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June 8, 2011Clinical Pharmacology & Therapeutics35 citationsOpen Access

The Obesity Paradox in Heart Failure: Accepting Reality and Making Rational Decisions

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SAStefan D. AnkerSHStephan von Haehling

Structured PICO

P
Population
Patients with chronic heart failure (HF)

The authors argue that the obesity paradox in chronic heart failure is a real phenomenon supported by overwhelming data, requiring careful consideration of clinical messages for patients.

Abstract

The obesity paradox in chronic heart failure (HF) has a number of facets that require discussion. These involve beliefs, various statistical results, and clinical messages. We believe that the paradox is here to stay—the data are just too overwhelming for us to believe otherwise. The main question, however, is what should be the message for patients and their physicians? Clinical Pharmacology & Therapeutics (2011) 90 1, 188–190. doi:10.1038/clpt.2011.72

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Anker et al. (2011) studied this question.

synapsesocial.com/papers/6a6fada3e36a167817e162eahttps://doi.org/10.1038/clpt.2011.72
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Also Consider

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

  1. 1The relationship between obesity and mortality in patients with heart failure2001 · 862 citations
  2. 2Obesity and the Risk of Heart Failure2002 · 3,034 citations
  3. 3Weight loss and mortality risk in patients with chronic heart failure in the candesartan in heart failure: assessment of reduction in mortality and morbidity (CHARM) programme2008 · 196 citations
  4. 4Absence of Obesity Paradox in Patients with Chronic Heart Failure and Diabetes Mellitus: A Propensity-Matched Study2010 · 103 citations
  5. 5Diabetes mellitus, cachexia and obesity in heart failure: rationale and design of the Studies Investigating Co‐morbidities Aggravating Heart Failure (SICA‐HF)2010 · 88 citations