Healthy Weight and Obesity Prevention
Metadata
Show full item recordEditorial
ELSEVIER
Materia
Cardiovascular diseases Healthy weight Obesity
Date
2018Referencia bibliográfica
Lavie, C. J., Laddu, D., Arena, R., Ortega, F. B., Alpert, M. A., & Kushner, R. F. (2018). Healthy weight and obesity prevention: JACC health promotion series. Journal of the American College of Cardiology, 72(13), 1506-1531. [https://doi.org/10.1016/j.jacc.2018.08.1037]
Sponsorship
From the John Ochsner Heart and Vascular Institute, Ochsner Clinical School—The University of Queensland School of Medicine, New Orleans, Louisiana; Department of Physical Therapy, College of Applied Health Science, University of Illinois at Chicago, Chicago, Illinois; PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain; Division of Cardiovascular Medicine, University of Missouri School of Medicine, Columbia, Missouri; and the Northwestern University, Feinberg School of Medicine, Chicago, Illinois. Dr. Ortega receives support for research activity from the Spanish Ministry of Economy and Competitiveness and FEDER (DEP2016-79512-R); additional funding from the University of Granada, Plan Propio de Investigación 2016, Excellence actions: Unit of Excellence on Exercise and Health (UCEES); and the European Union’s Horizon 2020 research and innovation programme under grant agreement No. 667302. Dr. Kushner has served on the advisory board for Novo Nordisk, Weight Watchers, and Retrofit. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.Abstract
Overweight and obesity have reached epidemic levels in the United States and worldwide, and this has contributed to
substantial cardiovascular and other health risks. However, controversy exists concerning the causes of obesity and
effective modalities for its prevention and treatment. There is also controversy related to the concept of metabolically
healthy obesity phenotype, the “obesity paradox,” and on the importance of fitness to protect individuals who are
overweight or obese from cardiovascular diseases. In this state-of-the-art review, the authors focus on “healthy weight”
with the emphasis on the pathophysiologic effects of weight gain on the cardiovascular system; mechanistic/triggering
factors; and the role of preventive actions through personal, education/environment, and societal/authoritative factors,
as well as factors to provide guidance for caregivers of health promotion. Additionally, the authors briefly review
metabolically healthy obesity, the obesity paradox, and issues beyond lifestyle consideration for weight loss with medications and bariatric surgery.