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Obesity in patients with established coronary artery disease over a 20-year period (1997–2017)

Paweł Kozieł, Piotr Jankowski, Ewa Mirek-Bryniarska, Jadwiga Nessler, Piotr Podolec, Dirk De Bacquer (UGent) , Kornelia Kotseva, David Wood, Danuta Czarnecka, Kalina Kawecka-Jaszcz, et al.
(2021) POLISH ARCHIVES OF INTERNAL MEDICINE-POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ. 131(1). p.26-32
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Abstract
BACKGROUND Body mass reduction in overweight and obese people so as to reduce blood pressure, low-density lipoprotein cholesterol level, and the risk of type 2 diabetes as well as to lower the risk of recurrent cardiovascular events is strongly recommended in current guidelines. OBJECTIVES To evaluate changes in body mass index (BMI) and waist circumference in patients with established coronary artery disease over a 20-year period (1997-2017). PATIENTS AND METHODS Consecutive patients younger than 71 years of age and hospitalized for acute coronary syndrome or myocardial revascularization procedures were recruited and interviewed 6 to 18 months after their discharge from hospital. Weight, height, and waist circumference were measured in 1997 to 1998, 1999 to 2000, 2006 to 2007, 2011 to 2013, and 2016 to 2017. The same 5 hospitals took part in the surveys each time. RESULTS We examined 412 patients in 1997 to 1998 (survey 1), 427 in 1999 to 2000 (survey 2), 422 in 2006 to 2007 (survey 3), 462 in 2011 to 2013 (survey 4), and 272 in 2016 to 2017 (survey 5). The proportion of obese patients was 24.5% in survey 1, 27.2% in survey 2, 34.1% in survey 3, 35.9% in survey 4, and 40.4% in survey 5 (P <0.001). The proportion of patients with central obesity also increased significantly (32.5% in survey 1, 40.5% in survey 2, 51.4% in survey 3, 48.6% in survey 4, and 61.3% in survey 5; P <0.001). BMI increased significantly in men, but not in women, whereas the mean waist circumference increased in both sexes. BMI and waist circumference increased irrespective of age and education. CONCLUSIONS The analysis of 5 multicenter surveys showed a gradual increase in BMI and waist circumference in patients with established coronary artery disease over the course of 2 decades.
Keywords
coronary artery, disease, obesity, overweight, prevention, risk factors, HEART-DISEASE, SECONDARY PREVENTION, CARDIOVASCULAR RISK, OVERWEIGHT, PROGRAM

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MLA
Kozieł, Paweł, et al. “Obesity in Patients with Established Coronary Artery Disease over a 20-Year Period (1997–2017).” POLISH ARCHIVES OF INTERNAL MEDICINE-POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ, vol. 131, no. 1, 2021, pp. 26–32, doi:10.20452/pamw.15742.
APA
Kozieł, P., Jankowski, P., Mirek-Bryniarska, E., Nessler, J., Podolec, P., De Bacquer, D., … Pająk, A. (2021). Obesity in patients with established coronary artery disease over a 20-year period (1997–2017). POLISH ARCHIVES OF INTERNAL MEDICINE-POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ, 131(1), 26–32. https://doi.org/10.20452/pamw.15742
Chicago author-date
Kozieł, Paweł, Piotr Jankowski, Ewa Mirek-Bryniarska, Jadwiga Nessler, Piotr Podolec, Dirk De Bacquer, Kornelia Kotseva, et al. 2021. “Obesity in Patients with Established Coronary Artery Disease over a 20-Year Period (1997–2017).” POLISH ARCHIVES OF INTERNAL MEDICINE-POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ 131 (1): 26–32. https://doi.org/10.20452/pamw.15742.
Chicago author-date (all authors)
Kozieł, Paweł, Piotr Jankowski, Ewa Mirek-Bryniarska, Jadwiga Nessler, Piotr Podolec, Dirk De Bacquer, Kornelia Kotseva, David Wood, Danuta Czarnecka, Kalina Kawecka-Jaszcz, and Andrzej Pająk. 2021. “Obesity in Patients with Established Coronary Artery Disease over a 20-Year Period (1997–2017).” POLISH ARCHIVES OF INTERNAL MEDICINE-POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ 131 (1): 26–32. doi:10.20452/pamw.15742.
Vancouver
1.
Kozieł P, Jankowski P, Mirek-Bryniarska E, Nessler J, Podolec P, De Bacquer D, et al. Obesity in patients with established coronary artery disease over a 20-year period (1997–2017). POLISH ARCHIVES OF INTERNAL MEDICINE-POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ. 2021;131(1):26–32.
IEEE
[1]
P. Kozieł et al., “Obesity in patients with established coronary artery disease over a 20-year period (1997–2017),” POLISH ARCHIVES OF INTERNAL MEDICINE-POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ, vol. 131, no. 1, pp. 26–32, 2021.
@article{8696868,
  abstract     = {{BACKGROUND Body mass reduction in overweight and obese people so as to reduce blood pressure, low-density lipoprotein cholesterol level, and the risk of type 2 diabetes as well as to lower the risk of recurrent cardiovascular events is strongly recommended in current guidelines.

OBJECTIVES To evaluate changes in body mass index (BMI) and waist circumference in patients with established coronary artery disease over a 20-year period (1997-2017).

PATIENTS AND METHODS Consecutive patients younger than 71 years of age and hospitalized for acute coronary syndrome or myocardial revascularization procedures were recruited and interviewed 6 to 18 months after their discharge from hospital. Weight, height, and waist circumference were measured in 1997 to 1998, 1999 to 2000, 2006 to 2007, 2011 to 2013, and 2016 to 2017. The same 5 hospitals took part in the surveys each time.

RESULTS We examined 412 patients in 1997 to 1998 (survey 1), 427 in 1999 to 2000 (survey 2), 422 in 2006 to 2007 (survey 3), 462 in 2011 to 2013 (survey 4), and 272 in 2016 to 2017 (survey 5). The proportion of obese patients was 24.5% in survey 1, 27.2% in survey 2, 34.1% in survey 3, 35.9% in survey 4, and 40.4% in survey 5 (P <0.001). The proportion of patients with central obesity also increased significantly (32.5% in survey 1, 40.5% in survey 2, 51.4% in survey 3, 48.6% in survey 4, and 61.3% in survey 5; P <0.001). BMI increased significantly in men, but not in women, whereas the mean waist circumference increased in both sexes. BMI and waist circumference increased irrespective of age and education.

CONCLUSIONS The analysis of 5 multicenter surveys showed a gradual increase in BMI and waist circumference in patients with established coronary artery disease over the course of 2 decades.}},
  author       = {{Kozieł, Paweł and Jankowski, Piotr and Mirek-Bryniarska, Ewa and Nessler, Jadwiga and Podolec, Piotr and De Bacquer, Dirk and Kotseva, Kornelia and Wood, David and Czarnecka, Danuta and Kawecka-Jaszcz, Kalina and Pająk, Andrzej}},
  issn         = {{0032-3772}},
  journal      = {{POLISH ARCHIVES OF INTERNAL MEDICINE-POLSKIE ARCHIWUM MEDYCYNY WEWNETRZNEJ}},
  keywords     = {{coronary artery,disease,obesity,overweight,prevention,risk factors,HEART-DISEASE,SECONDARY PREVENTION,CARDIOVASCULAR RISK,OVERWEIGHT,PROGRAM}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{26--32}},
  title        = {{Obesity in patients with established coronary artery disease over a 20-year period (1997–2017)}},
  url          = {{http://dx.doi.org/10.20452/pamw.15742}},
  volume       = {{131}},
  year         = {{2021}},
}
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