Whitaker Cardiovascular Institute and Section of Vascular Biology, Boston University Chobanian and Avedisian School of Medicine, 72 East Concord St, Boston, MA, 02118, USA.
University of Alabama at Birmingham, UAB Heersink School of Medicine, Birmingham, AL, USA.
Curr Cardiol Rep. 2023 Nov;25(11):1475-1488. doi: 10.1007/s11886-023-01961-z. Epub 2023 Oct 24.
In this review, the impact of obesity on cardiovascular disease in women and emerging anti-obesity pharmacologic treatments are discussed.
Robust evidence demonstrates the burden of obesity across the lifespan in women and links obesity to a diverse set of cardiovascular diseases. Female-specific risk factors including sex hormones and pregnancy factors intersect with obesity and cardiovascular risk. Sustained weight loss has potential for cardiovascular benefits. Recent trials demonstrate cardiovascular benefits of emerging agents with weight loss effects including GLP-1 RA and SGLT2 inhibitors in women. Treatment and prevention strategies for cardiovascular disease in obese women should include integration of weight management strategies including the targeted use of emerging pharmacologic therapies.
在本次综述中,讨论了肥胖对女性心血管疾病的影响和新兴的抗肥胖药物治疗。
大量证据表明肥胖在女性一生中的负担,并将肥胖与一系列不同的心血管疾病联系起来。女性特有的风险因素,包括性激素和妊娠因素,与肥胖和心血管风险交织在一起。持续的体重减轻可能对心血管有益。最近的试验表明,具有减肥作用的新兴药物,包括 GLP-1RA 和 SGLT2 抑制剂,对女性有心血管益处。肥胖女性心血管疾病的治疗和预防策略应包括体重管理策略的整合,包括新兴药物治疗的针对性使用。