Joint statement of the European Association for the Study of Obesity and the European Society of Hypertension: Obesity and heart failure

Jens Jordan, Hermann Toplak, Guido Grassi, Volkan Yumuk, Vasilios Kotsis, Stefan Engeli, Cesare Cuspidi, Peter M. Nilsson, Nick Finer, Wolfram Doehner

Research output: Contribution to journalReview article

Abstract

Obese individuals are more likely to develop heart failure. Yet, once heart failure is established, the impact of overweight and obesity on prognosis and survival is unclear. The purpose of this joint scientific statement of the European Association for the Study of Obesity and the European Society of Hypertension is to provide an overview on the current scientific literature on obesity and heart failure in terms of prognosis, mechanisms, and clinical management implications. Moreover, the document identifies open questions that ought to be addressed. The need for more tailored weight management recommendations in heart failure will be emphasized and, in line with the emerging evidence, aims to distinguish between primary disease and secondary outcome prevention. In the primary prevention of heart failure, it appears prudent advising obese individuals to lose or achieve a healthy body weight, especially in those with risk factors such as hypertension or type 2 diabetes. However, there is no evidence from clinical trials to guide weight management in overweight or obese patients with established heart failure. Prospective clinical trials are strongly encouraged.

Original languageEnglish
Pages (from-to)1678-1688
Number of pages11
JournalJournal of Hypertension
Volume34
Issue number9
DOIs
Publication statusPublished - Sep 1 2016

Keywords

  • heart failure
  • hypertension
  • neurohumoral
  • obesity
  • obesity paradox

ASJC Scopus subject areas

  • Internal Medicine
  • Physiology
  • Medicine(all)
  • Cardiology and Cardiovascular Medicine

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