AN OBESE PATIENT “PORTRAIT” BY THE RESULTS OF OUTPATIENT CARDIOVASCULAR REGISTRY “PROFILE”
Aim. To assess the opportunities for registry methodology for comparative evaluation of clinical and anamnestic characteristics of cardiological patients with and without obesity; to draw a “portrait” of the obese patients, common for the cohort studied.Material and methods. The data analyzed f...
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| Format: | Article |
| Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2016-08-01
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| Series: | Кардиоваскулярная терапия и профилактика |
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| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/445 |
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| author | A. V. Zakharova Yu. V. Lukina V. P. Voronina S. N. Tolpygina N. P. Kutishenko N. V. Kiseleva S. Yu. Martsevich |
| author_facet | A. V. Zakharova Yu. V. Lukina V. P. Voronina S. N. Tolpygina N. P. Kutishenko N. V. Kiseleva S. Yu. Martsevich |
| author_sort | A. V. Zakharova |
| collection | DOAJ |
| description | Aim. To assess the opportunities for registry methodology for comparative evaluation of clinical and anamnestic characteristics of cardiological patients with and without obesity; to draw a “portrait” of the obese patients, common for the cohort studied.Material and methods. The data analyzed from outpatient PROFILE registry during January 2011 to 31 august 2015: totally 1531 primary patient included, of those body mass index (BMI) collected in 1371. In 565 there was obesity of various grade, in 806 BMI was not higher than 30 kg/m2. The analysis done of retrospective data.Results. According to PROFILE results, obesity was found in 41,2% of patients, and those with obesity were younger (p=0,003). Among them men and women number was equa — 50,8% and 49,2%, resp. For the obese there were characteristic presence of dyspnea, oedema and low level of physical activity (p=0,0001). The obese had 1,5-3 times more common arterial hypertension, 2 type diabetes, chronic heart failure (p=0,0001), glucose tolerance disordered (p=0,001), dyslipidemia (p=0,012). Regardless that the obese took medications more commonly (p=0,006), they more rarely reached target level of blood pressure (BP), than those non obese (p<0,05). Almost nobody of those with obesity had prescribed therapy against overweight, except 73 patients that participated in 2 clinical trials.Conclusion. The data from outpatient registry PROFILE has confirmed the main information on obesity in cardiological patients: a “portrait” is drawn of the obese, cardiovascular risk factors (CRF) formulated, and comorbidities. The data demonstrates more difficult achievement of target BP in the obese with regular medication treatment, and highlights insufficient attention of physicians to diagnostics and especially treatment of obesity, as underestimation of the overweight problem by patients themselves. |
| format | Article |
| id | doaj-art-41b8bf488be444d5bef2cae9f9549060 |
| institution | Kabale University |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| publishDate | 2016-08-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj-art-41b8bf488be444d5bef2cae9f95490602025-08-20T03:35:44Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252016-08-01154444910.15829/1728-8800-2016-4-44-49352AN OBESE PATIENT “PORTRAIT” BY THE RESULTS OF OUTPATIENT CARDIOVASCULAR REGISTRY “PROFILE”A. V. Zakharova0Yu. V. Lukina1V. P. Voronina2S. N. Tolpygina3N. P. Kutishenko4N. V. Kiseleva5S. Yu. Martsevich6National Research Center for Preventive Medicine of the Ministry of Health, MoscowNational Research Center for Preventive Medicine of the Ministry of Health, MoscowNational Research Center for Preventive Medicine of the Ministry of Health, MoscowNational Research Center for Preventive Medicine of the Ministry of Health, MoscowNational Research Center for Preventive Medicine of the Ministry of Health, MoscowNational Research Center for Preventive Medicine of the Ministry of Health, MoscowNational Research Center for Preventive Medicine of the Ministry of Health, MoscowAim. To assess the opportunities for registry methodology for comparative evaluation of clinical and anamnestic characteristics of cardiological patients with and without obesity; to draw a “portrait” of the obese patients, common for the cohort studied.Material and methods. The data analyzed from outpatient PROFILE registry during January 2011 to 31 august 2015: totally 1531 primary patient included, of those body mass index (BMI) collected in 1371. In 565 there was obesity of various grade, in 806 BMI was not higher than 30 kg/m2. The analysis done of retrospective data.Results. According to PROFILE results, obesity was found in 41,2% of patients, and those with obesity were younger (p=0,003). Among them men and women number was equa — 50,8% and 49,2%, resp. For the obese there were characteristic presence of dyspnea, oedema and low level of physical activity (p=0,0001). The obese had 1,5-3 times more common arterial hypertension, 2 type diabetes, chronic heart failure (p=0,0001), glucose tolerance disordered (p=0,001), dyslipidemia (p=0,012). Regardless that the obese took medications more commonly (p=0,006), they more rarely reached target level of blood pressure (BP), than those non obese (p<0,05). Almost nobody of those with obesity had prescribed therapy against overweight, except 73 patients that participated in 2 clinical trials.Conclusion. The data from outpatient registry PROFILE has confirmed the main information on obesity in cardiological patients: a “portrait” is drawn of the obese, cardiovascular risk factors (CRF) formulated, and comorbidities. The data demonstrates more difficult achievement of target BP in the obese with regular medication treatment, and highlights insufficient attention of physicians to diagnostics and especially treatment of obesity, as underestimation of the overweight problem by patients themselves.https://cardiovascular.elpub.ru/jour/article/view/445obesityoutpatient registrybody mass index |
| spellingShingle | A. V. Zakharova Yu. V. Lukina V. P. Voronina S. N. Tolpygina N. P. Kutishenko N. V. Kiseleva S. Yu. Martsevich AN OBESE PATIENT “PORTRAIT” BY THE RESULTS OF OUTPATIENT CARDIOVASCULAR REGISTRY “PROFILE” Кардиоваскулярная терапия и профилактика obesity outpatient registry body mass index |
| title | AN OBESE PATIENT “PORTRAIT” BY THE RESULTS OF OUTPATIENT CARDIOVASCULAR REGISTRY “PROFILE” |
| title_full | AN OBESE PATIENT “PORTRAIT” BY THE RESULTS OF OUTPATIENT CARDIOVASCULAR REGISTRY “PROFILE” |
| title_fullStr | AN OBESE PATIENT “PORTRAIT” BY THE RESULTS OF OUTPATIENT CARDIOVASCULAR REGISTRY “PROFILE” |
| title_full_unstemmed | AN OBESE PATIENT “PORTRAIT” BY THE RESULTS OF OUTPATIENT CARDIOVASCULAR REGISTRY “PROFILE” |
| title_short | AN OBESE PATIENT “PORTRAIT” BY THE RESULTS OF OUTPATIENT CARDIOVASCULAR REGISTRY “PROFILE” |
| title_sort | obese patient portrait by the results of outpatient cardiovascular registry profile |
| topic | obesity outpatient registry body mass index |
| url | https://cardiovascular.elpub.ru/jour/article/view/445 |
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