Association between obesity and heart failure symptoms in male and female patients

S. Heo; D. K. Moser; S. J. Pressler; S. B. Dunbar; K. S. Lee; J. Kim; T. A. Lennie

doi:10.1111/cob.12179

Association between obesity and heart failure symptoms in male and female patients

S. Heo
, D. K. Moser
, S. J. Pressler
, S. B. Dunbar
, K. S. Lee
, J. Kim
, T. A. Lennie

College of Nursing

Producción científica: Article › revisión exhaustiva

21 Citas (Scopus)

Resumen

In patients with heart failure (HF), higher body mass index (BMI) has been associated with lower rates of hospitalization and mortality (obesity paradox). Symptoms are antecedents of hospitalizations, but little is known about the relationship between BMI and symptoms and gender differences. To examine the association of BMI with symptoms in male and female patients with HF, controlling for covariates (sample characteristics, depressive symptoms and sodium intake). In this cross-sectional correlational study, patients (N = 247) provided data on BMI, symptoms and covariates. BMI was categorized into four groups: normal/underweight (<25 kg/m²), overweight (25–29.9 kg/m²), obese I (30–34.9 kg/m²) and obese II/III (≥35 kg/m²). General linear regression was used to analyse the data. The Obese II/III group had more severe HF symptoms than other groups only in male patients. In male patients, older age, Caucasian race, more comorbidities and more severe depressive symptoms were also associated with more severe symptoms. In female patients, more severe depressive symptoms, more comorbidities and higher sodium intake were associated with more severe symptoms. The obesity paradox does not fully extend to symptoms, and gender has a role in the relationship between obesity and symptoms.

Idioma original	English
Páginas (desde-hasta)	77-85
Número de páginas	9
Publicación	Clinical obesity
Volumen	7
N.º	2
DOI	https://doi.org/10.1111/cob.12179
Estado	Published - abr 1 2017

Nota bibliográfica

Publisher Copyright:
© 2017 World Obesity Federation

Financiación

Funding for this study came from an American Heart Association Postdoctoral Fellowship to Seongkum Heo; the National Institutes of Health (NIH), National Institute of Nursing Research (NINR) R01 NR009280 to Terry Lennie; Center grant NIH, NINR, 1P20NR010679 to Debra Moser, and, in part, PHS Grant M01 RR0039 from the General Clinical Research Center program, NINR and PHS Grant UL1 RR025008 from the Clinical and Translational Science Award program, NIH, National Center for Research Resources to D. Stephens and the Atlanta Veterans Administration Medical Center. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NINR or the NIH. For the remaining authors none was declared.

Financiadores	Número del financiador
National Institutes of Health (NIH)
National Institute of Health National Institute of Nursing Research	R01NR009280, 1P20NR010679, M01 RR0039
National Institute of Health National Institute of Nursing Research
American the American Heart Association
Presbyterian Historical Society	UL1 RR025008
Presbyterian Historical Society
Veterans Administration Medical Center

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

Good health and well being

ASJC Scopus subject areas

Endocrinology, Diabetes and Metabolism

Acceder al documento

10.1111/cob.12179

Otros archivos y enlaces

Citar esto

@article{d79a56b51f074e9fa2e5762d2f3c7171,

title = "Association between obesity and heart failure symptoms in male and female patients",

abstract = "In patients with heart failure (HF), higher body mass index (BMI) has been associated with lower rates of hospitalization and mortality (obesity paradox). Symptoms are antecedents of hospitalizations, but little is known about the relationship between BMI and symptoms and gender differences. To examine the association of BMI with symptoms in male and female patients with HF, controlling for covariates (sample characteristics, depressive symptoms and sodium intake). In this cross-sectional correlational study, patients (N = 247) provided data on BMI, symptoms and covariates. BMI was categorized into four groups: normal/underweight (<25 kg/m2), overweight (25–29.9 kg/m2), obese I (30–34.9 kg/m2) and obese II/III (≥35 kg/m2). General linear regression was used to analyse the data. The Obese II/III group had more severe HF symptoms than other groups only in male patients. In male patients, older age, Caucasian race, more comorbidities and more severe depressive symptoms were also associated with more severe symptoms. In female patients, more severe depressive symptoms, more comorbidities and higher sodium intake were associated with more severe symptoms. The obesity paradox does not fully extend to symptoms, and gender has a role in the relationship between obesity and symptoms.",

keywords = "Depression, heart failure, obesity, sodium, symptoms",

author = "S. Heo and Moser, \{D. K.\} and Pressler, \{S. J.\} and Dunbar, \{S. B.\} and Lee, \{K. S.\} and J. Kim and Lennie, \{T. A.\}",

note = "Publisher Copyright: {\textcopyright} 2017 World Obesity Federation",

year = "2017",

month = apr,

day = "1",

doi = "10.1111/cob.12179",

language = "English",

volume = "7",

pages = "77--85",

journal = "Clinical obesity",

issn = "1758-8103",

publisher = "John Wiley \& Sons Inc.",

number = "2",

}

TY - JOUR

T1 - Association between obesity and heart failure symptoms in male and female patients

AU - Heo, S.

AU - Moser, D. K.

AU - Pressler, S. J.

AU - Dunbar, S. B.

AU - Lee, K. S.

AU - Kim, J.

AU - Lennie, T. A.

PY - 2017/4/1

Y1 - 2017/4/1

N2 - In patients with heart failure (HF), higher body mass index (BMI) has been associated with lower rates of hospitalization and mortality (obesity paradox). Symptoms are antecedents of hospitalizations, but little is known about the relationship between BMI and symptoms and gender differences. To examine the association of BMI with symptoms in male and female patients with HF, controlling for covariates (sample characteristics, depressive symptoms and sodium intake). In this cross-sectional correlational study, patients (N = 247) provided data on BMI, symptoms and covariates. BMI was categorized into four groups: normal/underweight (<25 kg/m2), overweight (25–29.9 kg/m2), obese I (30–34.9 kg/m2) and obese II/III (≥35 kg/m2). General linear regression was used to analyse the data. The Obese II/III group had more severe HF symptoms than other groups only in male patients. In male patients, older age, Caucasian race, more comorbidities and more severe depressive symptoms were also associated with more severe symptoms. In female patients, more severe depressive symptoms, more comorbidities and higher sodium intake were associated with more severe symptoms. The obesity paradox does not fully extend to symptoms, and gender has a role in the relationship between obesity and symptoms.

AB - In patients with heart failure (HF), higher body mass index (BMI) has been associated with lower rates of hospitalization and mortality (obesity paradox). Symptoms are antecedents of hospitalizations, but little is known about the relationship between BMI and symptoms and gender differences. To examine the association of BMI with symptoms in male and female patients with HF, controlling for covariates (sample characteristics, depressive symptoms and sodium intake). In this cross-sectional correlational study, patients (N = 247) provided data on BMI, symptoms and covariates. BMI was categorized into four groups: normal/underweight (<25 kg/m2), overweight (25–29.9 kg/m2), obese I (30–34.9 kg/m2) and obese II/III (≥35 kg/m2). General linear regression was used to analyse the data. The Obese II/III group had more severe HF symptoms than other groups only in male patients. In male patients, older age, Caucasian race, more comorbidities and more severe depressive symptoms were also associated with more severe symptoms. In female patients, more severe depressive symptoms, more comorbidities and higher sodium intake were associated with more severe symptoms. The obesity paradox does not fully extend to symptoms, and gender has a role in the relationship between obesity and symptoms.

KW - Depression

KW - heart failure

KW - obesity

KW - sodium

KW - symptoms

UR - https://www.scopus.com/pages/publications/85047103240

UR - https://www.scopus.com/pages/publications/85047103240#tab=citedBy

U2 - 10.1111/cob.12179

DO - 10.1111/cob.12179

M3 - Article

C2 - 28117927

AN - SCOPUS:85047103240

SN - 1758-8103

VL - 7

SP - 77

EP - 85

JO - Clinical obesity

JF - Clinical obesity

IS - 2

ER -

Association between obesity and heart failure symptoms in male and female patients

Resumen

Nota bibliográfica

Financiación

ODS de las Naciones Unidas

ASJC Scopus subject areas

Acceder al documento

Otros archivos y enlaces

Huella

Citar esto