"Obesity Paradox" .. Is co -existence with excess weight better for heart patients?

The term “obesity paradox” refers to one of the strange notes in the world of health. Although obesity is an important risk factor for developing cardiovascular disease, obese patients have better survival rates. Doctors also notice that obesity patients tend to improve faster to large surgeries than obese patients, and they also noted that obese patients with chronic high blood pressure live longer than people with normal weight. Some evidence shows that obesity benefits offer survival, regardless of age, medical care or treatment, but a new study reveals the lie of the idea, as there is no ‘obesity paradox’. The study, published in the ‘European Heart Magazine’, showed that this paradox was incorrectly caused by the measurement of obesity. The body mass scale The doctors depend on the look at the body mass index (body weight split on the square of the height), a person suffers from obesity if his body mass index is greater than 30. But researchers in the new study say that this scale sometimes leads to a misunderstanding, and that the “paradox of obesity” completely disappears as he uses another indicator. The researchers say that measuring the length of the waist is a better measure of obesity than the body mass index, and they also confirm that this relationship is also a better measure of cardiovascular disease. The person is considered fat as this percentage is more than 0.52 for men, 0.49 for women. The researchers say that people with an increase in the waist rate of length have lower survival rates, which undermine the basis of the term known as ‘obesity paradox’. The index failed and a professor of cardiology at the University of “Glasgow”, John Macmori, the lead author of this research, says that the hypothesis of coexistence with obesity as a good thing for patients suffering from heart failure may not be correct, as obesity should be bad and not good. He explained that his research team believes that part of the problem is that the body mass index is a poor indicator if used to calculate the amount of fatty tissues in the patient, suggesting that the body mass index shows the formation of fats, muscles and bones, or where the fat is spread. “Is it possible to assume that an American professional wrestler (more muscle) and a Japanese (more fat) wrestler has the same body mass index that is at risk like cardiovascular disease?” The published study is the first to look for in different ways to measure the size and lineage of patients, including the body mass index, but also measurements such as the waist to length, waist and waist to hip. The results of the patient should take into account or other factors that play a role in these results, such as hormone levels (nitrorestric peptides), which are excreted in the blood when the heart is under pressure, as is the case with heart failure. Natural peptides are the most important prediction variable in patients with heart failure. Usually, the levels of “nitroretric” peptides in people with heart failure rise, but obese patients have lower levels than those who have a natural weight. The paradox of obesity, in the study, analyzed the data of 1832 women and 6.567 men suffering from heart failure, recorded in a great experience performed in 47 countries with six continents. Doctors collect data on the body mass index, blood pressure, waist measurements for length, the results of blood tests, medical history and treatments. The researchers were interested in knowing the patients who were taken to hospital due to heart failure, or who died. The ‘paradox of obesity and survival’ showed a decrease in mortality rates for people with a body mass index of 25 kg per square meter or more, but this paradox was eliminated when the researchers adjusted the results to take into account all factors that consider the results, including nitrorestric peptides. The paradox was less clear when the researchers looked at the waist rates, and disappeared completely after changing another group of factors. Each of the body mass index, and the ratio of the middle to length, showed that the increase of body fat was linked to an increase in the risk of death or hospitalization of heart failure, but this effect was clearer in relation to the ratio of the middle to length. If the researchers look at the waist, the researchers found that the highest 20% of people with the highest fat percentage had an increase of 39%, suffering from the risk of hospitalization due to heart failure compared to people at the lowest 20% of those who have the lowest fat. This study shows the absence of an approach to survival due to obesity. The body mass index does not take into account the location of the body or the amount of it in relation to the muscles or the weight of the skeleton, which can differ by gender, age and sweat. In particular, in the seedlings kept, it also contributes to the growing body weight. As a result, indicators that do not include weight, such as the level of waist to length, the true relationship between body fat and the results of patients in scientific studies, can make it clear, which indicates that increased obesity is actually related to worse and no better results, including high hospitalization and poor quality of life related to health, the researchers say. McMouri pointed out that “obesity is not good, and it is bad in patients with heart failure.” These notes raise the question of whether weight loss can improve the results, but researchers need experiments to test them. Also read: