Healthy Weight and Obesity Prevention: JACC Health Promotion Series

Overweight and obesity have reached epidemic levels in the United States and worldwide, and this has contributed to substantial cardiovascular and other health risks. However, controversy exists concerning the causes of obesity and effective modalities for its prevention and treatment. There is also...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2018-09, Vol.72 (13), p.1506-1531
Main Authors: Lavie, Carl J, Laddu, Deepika, Arena, Ross, Ortega, Francisco B, Alpert, Martin A, Kushner, Robert F
Format: Article
Language:English
Subjects:
Anti-Obesity Agents - therapeutic use
Bariatric Surgery
Body Mass Index
Cardiovascular Diseases - etiology
Cardiovascular Diseases - prevention & control
Diet
Genetic Predisposition to Disease
Health Promotion
Hemodynamics
Humans
Obesity - complications
Obesity - prevention & control
Sedentary Behavior
Sleep Apnea, Obstructive - etiology
Smoking Cessation
Ventricular Dysfunction, Left - etiology
Weight Loss
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Summary:Overweight and obesity have reached epidemic levels in the United States and worldwide, and this has contributed to substantial cardiovascular and other health risks. However, controversy exists concerning the causes of obesity and effective modalities for its prevention and treatment. There is also controversy related to the concept of metabolically healthy obesity phenotype, the "obesity paradox," and on the importance of fitness to protect individuals who are overweight or obese from cardiovascular diseases. In this state-of-the-art review, the authors focus on "healthy weight" with the emphasis on the pathophysiologic effects of weight gain on the cardiovascular system; mechanistic/triggering factors; and the role of preventive actions through personal, education/environment, and societal/authoritative factors, as well as factors to provide guidance for caregivers of health promotion. Additionally, the authors briefly review metabolically healthy obesity, the obesity paradox, and issues beyond lifestyle consideration for weight loss with medications and bariatric surgery.
ISSN:1558-3597
DOI:10.1016/j.jacc.2018.08.1037