Relation Between Obesity and the Attainment of Optimal Blood Pressure and Lipid Targets in High Vascular Risk Outpatients

• Published in: The American journal of cardiology 2010-11, Vol.106 (9), p.1270-1276
• Main Authors: Bhan, Vineet, MD, Yan, Raymond T., MD, Leiter, Lawrence A., MD, Fitchett, David H., MD, Langer, Anatoly, MD, MSc, Lonn, Eva, MD, Tan, Mary, BSc, Silagy, Stewart, MD, Goodman, Shaun G., MD, MSc, Yan, Andrew T., MD
• Format: Article
• Language: English
• Subjects: Aged; Biological and medical sciences; Blood pressure; Body Mass Index; Cardiology; Cardiology. Vascular system; Cardiovascular; Cardiovascular disease; Cardiovascular Diseases - blood; Cardiovascular Diseases - etiology; Chi-Square Distribution; Cross-Sectional Studies; Diabetes; Diabetes Mellitus - blood; Diabetes Mellitus - etiology; Female; Humans; Hyperlipidemias - blood; Hyperlipidemias - etiology; Hypertension - blood; Hypertension - etiology; Lipids; Lipids - blood; Male; Medical sciences; Medical treatment; Metabolic diseases; Obesity; Obesity - blood; Obesity - complications; Overweight - blood; Overweight - complications; Practice Guidelines as Topic; Prospective Studies; Registries; Risk Factors; Triglycerides
• ISSN: 0002-9149; 1879-1913
• DOI: 10.1016/j.amjcard.2010.06.055

Obesity is associated with hypertension, dyslipidemia, and diabetes, but it is also an independent cardiovascular risk factor. We sought to evaluate the differences in treatment patterns and attainment of guideline-recommended targets among high-risk vascular outpatients in relation to their body mass index (BMI). The prospective Vascular Protection and Guideline Orientated Approach to Lipid Lowering Registries recruited 7,357 high-risk vascular outpatients in Canada from 2001 to 2004. We stratified the patient population into 3 groups according to their BMI: normal weight (BMI 30 kg/m2 ). We evaluated the rates of attainment for contemporary guideline targets of blood pressure (