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See 1 citation in 1997 by Scaglione R:

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comment in PubMed Commons below

Eur Rev Med
Pharmacol Sci. 1997 Jan-Jun;1(1-3):69-75.

Prevalence of obesity and ischaemic heart disease in hypertensive
subjects.

Scaglione R1, Parrinello
G, Corrao
S, Ganguzza
A, Di
Chiara T, Arnone
S, Mazzola
G, Matita
MC, D'Aubert
MD, Licata
G.

Author
information

1Department of Internal Medicine, University of Palermo,
Italy.

Abstract

In the present study the prevalence of obesity and its
association with ischemic heart disease, recognized according to clinical
criteria (chest pain or previous infarction) and/or instrumental data, were
described in 8,847 normotensive subjects and in 867 hypertensive subjects,
hospitalized during a ten years period (1983-1992), through a cross-sectional
study. In view of this all the subjects were considered as lean or obese
according to their body mass index (BMI) and to sex specific cut-off values
reported in the Italian Consensus Conference on Obesity. In particular,
according to BMI values, the subjects were grouped as lean, overweight, moderate
and severe obese subjects. Our results indicated that 3,982 normotensive
subjects (45%) could be considered lean, whereas 2,654 of them (30%) were
overweight, 1,769 of them (20%) were moderate obese and 442 of them (5%) were
severe obese. On the contrary only 206 hypertensives (23.7%) might be considered
lean, whereas 313 (36.1%) were overweight, 302 (34.8%) were moderate obese and
46 (5.3%) were severe obese. According to age subgrouping (lower than or equal
to 65 years or higher than 65 years) the distribution of hypertensives within
the lean, overweight, moderate and severe obese groups did not change
significantly, but, according to sex subgrouping, the distribution of
hypertensives within the BMI groups was significantly different (chi 2, p <
0.001). When we considered the degree of hypertension, distribution of
hypertensives was significantly different according to c2 test (p < 0.004),
suggesting that the percentage of the subjects with severe hypertension
increased only in subjects with severe obesity. Concomitant ischaemic heart
disease (IHD) was also documented in 350 normotensives (4%) and in 119
hypertensives (13.8%). The prevalence of IHD was not significantly different in
lean, overweight, moderate and severe obese hypertensives, also when sex and
smoking habits were considered. Our data indicated a strong association between
obesity and hypertension. In addition they may be consistent with the suggestion
that obese hypertensives were not characterized by a lower risk of ischaemic
heart disease (IHD), than lean hypertensives.

PMID:

9444802

[PubMed - indexed for MEDLINE]

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MeSH Terms

MeSH Terms

Adult

Aged

Female

Humans

Hypertension/complications*

Hypertension/epidemiology*

Italy/epidemiology

Male

Middle Aged

Myocardial Ischemia/complications*

Myocardial Ischemia/epidemiology*

Obesity/complications*

Obesity/epidemiology*

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