Naslov
The challenge facing the care of overweigth coronary patients in Europe

Autori
De Bacquer, D. ; Kotseva, K. ; Dallongeville, J. ; Heidrich, J. ; Montaye, M. ; Reiner, Željko ; Gaita, D. ; Wood, D. ; Keil, U. ; De Backer, G.

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
EuroPRevent 2008 Congress Abstracts ; u: European Journal of Cardiovascular Prevention & Rehabilitation. Supplement 16 (2008) (S1) S1-S170 ; Poster session 3 ; S74-S101 ; P347 / - , 2008, S85-S86

Skup
EuroPRevent 2008 Congress

Mjesto i datum
Pariz, Francuska, 01.05.2008. - 03.05.2008

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
overweigth coronary patients

Sažetak
Several studies have reported increasing obesity rates in the general population during past decades. In the hospital arm of the EUROASPIRE III project we investigated to what extent the obesity epidemic affects the high priority group of patients with established coronary heart disease and how these patients were managed in relation to their body weight. Data from a representative sample of patients having experienced a recent (6 months but <3 years) cardiac event before the age of 80 years from 22 European centres participating in the EUROASPIRE III study, were gathered in 2006-2007 using standardized methods. In total, 8924 coronary patients with valid anthropometric measurements were included. Overweight, obesity, abdominal overweight and central obesity were defined according to WHO recommendations. The analysis of obesity rates in the 8 centres participating in all three EUROASPIRE surveys (1994-95, 1999-2000, 2006-2007) revealed persistent increasing time trends. The past decade, prevalences of obesity in coronary patients have increased from 25% to 38% with comparable trends in both sexes. Similar evolutions were observed for abdominal overweight and central obesity. The most recent survey demonstrates that obesity is more prevalent in women (45% vs. 32% in men) and in younger patients and is a major health problem across all 22 countries (23% in Greece up to 47% in Hungary). Only 18% of all patients are found to reach the target of BMI <25 kg/m while 53% are diagnosed with central obesity. Nearly 20% of the obese patients claim to have never been told to be overweight, only 52% of them tried actively to lose weight during the past month and less than half intends to do so next month. Since their hospital discharge, only half of the obese patients had followed dietary recommendations to lose weight, 48% tried to engage in more physical activity and only 6% attended a fitness club. Only 13% of the patients being overweight at the time of the coronary event reached the target of 5% weight loss while 21% of them presented with a weight gain of 5% or more. The latter group consisted of younger patients, who did more often quit smoking, followed less dietary recommendations and who were less physically active. Obesity not only remains a major public health problem but is still increasing and reaching epidemic proportions in the high priority group of coronary patients all over Europe. Patients awareness and current management of obesity seems inadequate. More intensive programmes focussing on diet and especially physical activity are urgently needed.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

Napomena
Doi: 10.1097/01.hjr.0000317043.01272.df

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