Obesity Impact on Cardiovascular Disease

by Fletcher, Gerald; Grundy, Scott; Hayman, Laura

• ISBN13: 9780879934187
• ISBN10: 0879934182
• Edition: 1st
• Format: Hardcover
• Copyright: 1999-12-16
• Publisher: Wiley-Blackwell

Summary

Obesity is becoming increasingly prevalent in a worldwide context, and has been recognised as a major contributing factor in heart disease. This volume was authored by the participants in a 1998 AHA sponsored conference on the impact of obesity on cardiovascular disease.The three main sections of the book set out to evaluate current research pertaining to causation and cardiovascular sequela of obesity. Part I defines obesity, exploring its epidemiology, its genetic and non-genetic influences and its contribution to the problem of cardiovascular disease. Special attention is given to the primary prevention of obesity as a means of avoiding specific sequelae as well as the difficulties experienced by those who try to lose weight. Part II deals with the relatively new and much heralded discovery of obesity related genes the current state of diet drugs and valvular heart disease, and the interaction of obesity and metabolism, hormonal regulation and various other biological systems. Recent basic advances in the biological understanding of obesity are introduced. Part III suggests the most accurate ways of assessing BMI, of defining helpful dietary strategies and of managing the issues involved in the implementation of physical activity and pharmacological intervention as a means to decrease and maintain weight. Quality of life, economic issues and managed care settings are also discussed.

Author Biography

Gerald Fletcher is the editor of Obesity: Impact on Cardiovascular Disease, published by Wiley.

Scott Grundy is the editor of Obesity: Impact on Cardiovascular Disease, published by Wiley.

Laura Hayman is the editor of Obesity: Impact on Cardiovascular Disease, published by Wiley.

Table of Contents

Contributors	v
Acknowledgements	viii
Preface	ix
Scott M. Grundy
PART 1 Epidemiology of Obesity
Epidemiology of Obesity in Adults in Relationship to Cardiovascular Disease	3	(28)
Lewis H. Kuller
Obesity in Children, Adolescents, and Families	31	(24)
Eva Obarzanek
Developmental Aspects of Obesity: Genetic Influences	55	(20)
Trudy L. Burns
Developmental Aspects of Obesity: Nongenetic Influences	75	(16)
Laura L. Hayman
Prevention of Obesity	91	(24)
Stephen R. Daniels
PART 2 Pathophysiology of Obesity
Obesity-Related Genes	115	(10)
Ronald M. Krauss
Diet Drugs and Valvular Heart Disease	125	(8)
Gerard P. Aurigemma
Mechanisms of Obesity Hypertension and Relevance to Essential Hypertension	133	(22)
John E. Hall
Michael W. Brands
Daniel W. Jones
Eugene W. Shek
Jeffrey Henegar
Obesity and Lipoprotein Metabolism: Relationship to Cardiovascular Disease	155	(14)
Barbara V. Howard
Is Insulin Resistance an Independent Risk Factor for Coronary Heart Disease?	169	(20)
Scott M. Grundy
Obesity and Postmenopausal Hormones	189	(16)
Katherine M. Newton
Late Breaking Advances in the Biological Understanding of Obesity and Its Sequelae	205	(16)
Robert H. Eckel
PART 3 Assessment, Interventions, Treatment, and Outcomes
Body Composition Assessment: Epidemiological, Clinical, and Research Tools	221	(12)
Mary Ellen Sweeney
Dietary Strategies: Issues of Diet Composition	233	(14)
Sachiko T. St. Jeor
Judith M. Ashley
Energy Expenditure and Obesity	247	(14)
James O. Hill
Adamandia D. Kriketos
Physical Activity in the Management of Obesity: Issues and Implementation	261	(34)
Marcia L. Stefanick
Efficacy and Safety of Pharmacological Interventions of the Overweight Patient	295	(22)
George A. Bray
Behavioral Interventions	317	(10)
John P. Foreyt
W. S. Carlos Poston
Strategies to Enhance Compliance to Weight-Loss Treatment	327	(18)
Lora E. Burke
Quality of Life and Obesity	345	(10)
Marguerite R. Kinney
Economic Impact of Obesity and its Cardiovascular Sequelae in Managed Care Settings	355	(11)
Kathy McManus
Summary	366	(1)
Gerald F. Fletcher
Index	367