Coviello Jessica S, Nyström Karin V
Yale University School of Nursing, New Haven, Conn 06536-3554, USA.
J Cardiovasc Nurs. 2003 Nov-Dec;18(5):360-6; quiz 367-8. doi: 10.1097/00005082-200311000-00007.
Current statistics on global obesity are staggering. In 2002, the International Obesity Task Force estimated that worldwide, nearly 1 billion (6%) people were overweight or obese. The American Heart Association's 2002: "Top 10" Research Advances for the Treatment of Heart Disease include obesity as a strong and independent risk factor for developing heart failure. This article outlines national and world statistics, cardiac risk factors, and pathophysiologic theories outlining the cellular mechanisms that associate obesity and heart failure. Access to guidelines for effective screening, evaluation, and treatment of obesity are also provided.
当前全球肥胖问题的统计数据令人震惊。2002年,国际肥胖特别工作组估计,全球有近10亿人(占6%)超重或肥胖。美国心脏协会2002年公布的“十大”心脏病治疗研究进展中,将肥胖列为引发心力衰竭的一个重要且独立的风险因素。本文概述了国内和全球的统计数据、心脏风险因素以及阐述肥胖与心力衰竭之间细胞机制的病理生理理论。同时还提供了有效筛查、评估和治疗肥胖症的指南。