Heart Federation and World Obesity FederationAdiposityCardiometabolic complicationsCardiovascular diseaseCardiovascular riskOverweightObesity© The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.comThe ongoing obesity epidemic represents a global public health crisis that contributes to poor health outcomes, reduced quality of life, and >2.8 million deaths each year. Obesity is relapsing, progressive, and heterogeneous. It is considered a chronic disease by the World Obesity Federation (WOF) and a chronic condition by the World Heart Federation (WHF). People living with overweight/obesity are at greater risk for cardiovascular (CV) morbidity and mortality. Increased adiposity (body fat), particularly visceral/abdominal fat, is linked to CV risk and CV disease (CVD) via multiple direct and indirect pathophysiological mechanisms. The development of CVD is driven, in part, by obesity-related metabolic, endocrinologic, immunologic, structural, humoral, haemodynamic, and functional alterations. The complex multifaceted nature of these mechanisms can be challenging to understand and address in clinical practice. People living with obesity and CVD often have concurrent chronic physical or psychological disorders (multimorbidity) requiring multidisciplinary care pathways and polypharmacy. Evidence indicates that intentional weight loss (particularly when substantial) lowers CVD risk among people with overweight/obesity. Long-term weight loss and maintenance require ongoing commitment from both the individual and those responsible for their care. This position paper, developed by the WOF and the WHF, aims to improve understanding of the direct and indirect links between overweight/obesity and CVD, the key controversies in this area and evidence relating to cardiometabolic outcomes with available weight management options. Finally, an action plan for clinicians provides recommendations to help in identifying and addressing the risks of obesity-related CVD (recognizing resource and support variances between countries).Oxford University PressRepositório da Universidade de LisboaLopez-Jimenez, FranciscoAlmahmeed, WaelBays, HaroldCuevas, AdaDi Angelantonio, Emanuelele Roux, Carel W.Sattar, NaveedSun, Marie ChanWittert, GaryPinto, Fausto J.Wilding, John P. H.2022-12-20T15:41:06Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/55466engEur J Prev Cardiol 2022 Dec 7;29(17):2218-22372047-487310.1093/eurjpc/zwac1872047-4881info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T14:51:46Zoai:repositorio.ulisboa.pt:10451/55466Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T03:27:01.912437Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse |
dc.title.none.fl_str_mv |
Obesity and cardiovascular disease: mechanistic insights and management strategies. A joint position paper by the World Heart Federation and World Obesity Federation |
title |
Obesity and cardiovascular disease: mechanistic insights and management strategies. A joint position paper by the World Heart Federation and World Obesity Federation |
spellingShingle |
Obesity and cardiovascular disease: mechanistic insights and management strategies. A joint position paper by the World Heart Federation and World Obesity Federation Lopez-Jimenez, Francisco Adiposity Cardiometabolic complications Cardiovascular disease Cardiovascular risk Overweight Obesity |
title_short |
Obesity and cardiovascular disease: mechanistic insights and management strategies. A joint position paper by the World Heart Federation and World Obesity Federation |
title_full |
Obesity and cardiovascular disease: mechanistic insights and management strategies. A joint position paper by the World Heart Federation and World Obesity Federation |
title_fullStr |
Obesity and cardiovascular disease: mechanistic insights and management strategies. A joint position paper by the World Heart Federation and World Obesity Federation |
title_full_unstemmed |
Obesity and cardiovascular disease: mechanistic insights and management strategies. A joint position paper by the World Heart Federation and World Obesity Federation |
title_sort |
Obesity and cardiovascular disease: mechanistic insights and management strategies. A joint position paper by the World Heart Federation and World Obesity Federation |
author |
Lopez-Jimenez, Francisco |
author_facet |
Lopez-Jimenez, Francisco Almahmeed, Wael Bays, Harold Cuevas, Ada Di Angelantonio, Emanuele le Roux, Carel W. Sattar, Naveed Sun, Marie Chan Wittert, Gary Pinto, Fausto J. Wilding, John P. H. |
author_role |
author |
author2 |
Almahmeed, Wael Bays, Harold Cuevas, Ada Di Angelantonio, Emanuele le Roux, Carel W. Sattar, Naveed Sun, Marie Chan Wittert, Gary Pinto, Fausto J. Wilding, John P. H. |
author2_role |
author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
dc.contributor.author.fl_str_mv |
Lopez-Jimenez, Francisco Almahmeed, Wael Bays, Harold Cuevas, Ada Di Angelantonio, Emanuele le Roux, Carel W. Sattar, Naveed Sun, Marie Chan Wittert, Gary Pinto, Fausto J. Wilding, John P. H. |
dc.subject.por.fl_str_mv |
Adiposity Cardiometabolic complications Cardiovascular disease Cardiovascular risk Overweight Obesity |
topic |
Adiposity Cardiometabolic complications Cardiovascular disease Cardiovascular risk Overweight Obesity |
description |
© The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-20T15:41:06Z 2022 2022-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/55466 |
url |
http://hdl.handle.net/10451/55466 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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Eur J Prev Cardiol 2022 Dec 7;29(17):2218-2237 2047-4873 10.1093/eurjpc/zwac187 2047-4881 |
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openAccess |
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Oxford University Press |
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Oxford University Press |
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