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April 7, 2010Vascular MedicineOpen Access

Maladaptive enlargement of the brachial artery in severe obesity is reversed with weight loss

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Why the study?

Does significant weight loss reverse maladaptive enlargement of the brachial artery in severely obese patients?

Population

244 severely obese patients (age 44 +/- 11 years, 80% female, body mass index (BMI) 46 +/- 9 kg/m2)

Comparison

Significant (>= 10%) weight reduction vs Baseline (pre-weight loss)

Design

Cohort

Follow-up

1 year

Authors

NHNaomi M. HamburgVascular MedicineMMMelanie M. MottBoston UniversitySBSherman BigorniaUniversity of New Hampshire

Discussion

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Implication

May support reversal of maladaptive arterial remodeling after weight loss; leaves open need for outcome trials before clinical adoption.

Structured PICO

Does significant weight loss reverse maladaptive enlargement of the brachial artery in severely obese patients?

P
Population
244 severely obese patients (age 44 +/- 11 years, 80% female, body mass index (BMI) 46 +/- 9 kg/m2)
I
Intervention
Significant (>= 10%) weight reduction
C
Comparator
Baseline (pre-weight loss)
O
Outcome
Brachial arterial diameter and shear stress measured by ultrasoundsurrogate

Significant weight loss in severe obesity reverses maladaptive peripheral arterial remodeling, as evidenced by decreased brachial artery diameter.

Cite This Study

Hamburg et al. (2010) studied this question.

synapsesocial.com/papers/6a858b244f2eb4dbc91e6143https://doi.org/10.1177/1358863x10362831
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Brachial Flow-Mediated Dilation Predicts Incident Cardiovascular Events in Older Adults2007 · 895 citations
  2. 2Weight Reduction With Very-Low-Caloric Diet and Endothelial Function in Overweight Adults: Role of Plasma Glucose2003 · 198 citations
  3. 3Hemodynamic Shear Stress and Its Role in Atherosclerosis1999 · 3,663 citations
  4. 4Morphological Predictors of Arterial Remodeling in Coronary Atherosclerosis2002 · 528 citations
  5. 5Arterial enlargement in the atherosclerosis risk in communities (ARIC) cohort. In vivo quantification of carotid arterial enlargement. The ARIC Investigators.1994 · 138 citations