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Management of overweight and obese patients with coronary heart disease across Europe

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Abstract
Aims Several studies have reported increasing obesity rates in the general population. Using data from the EUROASPIRE III survey, we investigated as to what extent the obesity epidemic affects the high priority group of coronary heart disease patients. Methods and results Data from 8924 patients, who had experienced a recent coronary acute event, from 22 countries in Europe participating in the EUROASPIRE III study were gathered in 2006- 2007. Eight centres had also participated in the earlier two EUROASPIRE surveys carried out in 1994- 1995 and 1999- 2000. In these eight centres, obesity prevalence in coronary patients had increased from 25 to 38% during the past decade. The most recent survey shows that obesity is more prevalent in women ( 45 vs. 32% in men) and is a major health problem across all the 22 countries. Only 18% of all the patients were found to reach a body mass index below 25 kg/m(2) whereas 53% were diagnosed with central obesity. Since their hospital discharge, only half of the obese patients reported to have followed the dietary recommendations and 48% reported engagement in more physical activity. Only 13% of the patients who were overweight at the time of the coronary event reached the target of >= 5% weight loss whereas 21% of them presented with a weight gain of 5% or more. Conclusion The prevalence of obesity is still increasing and reaching epidemic proportions in the high priority group of coronary patients all over Europe. Patients' awareness and current management of obesity seems inadequate. More intensive programs focusing on diet and especially physical activity are urgently required.
Keywords
obesity, coronary heart disease, secondary prevention, CLINICAL-PRACTICE, CARDIOVASCULAR-DISEASE, MYOCARDIAL-INFARCTION, WEIGHT CHANGE, RISK-FACTORS, PREVENTION, PREVALENCE

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Chicago
De Bacquer, Dirk, Jean Dallongeville, Jan Heidrich, Kornelia Kotseva, Zeljko Reiner, Dan Gaita, Christophe Prugger, et al. 2010. “Management of Overweight and Obese Patients with Coronary Heart Disease Across Europe.” European Journal of Cardiovascular Prevention & Rehabilitation 17 (4): 447–454.
APA
De Bacquer, D., Dallongeville, J., Heidrich, J., Kotseva, K., Reiner, Z., Gaita, D., Prugger, C., et al. (2010). Management of overweight and obese patients with coronary heart disease across Europe. EUROPEAN JOURNAL OF CARDIOVASCULAR PREVENTION & REHABILITATION, 17(4), 447–454.
Vancouver
1.
De Bacquer D, Dallongeville J, Heidrich J, Kotseva K, Reiner Z, Gaita D, et al. Management of overweight and obese patients with coronary heart disease across Europe. EUROPEAN JOURNAL OF CARDIOVASCULAR PREVENTION & REHABILITATION. 2010;17(4):447–54.
MLA
De Bacquer, Dirk, Jean Dallongeville, Jan Heidrich, et al. “Management of Overweight and Obese Patients with Coronary Heart Disease Across Europe.” EUROPEAN JOURNAL OF CARDIOVASCULAR PREVENTION & REHABILITATION 17.4 (2010): 447–454. Print.
@article{1063625,
  abstract     = {Aims Several studies have reported increasing obesity rates in the general population. Using data from the EUROASPIRE III survey, we investigated as to what extent the obesity epidemic affects the high priority group of coronary heart disease patients.
Methods and results Data from 8924 patients, who had experienced a recent coronary acute event, from 22 countries in Europe participating in the EUROASPIRE III study were gathered in 2006- 2007. Eight centres had also participated in the earlier two EUROASPIRE surveys carried out in 1994- 1995 and 1999- 2000. In these eight centres, obesity prevalence in coronary patients had increased from 25 to 38\% during the past decade. The most recent survey shows that obesity is more prevalent in women ( 45 vs. 32\% in men) and is a major health problem across all the 22 countries. Only 18\% of all the patients were found to reach a body mass index below 25 kg/m(2) whereas 53\% were diagnosed with central obesity. Since their hospital discharge, only half of the obese patients reported to have followed the dietary recommendations and 48\% reported engagement in more physical activity. Only 13\% of the patients who were overweight at the time of the coronary event reached the target of {\textrangle}= 5\% weight loss whereas 21\% of them presented with a weight gain of 5\% or more.
Conclusion The prevalence of obesity is still increasing and reaching epidemic proportions in the high priority group of coronary patients all over Europe. Patients' awareness and current management of obesity seems inadequate. More intensive programs focusing on diet and especially physical activity are urgently required.},
  author       = {De Bacquer, Dirk and Dallongeville, Jean and Heidrich, Jan and Kotseva, Kornelia and Reiner, Zeljko and Gaita, Dan and Prugger, Christophe and Wellmann, J{\"u}rgen and Wood, David and De Backer, Gui and Keil, Ulrich},
  issn         = {1741-8267},
  journal      = {EUROPEAN JOURNAL OF CARDIOVASCULAR PREVENTION \& REHABILITATION},
  keyword      = {obesity,coronary heart disease,secondary prevention,CLINICAL-PRACTICE,CARDIOVASCULAR-DISEASE,MYOCARDIAL-INFARCTION,WEIGHT CHANGE,RISK-FACTORS,PREVENTION,PREVALENCE},
  language     = {eng},
  number       = {4},
  pages        = {447--454},
  title        = {Management of overweight and obese patients with coronary heart disease across Europe},
  url          = {http://dx.doi.org/10.1097/HJR.0b013e328336a05f},
  volume       = {17},
  year         = {2010},
}

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