The Impact of Obesity on Risk Factors and Prevalence and Prognosis of Coronary Heart Disease-The Obesity Paradox Article

Full Text via DOI: 10.1016/j.pcad.2013.08.003 PMID: 24438731 Web of Science: 000330255900005

Cited authors

  • De Schutter, Alban; Lavie, Carl J.; Milani, Richard V.


  • Obesity is associated with a host of cardiovascular risk factors and its prevalence is rising rapidly. Despite strong evidence that obesity predisposes to the development and progression of coronary heart disease (CHD), numerous studies have shown an inverse relationship between various measures of obesity (most commonly body mass index) and outcomes in established CHD. In this article we review the evidence surrounding the "obesity paradox" in the secondary care of CHD patients and the CHD presentations where a paradox has been found. Finally we discuss the impact of cardiorespiratory fitness and a number of mechanisms which may offer potential explanations for this puzzling phenomenon. (C) 2014 Elsevier Inc. All rights reserved.

Publication date

  • 2014

Published in

International Standard Serial Number (ISSN)

  • 0033-0620

Start page

  • 401

End page

  • 408


  • 56


  • 4