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Circulation. 1983;67:968-977

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Circulation, Vol 67, 968-977, Copyright © 1983 by American Heart Association


ARTICLES

Obesity as an independent risk factor for cardiovascular disease: a 26- year follow-up of participants in the Framingham Heart Study

HB Hubert, M Feinleib, PM McNamara and WP Castelli

The relationship between the degree of obesity and the incidence of cardiovascular disease (CVD) was reexamined in the 5209 men and women of the original Framingham cohort. Recent observations of disease occurrence over 26 years indicate that obesity, measured by Metropolitan Relative Weight, was a significant independent predictor of CVD, particularly among women. Multiple logistic regression analyses showed that Metropolitan Relative Weight, or percentage of desirable weight, on initial examination predicted 26-year incidence of coronary disease (both angina and coronary disease other than angina), coronary death and congestive heart failure in men independent of age, cholesterol, systolic blood pressure, cigarettes, left ventricular hypertrophy and glucose intolerance. Relative weight in women was also positively and independently associated with coronary disease, stroke, congestive failure, and coronary and CVD death. These data further show that weight gain after the young adult years conveyed an increased risk of CVD in both sexes that could not be attributed either to the initial weight or the levels of the risk factors that may have resulted from weight gain. Intervention in obesity, in addition to the well established risk factors, appears to be an advisable goal in the primary prevention of CVD.


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Am J Physiol Heart Circ Physiol, May 1, 2005; 288(5): H2031 - H2041.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. Mora, L. R. Yanek, T. F. Moy, M. D. Fallin, L. C. Becker, and D. M. Becker
Interaction of Body Mass Index and Framingham Risk Score in Predicting Incident Coronary Disease in Families
Circulation, April 19, 2005; 111(15): 1871 - 1876.
[Abstract] [Full Text] [PDF]


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CirculationHome page
G. de Simone, K. Wachtell, V. Palmieri, D. A. Hille, G. Beevers, B. Dahlof, U. de Faire, F. Fyhrquist, H. Ibsen, S. Julius, et al.
Body Build and Risk of Cardiovascular Events in Hypertension and Left Ventricular Hypertrophy: The LIFE (Losartan Intervention For Endpoint reduction in hypertension) Study
Circulation, April 19, 2005; 111(15): 1924 - 1931.
[Abstract] [Full Text] [PDF]


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CirculationHome page
G. Rega, C. Kaun, T.W. Weiss, S. Demyanets, G. Zorn, S.P. Kastl, S. Steiner, D. Seidinger, C.W. Kopp, M. Frey, et al.
Inflammatory Cytokines Interleukin-6 and Oncostatin M Induce Plasminogen Activator Inhibitor-1 in Human Adipose Tissue
Circulation, April 19, 2005; 111(15): 1938 - 1945.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Kurth, J. M. Gaziano, K. M. Rexrode, C. S. Kase, N. R. Cook, J. E. Manson, and J. E. Buring
Prospective Study of Body Mass Index and Risk of Stroke in Apparently Healthy Women
Circulation, April 19, 2005; 111(15): 1992 - 1998.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
B. T. Noronha, J.-M. Li, S. B. Wheatcroft, A. M. Shah, and M. T. Kearney
Inducible Nitric Oxide Synthase Has Divergent Effects on Vascular and Metabolic Function in Obesity
Diabetes, April 1, 2005; 54(4): 1082 - 1089.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
C. Franco, J. Brandberg, L. Lonn, B. Andersson, B.-A. Bengtsson, and G. Johannsson
Growth Hormone Treatment Reduces Abdominal Visceral Fat in Postmenopausal Women with Abdominal Obesity: A 12-Month Placebo-Controlled Trial
J. Clin. Endocrinol. Metab., March 1, 2005; 90(3): 1466 - 1474.
[Abstract] [Full Text] [PDF]


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Am J EpidemiolHome page
S. Eilat-Adar, M. Eldar, and U. Goldbourt
Association of Intentional Changes in Body Weight with Coronary Heart Disease Event Rates in Overweight Subjects Who Have an Additional Coronary Risk Factor
Am. J. Epidemiol., February 15, 2005; 161(4): 352 - 358.
[Abstract] [Full Text] [PDF]


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J. Epidemiol. Community HealthHome page
S G. Wannamethee, A G. Shaper, and M. Walker
Overweight and obesity and weight change in middle aged men: impact on cardiovascular disease and diabetes
J Epidemiol Community Health, February 1, 2005; 59(2): 134 - 139.
[Abstract] [Full Text] [PDF]


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JAMAHome page
M. L. Daviglus, K. Liu, L. L. Yan, A. Pirzada, L. Manheim, W. Manning, D. B. Garside, R. Wang, A. R. Dyer, P. Greenland, et al.
Relation of Body Mass Index in Young Adulthood and Middle Age to Medicare Expenditures in Older Age
JAMA, December 8, 2004; 292(22): 2743 - 2749.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
S. H. Bates, T. A. Dundon, M. Seifert, M. Carlson, E. Maratos-Flier, and M. G. Myers Jr
LRb-STAT3 Signaling Is Required for the Neuroendocrine Regulation of Energy Expenditure by Leptin
Diabetes, December 1, 2004; 53(12): 3067 - 3073.
[Abstract] [Full Text] [PDF]


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StrokeHome page
K. Jood, C. Jern, L. Wilhelmsen, and A. Rosengren
Body Mass Index in Mid-Life Is Associated With a First Stroke in Men: A Prospective Population Study Over 28 Years
Stroke, December 1, 2004; 35(12): 2764 - 2769.
[Abstract] [Full Text] [PDF]


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Arch Intern MedHome page
M. E. Widlansky, H. D. Sesso, K. M. Rexrode, J. E. Manson, and J. M. Gaziano
Body Mass Index and Total and Cardiovascular Mortality in Men With a History of Cardiovascular Disease
Arch Intern Med, November 22, 2004; 164(21): 2326 - 2332.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C. Y. Wong, T. O'Moore-Sullivan, R. Leano, N. Byrne, E. Beller, and T. H. Marwick
Alterations of Left Ventricular Myocardial Characteristics Associated With Obesity
Circulation, November 9, 2004; 110(19): 3081 - 3087.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
R. T. de Jongh, E. H. Serne, R. G. IJzerman, G. de Vries, and C. D.A. Stehouwer
Free Fatty Acid Levels Modulate Microvascular Function: Relevance for Obesity-Associated Insulin Resistance, Hypertension, and Microangiopathy
Diabetes, November 1, 2004; 53(11): 2873 - 2882.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
B. E. Wisse
The Inflammatory Syndrome: The Role of Adipose Tissue Cytokines in Metabolic Disorders Linked to Obesity
J. Am. Soc. Nephrol., November 1, 2004; 15(11): 2792 - 2800.
[Abstract] [Full Text] [PDF]


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Arch Intern MedHome page
E. Chiquette, G. Ramirez, and R. DeFronzo
A Meta-analysis Comparing the Effect of Thiazolidinediones on Cardiovascular Risk Factors
Arch Intern Med, October 25, 2004; 164(19): 2097 - 2104.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
K. A. Brownley, K. C. Light, K. M. Grewen, E. E. Bragdon, A. L. Hinderliter, and S. G. West
Postprandial Ghrelin Is Elevated in Black Compared with White Women
J. Clin. Endocrinol. Metab., September 1, 2004; 89(9): 4457 - 4463.
[Abstract] [Full Text] [PDF]


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Arch SurgHome page
A. L. Neville, C. V. R. Brown, J. Weng, D. Demetriades, and G. C. Velmahos
Obesity Is an Independent Risk Factor of Mortality in Severely Injured Blunt Trauma Patients
Arch Surg, September 1, 2004; 139(9): 983 - 987.
[Abstract] [Full Text] [PDF]


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StrokeHome page
H. Eyre, R. Kahn, R. M. Robertson, and and the ACS/ADA/AHA Collaborative Writing Committe
Preventing Cancer, Cardiovascular Disease, and Diabetes: A Common Agenda for the American Cancer Society, the American Diabetes Association, and the American Heart Association
Stroke, August 1, 2004; 35(8): 1999 - 2010.
[Abstract] [Full Text] [PDF]


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Arch Intern MedHome page
T. L. S. Visscher, A. Rissanen, J. C. Seidell, M. Heliovaara, P. Knekt, A. Reunanen, and A. Aromaa
Obesity and Unhealthy Life-Years in Adult Finns: An Empirical Approach
Arch Intern Med, July 12, 2004; 164(13): 1413 - 1420.
[Abstract] [Full Text] [PDF]


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GutHome page
P G Kopelman and C Grace
New thoughts on managing obesity
Gut, July 1, 2004; 53(7): 1044 - 1053.
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CA Cancer J ClinHome page
H. Eyre, R. Kahn, R. M. Robertson, and the ACS/ADA/AHA Collaborative Writing Committe, N. G. Clark, C. Doyle, T. Gansler, T. Glynn, Y. Hong, R. A. Smith, et al.
Preventing Cancer, Cardiovascular Disease, and Diabetes: A Common Agenda for the American Cancer Society, the American Diabetes Association, and the American Heart Association
CA Cancer J Clin, July 1, 2004; 54(4): 190 - 207.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
H. Eyre, R. Kahn, and R. M. Robertson
Preventing Cancer, Cardiovascular Disease, and Diabetes: A common agenda for the American Cancer Society, the American Diabetes Association, and the American Heart Association
Diabetes Care, July 1, 2004; 27(7): 1812 - 1824.
[Abstract] [Full Text] [PDF]


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CirculationHome page
H. Eyre, R. Kahn, R. M. Robertson, the ACS/ADA/AHA Collaborative Writing Committee, ACS/ADA/AHA Collaborative Writing Committee Member, N. G. Clark, C. Doyle, Y. Hong, T. Gansler, T. Glynn, et al.
Preventing Cancer, Cardiovascular Disease, and Diabetes: A Common Agenda for the American Cancer Society, the American Diabetes Association, and the American Heart Association
Circulation, June 29, 2004; 109(25): 3244 - 3255.
[Abstract] [Full Text] [PDF]


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CirculationHome page
R. T. de Jongh, E. H. Serne, R. G. IJzerman, G. de Vries, and C. D.A. Stehouwer
Impaired Microvascular Function in Obesity: Implications for Obesity-Associated Microangiopathy, Hypertension, and Insulin Resistance
Circulation, June 1, 2004; 109(21): 2529 - 2535.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
M. R. Mehra, P. A. Uber, M. H. Park, R. L. Scott, H. O. Ventura, B. C. Harris, and E. D. Frohlich
Obesity and suppressed B-type natriuretic peptide levels in heart failure
J. Am. Coll. Cardiol., May 5, 2004; 43(9): 1590 - 1595.
[Abstract] [Full Text] [PDF]


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JBJSHome page
A. M. Wendelboe, K. T. Hegmann, L. H. Gren, S. C. Alder, G. L. White Jr., and J. L. Lyon
Associations Between Body-Mass Index and Surgery for Rotator Cuff Tendinitis
J. Bone Joint Surg. Am., April 1, 2004; 86(4): 743 - 747.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
C. L Pelkman, V. K Fishell, D. H Maddox, T. A Pearson, D. T Mauger, and P. M Kris-Etherton
Effects of moderate-fat (from monounsaturated fat) and low-fat weight-loss diets on the serum lipid profile in overweight and obese men and women
Am. J. Clinical Nutrition, February 1, 2004; 79(2): 204 - 212.
[Abstract] [Full Text] [PDF]


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JCOHome page
S. J. Freedland, W. J. Aronson, C. J. Kane, J. C. Presti Jr, C. L. Amling, D. Elashoff, and M. K. Terris
Impact of Obesity on Biochemical Control After Radical Prostatectomy for Clinically Localized Prostate Cancer: A Report by the Shared Equal Access Regional Cancer Hospital Database Study Group
J. Clin. Oncol., February 1, 2004; 22(3): 446 - 453.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
D. De Bacquer, G. De Backer, D. Cokkinos, U. Keil, M. Montaye, E. Ostor, K. Pyorala, S. Sans, and for the EUROASPIRE II Study Group
Overweight and obesity in patients with established coronary heart disease: Are we meeting the challenge?
Eur. Heart J., January 2, 2004; 25(2): 121 - 128.
[Abstract] [Full Text] [PDF]