Burden of abdominal obesity in cardiac rehabilitation patients: Results from the Swiss CaRe study

Binder, Ronald K; Barth, Jürgen; Schmid, Jean-Paul; Saner, Hugo (2011). Burden of abdominal obesity in cardiac rehabilitation patients: Results from the Swiss CaRe study. Swiss medical weekly, 141, w13153. Muttenz: EMH Schweizerischer Ärzteverlag 10.4414/smw.2011.13153

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BACKGROUND: The burden of abdominal obesity (AO) and its association with other cardiovascular risk factors is not known in coronary artery disease (CAD) patients attending cardiac rehabilitation (CR). The aim of this study was, therefore, to investigate the prevalence of AO and differences in cardiovascular risk factors between AO and non-AO patients. METHODS: 415 consecutive male CAD patients (mean age 58 ± 11 years) attending a three-month outpatient CR programme were assessed. Differences in cardiovascular risk profile, including blood lipids, psychosocial and socioeconomic status and exercise capacity, were compared in relation to AO and corrected for obesity measured by body-mass index (BMI) in a multivariate analysis. RESULTS: Mean waist circumference was 102 ± 11 cm. Patients of lower educational level had a higher prevalence of AO (p = 0.021) than patients with a higher educational level. AO was significantly associated with diabetes (p = 0.003) and hypertension (p <0.001). In AO patients, HDL-C levels were lower (p <0.001) and triglyceride levels higher (p = 0.006) than in non-AO patients. There was no difference in exercise capacity between AO and non-AO patients, but AO patients had a higher resting heart rate (p = 0.021). CONCLUSION: AO is highly prevalent in CAD patients attending CR. AO is, independently of BMI, associated with metabolic lipid disorders and autonomic cardiovascular dysregulation, suggesting an increased cardiovascular risk. AO patients therefore need particular attention during CR and follow-up care.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Barth, Jürgen; Schmid, Jean-Paul and Saner, Hugo

ISSN:

1424-7860

Publisher:

EMH Schweizerischer Ärzteverlag

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:21

Last Modified:

09 Sep 2017 16:47

Publisher DOI:

10.4414/smw.2011.13153

PubMed ID:

21293981

Web of Science ID:

000289993400005

BORIS DOI:

10.7892/boris.7201

URI:

https://boris.unibe.ch/id/eprint/7201 (FactScience: 212386)

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