Predictors of Weight Reduction and Smoking Cessation in Overweight and Obese Patients with Acute Myocardial infarctions
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Methods Between October 2005 and May 2007, 311 overweight or obese patients with an AMI visited Kyungpook National University Hospital. Among them, 216 patients (63±11 years old, 144 males) with ≥1 year of follow-up were included. Results Body weight of all patients showed a significant decrease and 20% showed a >3% weight reduction at 1 year of follow-up. Ninety-six (44%) patients were smoking at baseline, and 52% of them had quit by 1 year of follow-up. Only six smokers were successful with both a >3% weight reduction and smoking cessation. In multivariate analysis, age (OR 1.084, 95% CI 1.028-1.144, p=0.003) and smoking cessation (OR 0.167, 95% CI 0.048-0.575, p=0.005) were independent predictors of weight reduction. Abdominal circumference was a negative predictor of smoking cessation (OR 0.903, 95% CI 0.820-0.994, p=0.037). Conclusions Mean body weight of all patients showed a significant decrease at follow-up. Smoking cessation and age were independent predictors of weight reduction, and abdominal circumference was a negative predictor of smoking cessation.
Abstract
Methods Between October 2005 and May 2007, 311 overweight or obese patients with an AMI visited Kyungpook National University Hospital. Among them, 216 patients (63±11 years old, 144 males) with ≥1 year of follow-up were included. Results Body weight of all patients showed a significant decrease and 20% showed a >3% weight reduction at 1 year of follow-up. Ninety-six (44%) patients were smoking at baseline, and 52% of them had quit by 1 year of follow-up. Only six smokers were successful with both a >3% weight reduction and smoking cessation. In multivariate analysis, age (OR 1.084, 95% CI 1.028-1.144, p=0.003) and smoking cessation (OR 0.167, 95% CI 0.048-0.575, p=0.005) were independent predictors of weight reduction. Abdominal circumference was a negative predictor of smoking cessation (OR 0.903, 95% CI 0.820-0.994, p=0.037). Conclusions Mean body weight of all patients showed a significant decrease at follow-up. Smoking cessation and age were independent predictors of weight reduction, and abdominal circumference was a negative predictor of smoking cessation.
참고문헌 (23)
- "National health and Nutrition Survey" (2005)[URL]
- "Report on the Social Statistics Survey" (2006)[URL]
- Jensen MK, "Obesity, behavioral lifestyle factors, and risk of acute coronary events", Circulation, 117, pp.3062~3069 (2008)
- Yusuf S, "Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study", Lancet, 364, pp.937~952 (2004)
- Kasai T, "Prognostic value of the metabolic syndrome for long-term outcomes in patients undergoing percutaneous coronary intervention", Circ J, 70, pp.1531~1537 (2006)
- Shiraishi J, "Relation of obesity to acute myocardial infarction in Japanese patients", Circ J, 70, pp.1525~1530 (2006)
- Haskell WL, "Effects of intensive multiple risk factor reduction on coronary atherosclerosis and clinical cardiac events in men and women with coronary artery disease. The Stanford Coronary Risk Intervention Project (SCRIP)", Circulation, 89, pp.975~990 (1994)
- Kelly TL, "Smoking status at the time of acute myocardial infarction and subsequent prognosis", Am Heart J, 110, pp.535~541 (1985)
- Rea TD, "Smoking status and risk for recurrent coronary events after myocardial infarction", Ann Intern Med, 137, pp.494~500 (2002)
- Critchley JA, "Mortality risk reduction associated with smoking cessation in patients with coronary heart disease: a systematic review", JAMA, 290, pp.86~97 (2003)
- Kosuge M, "Impact of body mass index on in-hospital outcomes after percutaneous coronary intervention for ST segment elevation acute myocardial infarction", Circ J, 72, pp.521~525 (2008)
- Su HY, "Effect of weight loss on blood pressure and insulin resistance in normotensive and hypertensive obese individuals", Am J Hypertens, 8, pp.1067~1071 (1995)
- Antman EM, "ACC", AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology, Circulation, pp.2004, 110[DOI]
- Fadl YY, "Predictors of weight change in overweight patients with myocardial infarction", Am Heart J, 154, pp.711~717 (2007)
- Thygesen K, "Joint ESC", ACCF, WHF Task Force for the Redefinition of Myocardial Infarction. Universal definition of myocardial infarction, pp.Eur Heart J, 2007[DOI]
- The Asia-Pacific Perspective: Redefining Obesity and its Treatment, "International Association for the Study of Obesity and International Obesity Task Force", Health Communications Australia Pty Ltd on the behalf of the Steering Committee, 17~18 (2000)
- Kunz I, "Resting metabolic rate and substrate use in obesity hypertension", Hypertension, 36, pp.26~32 (2000)
- Wilson K, "Effect of smoking cessation on mortality after myocardial infarction: meta-analysis of cohort studies", Arch Intern Med, 160, pp.939~944 (2000)
- van Berkel TF, "Characteristics of smokers and long-term changes in smoking behavior in consecutive patients with myocardial infarction", Prev Med, 31, pp.732~741 (2000)
- Pisinger C, "Waist circumference and weight following smoking cessation in a general population: the Inter99 study", Prev Med, 44, pp.290~295 (2007)
- Lopez-Jimenez F, "Weight change after myocardial infarction-the enhancing recovery in coronary heart disease patients (ENRICHD) experience", Am Heart J, 155, pp.478~484 (2008)
- Momtahan K, "Patients' understanding of cardiac risk factors: a point-prevalence study", J Cardiovasc Nurs, 19, pp.13~20 (2004)
- Alm-Roijer C, "Better knowledge improves adherence to lifestyle changes and medication in patients with coronary heart disease", Eur J Cardiovasc Nurs, 3, pp.321~330 (2004)