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Volumn 11, Issue 1, 2014, Pages 111-117

The obesity paradox in chronic Heart failure: What does it mean?

Author keywords

Body fat distribution; Body mass index; Cardiorespiratory fitness; Heart failure; Obesity paradox; Total fitness; Weight management

Indexed keywords

BRAIN NATRIURETIC PEPTIDE; C REACTIVE PROTEIN; OXIDOREDUCTASE;

EID: 84896728773     PISSN: 15469530     EISSN: 15469549     Source Type: Journal    
DOI: 10.1007/s11897-013-0184-2     Document Type: Article
Times cited : (21)

References (44)
  • 1
    • 84855353573 scopus 로고    scopus 로고
    • Heart Disease and Stroke Statistics - 2012 Update
    • 10.1161/CIR.0b013e31823ac046 22179539 10.1161/CIR.0b013e31823ac046
    • Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, et al. Heart Disease and Stroke Statistics - 2012 Update. Circulation. 2012;125(1):e2-220. doi: 10.1161/CIR.0b013e31823ac046.
    • (2012) Circulation , vol.125 , Issue.1 , pp. 2-220
    • Roger, V.L.1    Go, A.S.2    Lloyd-Jones, D.M.3    Benjamin, E.J.4    Berry, J.D.5    Borden, W.B.6
  • 2
    • 84866546945 scopus 로고    scopus 로고
    • The obesity paradox in chronic disease: Facts and numbers
    • 10.1007/s13539-012-0059-5 10.1007/s13539-012-0059-5 This is a review and opinion of the obesity paradox occuring in a number of chronic disease states and the implication of the obesity paradox for clinicians and researchers of health and disease
    • • Lainscak M, von Haehling S, Doehner W, Anker SD. The obesity paradox in chronic disease: facts and numbers. J Cachex Sarcopenia Muscle. 2012;3(1):1-4. doi: 10.1007/s13539-012-0059-5. This is a review and opinion of the obesity paradox occuring in a number of chronic disease states and the implication of the obesity paradox for clinicians and researchers of health and disease.
    • (2012) J Cachex Sarcopenia Muscle , vol.3 , Issue.1 , pp. 1-4
    • Lainscak, M.1    Von Haehling, S.2    Doehner, W.3    Anker, S.D.4
  • 4
    • 78650674441 scopus 로고    scopus 로고
    • Obesity Is an Independent Risk Factor for Heart Failure: Zona Franca Cohort Study
    • 10.1002/clc.20837 21184560 10.1002/clc.20837
    • Baena-Díez JM, Byram AO, Grau M, Gómez-Fernández C, Vidal-Solsona M, Ledesma-Ulloa G, et al. Obesity Is an Independent Risk Factor for Heart Failure: Zona Franca Cohort Study. Clin Cardiol. 2010;33(12):760-4. doi: 10.1002/clc.20837.
    • (2010) Clin Cardiol , vol.33 , Issue.12 , pp. 760-764
    • Baena-Díez, J.M.1    Byram, A.O.2    Grau, M.3    Gómez-Fernández, C.4    Vidal-Solsona, M.5    Ledesma-Ulloa, G.6
  • 5
    • 0031572160 scopus 로고    scopus 로고
    • Cardiac morphology and left ventricular function in normotensive morbidly obese patients with and without congestive heart failure, and effect of weight loss
    • DOI 10.1016/S0002-9149(97)00505-5, PII S0002914997005055
    • Alpert MA, Terry BE, Mulekar M, Cohen MV, Massey CV, Fan TM, et al. Cardiac morphology and left ventricular function in normotensive morbidly obese patients with and without congestive heart failure, and effect of weight loss. Am J Cardiol. 1997;80(6):736-40. (Pubitemid 27413582)
    • (1997) American Journal of Cardiology , vol.80 , Issue.6 , pp. 736-740
    • Alpert, M.A.1    Terry, B.E.2    Mulekar, M.3    Cohen, M.V.4    Massey, C.V.5    Fan, T.M.6    Panayiotou, H.7    Mukerji, V.8
  • 6
    • 33845348932 scopus 로고    scopus 로고
    • An obesity paradox in acute heart failure: Analysis of body mass index and inhospital mortality for 108 927 patients in the Acute Decompensated Heart Failure National Registry
    • DOI 10.1016/j.ahj.2006.09.007, PII S0002870306008271
    • Fonarow GC, Srikanthan P, Costanzo MR, Cintron GB, Lopatin M. Investigators ASACa. An obesity paradox in acute heart failure: analysis of body mass index and inhospital mortality for 108,927 patients in the Acute Decompensated Heart Failure National Registry. Am Heart J. 2007;153(1):74-81. (Pubitemid 44880872)
    • (2007) American Heart Journal , vol.153 , Issue.1 , pp. 74-81
    • Fonarow, G.C.1    Srikanthan, P.2    Costanzo, M.R.3    Cintron, G.B.4    Lopatin, M.5
  • 8
    • 70349596313 scopus 로고    scopus 로고
    • Influence of etiology of heart failure on the obesity paradox
    • 10.1016/j.amjcard.2009.05.059 2764987 19801034 10.1016/j.amjcard.2009.05. 059
    • Arena R, Myers J, Abella J, Pinkstaff S, Brubaker P, Moore B, et al. Influence of etiology of heart failure on the obesity paradox. Am J Cardiol. 2009;104(8):1116-21. doi: 10.1016/j.amjcard.2009.05.059.
    • (2009) Am J Cardiol , vol.104 , Issue.8 , pp. 1116-1121
    • Arena, R.1    Myers, J.2    Abella, J.3    Pinkstaff, S.4    Brubaker, P.5    Moore, B.6
  • 11
    • 84881289883 scopus 로고    scopus 로고
    • Prognosis of morbid obesity patients with advanced heart failure
    • 10.1111/chf.12038 1:CAS:528:DC%2BC3sXhsVCisrnK 23910700 10.1111/chf.12038 Nicely-done study from the Cleveland Clinic investigating the sometimes-reported "J-shape" survival curve of the obesity paradox. The findings support the idea that based on BMI, morbidly obese patients with HF have significantly higher risk of mortality than their obese counterparts
    • • Nagarajan V, Cauthen CA, Starling RC, Tang WH. Prognosis of morbid obesity patients with advanced heart failure. Congest Heart Fail. 2013;19(4):160-4. doi: 10.1111/chf.12038. Nicely-done study from the Cleveland Clinic investigating the sometimes-reported "J-shape" survival curve of the obesity paradox. The findings support the idea that based on BMI, morbidly obese patients with HF have significantly higher risk of mortality than their obese counterparts.
    • (2013) Congest Heart Fail , vol.19 , Issue.4 , pp. 160-164
    • Nagarajan, V.1    Cauthen, C.A.2    Starling, R.C.3    Tang, W.H.4
  • 13
    • 1942420839 scopus 로고    scopus 로고
    • Alterations in left ventricular structure and function in young healthy obese women: Assessment by echocardiography and tissue Doppler imaging
    • DOI 10.1016/j.jacc.2003.10.062, PII S0735109704001974
    • Peterson LR, Waggoner AD, Schechtman KB, Meyer T, Gropler RJ, Barzilai B, et al. Alterations in left ventricular structure and function in young healthy obese women: assessment by echocardiography and tissue Doppler imaging. J Am Coll Cardiol. 2004;43(8):1399-404. doi: 10.1016/j.jacc.2003.10.062. (Pubitemid 38496345)
    • (2004) Journal of the American College of Cardiology , vol.43 , Issue.8 , pp. 1399-1404
    • Peterson, L.R.1    Waggoner, A.D.2    Schechtman, K.B.3    Meyer, T.4    Gropler, R.J.5    Barzilai, B.6    Davila-Roman, V.G.7
  • 14
    • 8544283794 scopus 로고    scopus 로고
    • Alterations of left ventricular myocardial characteristics associated with obesity
    • DOI 10.1161/01.CIR.0000147184.13872.0F
    • Wong CY, O'Moore-Sullivan T, Leano R, Byrne N, Beller E, Marwick TH. Alterations of left ventricular myocardial characteristics associated with obesity. Circulation. 2004;110(19):3081-7. doi: 10.1161/01.CIR.0000147184.13872. 0F. (Pubitemid 39492002)
    • (2004) Circulation , vol.110 , Issue.19 , pp. 3081-3087
    • Wong, C.Y.1    O'Moore-Sullivan, T.2    Leano, R.3    Byrne, N.4    Beller, E.5    Marwick, T.H.6
  • 16
    • 77954267303 scopus 로고    scopus 로고
    • Association between direct measures of body composition and prognostic factors in chronic heart failure
    • 10.4065/mcp.2010.0103 20592169 10.4065/mcp.2010.0103 This is a comprehensive study highlighting the limitation of BMI and the strong correlation between elevated BMI and lean body mass in patients with HF. The higher lean mass with elevated BMI may be the reason for the factors associated with improved prognosis
    • •• Oreopoulos A, Ezekowitz JA, McAlister FA, Kalantar-Zadeh K, Fonarow GC, Norris CM, et al. Association between direct measures of body composition and prognostic factors in chronic heart failure. Mayo Clin Proc. 2010;85(7):609-17. doi: 10.4065/mcp.2010.0103. This is a comprehensive study highlighting the limitation of BMI and the strong correlation between elevated BMI and lean body mass in patients with HF. The higher lean mass with elevated BMI may be the reason for the factors associated with improved prognosis.
    • (2010) Mayo Clin Proc , vol.85 , Issue.7 , pp. 609-617
    • Oreopoulos, A.1    Ezekowitz, J.A.2    McAlister, F.A.3    Kalantar-Zadeh, K.4    Fonarow, G.C.5    Norris, C.M.6
  • 17
    • 0037378997 scopus 로고    scopus 로고
    • Body composition and prognosis in chronic systolic heart failure: The obesity paradox
    • DOI 10.1016/S0002-9149(03)00031-6
    • Lavie CJ, Osman AF, Milani RV, Mehra MR. Body composition and prognosis in chronic systolic heart failure: the obesity paradox. Am J Cardiol. 2003;91(7):891-4. (Pubitemid 36363743)
    • (2003) American Journal of Cardiology , vol.91 , Issue.7 , pp. 891-894
    • Lavie, C.J.1    Osman, A.F.2    Milani, R.V.3    Mehra, M.R.4
  • 18
    • 77953811057 scopus 로고    scopus 로고
    • Intra-abdominal fat accumulation is greatest at younger ages in Japanese-American adults
    • 10.1016/j.diabres.2010.03.006 2893258 20392506 10.1016/j.diabres.2010.03. 006
    • Lee CG, Fujimoto WY, Brunzell JD, Kahn SE, McNeely MJ, Leonetti DL, et al. Intra-abdominal fat accumulation is greatest at younger ages in Japanese-American adults. Diabetes Res Clin Pract. 2010;89(1):58-64. doi: 10.1016/j.diabres.2010.03.006.
    • (2010) Diabetes Res Clin Pract , vol.89 , Issue.1 , pp. 58-64
    • Lee, C.G.1    Fujimoto, W.Y.2    Brunzell, J.D.3    Kahn, S.E.4    McNeely, M.J.5    Leonetti, D.L.6
  • 19
    • 68149136670 scopus 로고    scopus 로고
    • Five-year change in visceral adipose tissue quantity in a minority cohort: The Insulin Resistance Atherosclerosis Study (IRAS) family study
    • 10.2337/dc09-0336 19487643 10.2337/dc09-0336
    • Hairston KG, Scherzinger A, Foy C, Hanley AJ, McCorkle O, Haffner S, et al. Five-year change in visceral adipose tissue quantity in a minority cohort: the Insulin Resistance Atherosclerosis Study (IRAS) family study. Diabetes Care. 2009;32(8):1553-5. doi: 10.2337/dc09-0336.
    • (2009) Diabetes Care , vol.32 , Issue.8 , pp. 1553-1555
    • Hairston, K.G.1    Scherzinger, A.2    Foy, C.3    Hanley, A.J.4    McCorkle, O.5    Haffner, S.6
  • 21
    • 84881413140 scopus 로고    scopus 로고
    • Body composition assessment for the definition of cardiometabolic risk
    • 10.3275/8943 1:STN:280:DC%2BC3srnslChtA%3D%3D
    • Amato MC, Guarnotta V, Giordano C. Body composition assessment for the definition of cardiometabolic risk. J Endocrinol Investig. 2013;36(7):537-43. doi: 10.3275/8943.
    • (2013) J Endocrinol Investig , vol.36 , Issue.7 , pp. 537-543
    • Amato, M.C.1    Guarnotta, V.2    Giordano, C.3
  • 22
    • 79955571600 scopus 로고    scopus 로고
    • Waist circumference, body mass index, and survival in systolic heart failure: The obesity paradox revisited
    • 10.1016/j.cardfail.2011.01.009 21549293 10.1016/j.cardfail.2011.01.009 One of the first studies to investigate the role of fat distribution using waist circumference in the context of the obesity paradox. Also, demonstrated the interaction of BMI and waist circumference
    • •• Clark AL, Fonarow GC, Horwich TB. Waist circumference, body mass index, and survival in systolic heart failure: the obesity paradox revisited. J Card Fail. 2011;17(5):374-80. doi: 10.1016/j.cardfail.2011.01.009. One of the first studies to investigate the role of fat distribution using waist circumference in the context of the obesity paradox. Also, demonstrated the interaction of BMI and waist circumference.
    • (2011) J Card Fail , vol.17 , Issue.5 , pp. 374-380
    • Clark, A.L.1    Fonarow, G.C.2    Horwich, T.B.3
  • 23
    • 0030297870 scopus 로고    scopus 로고
    • Exercise limitation in chronic heart failure: Central role of the periphery
    • DOI 10.1016/S0735-1097(96)00323-3, PII S0735109796003233
    • Clark AL, Poole-Wilson PA, Coats AJ. Exercise limitation in chronic heart failure: central role of the periphery. J Am Coll Cardiol. 1996;28(5):1092-102. doi: 10.1016/S0735-1097(96)00323-3. (Pubitemid 26376979)
    • (1996) Journal of the American College of Cardiology , vol.28 , Issue.5 , pp. 1092-1102
    • Clark, A.L.1    Poole-Wilson, P.A.2    Coats, A.J.S.3
  • 24
    • 84873824809 scopus 로고    scopus 로고
    • Impact of cardiorespiratory fitness on the obesity paradox in patients with heart failure
    • 10.1016/j.mayocp.2012.11.020 23489451 10.1016/j.mayocp.2012.11.020 This is an analysis of a very large cohort of patients with HF undergoing cardiopulmonary exercise testing. These results suggest that cardiorespiratory fitness may be more important than BMI in the context of the obesity paradox. This study adds to the idea that there are limits to the obesity paradox
    • • Lavie CJ, Cahalin LP, Chase P, Myers J, Bensimhon D, Peberdy MA, et al. Impact of cardiorespiratory fitness on the obesity paradox in patients with heart failure. Mayo Clin Proc. 2013;88(3):251-8. doi: 10.1016/j.mayocp. 2012.11.020. This is an analysis of a very large cohort of patients with HF undergoing cardiopulmonary exercise testing. These results suggest that cardiorespiratory fitness may be more important than BMI in the context of the obesity paradox. This study adds to the idea that there are limits to the obesity paradox.
    • (2013) Mayo Clin Proc , vol.88 , Issue.3 , pp. 251-258
    • Lavie, C.J.1    Cahalin, L.P.2    Chase, P.3    Myers, J.4    Bensimhon, D.5    Peberdy, M.A.6
  • 25
    • 0033667326 scopus 로고    scopus 로고
    • The incremental prognostic importance of body fat adjusted peak oxygen consumption in chronic heart failure
    • 1:CAS:528:DC%2BD3cXptFSqtb4%3D 11127451 10.1016/S0735-1097(00)00985-2
    • Osman AF, Mehra MR, Lavie CJ, Nunez E, Milani RV. The incremental prognostic importance of body fat adjusted peak oxygen consumption in chronic heart failure. J Am Coll Cardiol. 2000;36(7):2126-31.
    • (2000) J Am Coll Cardiol , vol.36 , Issue.7 , pp. 2126-2131
    • Osman, A.F.1    Mehra, M.R.2    Lavie, C.J.3    Nunez, E.4    Milani, R.V.5
  • 29
    • 67849120680 scopus 로고    scopus 로고
    • Determining the preferred percent-predicted equation for peak oxygen consumption in patients with heart failure
    • 10.1161/CIRCHEARTFAILURE.108.834168 2747756 19808326 10.1161/ CIRCHEARTFAILURE.108.834168
    • Arena R, Myers J, Abella J, Pinkstaff S, Brubaker P, Moore B, et al. Determining the preferred percent-predicted equation for peak oxygen consumption in patients with heart failure. Circ Heart Fail. 2009;2(2):113-20. doi: 10.1161/CIRCHEARTFAILURE.108.834168.
    • (2009) Circ Heart Fail , vol.2 , Issue.2 , pp. 113-120
    • Arena, R.1    Myers, J.2    Abella, J.3    Pinkstaff, S.4    Brubaker, P.5    Moore, B.6
  • 31
    • 0031025867 scopus 로고    scopus 로고
    • The influence of muscle mass, strength, fatigability and blood flow on exercise capacity in cachectic and non-cachectic patients with chronic heart failure
    • Anker SD, Swan JW, Volterrani M, Chua TP, Clark AL, Poole-Wilson PA, et al. The influence of muscle mass, strength, fatigability and blood flow on exercise capacity in cachectic and non-cachectic patients with chronic heart failure. Eur Heart J. 1997;18(2):259-69. (Pubitemid 27107588)
    • (1997) European Heart Journal , vol.18 , Issue.2 , pp. 259-269
    • Anker, S.D.1    Swan, J.W.2    Volterrani, M.3    Chua, T.P.4    Clark, A.L.5    Poole-Wilson, P.A.6    Coats, A.J.S.7
  • 33
    • 80053384608 scopus 로고    scopus 로고
    • The obesity paradox and weight loss
    • 10.1016/j.amjmed.2011.04.018 21798508 10.1016/j.amjmed.2011.04.018
    • Myers J, Lata K, Chowdhury S, McAuley P, Jain N, Froelicher V. The obesity paradox and weight loss. Am J Med. 2011;124(10):924-30. doi: 10.1016/j.amjmed.2011.04.018.
    • (2011) Am J Med , vol.124 , Issue.10 , pp. 924-930
    • Myers, J.1    Lata, K.2    Chowdhury, S.3    McAuley, P.4    Jain, N.5    Froelicher, V.6
  • 34
    • 65549167028 scopus 로고    scopus 로고
    • The obesity paradox, weight loss, and coronary disease
    • 10.1016/j.amjmed.2009.06.006 1:CAS:528:DC%2BD1MXhsFagsrzL 19682667 10.1016/j.amjmed.2009.06.006
    • Lavie CJ, Milani RV, Artham SM, Patel DA, Ventura HO. The obesity paradox, weight loss, and coronary disease. Am J Med. 2009;122(12):1106-14. doi: 10.1016/j.amjmed.2009.06.006.
    • (2009) Am J Med , vol.122 , Issue.12 , pp. 1106-1114
    • Lavie, C.J.1    Milani, R.V.2    Artham, S.M.3    Patel, D.A.4    Ventura, H.O.5
  • 35
    • 65549109680 scopus 로고    scopus 로고
    • Obesity and cardiovascular disease: Risk factor, paradox, and impact of weight loss
    • 10.1016/j.jacc.2008.12.068 19460605 10.1016/j.jacc.2008.12.068
    • Lavie CJ, Milani RV, Ventura HO. Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss. J Am Coll Cardiol. 2009;53(21):1925-32. doi: 10.1016/j.jacc.2008.12.068.
    • (2009) J Am Coll Cardiol , vol.53 , Issue.21 , pp. 1925-1932
    • Lavie, C.J.1    Milani, R.V.2    Ventura, H.O.3
  • 36
    • 0037471843 scopus 로고    scopus 로고
    • Prognostic importance of weight loss in chronic heart failure and the effect of treatment with angiotensin-converting-enzyme inhibitors: An observational study
    • DOI 10.1016/S0140-6736(03)12892-9
    • Anker SD, Negassa A, Coats AJ, Afzal R, Poole-Wilson PA, Cohn JN, et al. Prognostic importance of weight loss in chronic heart failure and the effect of treatment with angiotensin-converting-enzyme inhibitors: an observational study. Lancet. 2003;361(9363):1077-83. doi: 10.1016/S0140-6736(03)12892-9. (Pubitemid 36369559)
    • (2003) Lancet , vol.361 , Issue.9363 , pp. 1077-1083
    • Anker, S.D.1    Negassa, A.2    Coats, A.J.S.3    Afzal, R.4    Poole-Wilson, P.A.5    Cohn, J.N.6    Yusuf, S.7
  • 37
    • 55749096258 scopus 로고    scopus 로고
    • Weight loss and mortality risk in patients with chronic heart failure in the candesartan in heart failure: Assessment of reduction in mortality and morbidity (CHARM) programme
    • 10.1093/eurheartj/ehn420 18819960 10.1093/eurheartj/ehn420
    • Pocock SJ, McMurray JJ, Dobson J, Yusuf S, Granger CB, Michelson EL, et al. Weight loss and mortality risk in patients with chronic heart failure in the candesartan in heart failure: assessment of reduction in mortality and morbidity (CHARM) programme. Eur Heart J. 2008;29(21):2641-50. doi: 10.1093/eurheartj/ehn420.
    • (2008) Eur Heart J , vol.29 , Issue.21 , pp. 2641-2650
    • Pocock, S.J.1    McMurray, J.J.2    Dobson, J.3    Yusuf, S.4    Granger, C.B.5    Michelson, E.L.6
  • 39
    • 77953593318 scopus 로고    scopus 로고
    • HFSA 2010 Comprehensive Heart Failure Practice Guideline
    • 10.1016/j.cardfail.2010.04.004 20610207 10.1016/j.cardfail.2010.04.004 These are the current guidelines for the care and treatment of patients with HF in the US
    • • Lindenfeld J, Albert NM, Boehmer JP, Collins SP, Ezekowitz JA, Givertz MM, et al. HFSA 2010 Comprehensive Heart Failure Practice Guideline. J Card Fail. 2010;16(6):e1-194. doi: 10.1016/j.cardfail.2010.04.004. These are the current guidelines for the care and treatment of patients with HF in the US.
    • (2010) J Card Fail , vol.16 , Issue.6 , pp. 1-194
    • Lindenfeld, J.1    Albert, N.M.2    Boehmer, J.P.3    Collins, S.P.4    Ezekowitz, J.A.5    Givertz, M.M.6
  • 40
    • 79551485905 scopus 로고    scopus 로고
    • Self-care management of heart failure: Practical recommendations from the Patient Care Committee of the Heart Failure Association of the European Society of Cardiology
    • 10.1093/eurjhf/hfq219 21148593 10.1093/eurjhf/hfq219 This is the most current recommendation from the Heart Failure Association of the European Society of Cardiology concerning the self-care management of HF. These recommendations are well-supported and provide clear recommendations in a number of important areas related to patient self-care
    • •• Lainscak M, Blue L, Clark AL, Dahlström U, Dickstein K, Ekman I, et al. Self-care management of heart failure: practical recommendations from the Patient Care Committee of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2011;13(2):115-26. doi: 10.1093/eurjhf/hfq219. This is the most current recommendation from the Heart Failure Association of the European Society of Cardiology concerning the self-care management of HF. These recommendations are well-supported and provide clear recommendations in a number of important areas related to patient self-care.
    • (2011) Eur J Heart Fail , vol.13 , Issue.2 , pp. 115-126
    • Lainscak, M.1    Blue, L.2    Clark, A.L.3    Dahlström, U.4    Dickstein, K.5    Ekman, I.6
  • 41
    • 64249125022 scopus 로고    scopus 로고
    • Efficacy and Safety of Exercise Training in Patients with Chronic Heart Failure: HF-ACTION Randomized Controlled Trial
    • 10.1001/jama.2009.454 2916661 19351941 10.1001/jama.2009.454
    • O'Connor CM, Whellan DJ, Lee KL, Keteyian SJ, Cooper LS, Ellis SJ, et al. Efficacy and Safety of Exercise Training in Patients With Chronic Heart Failure: HF-ACTION Randomized Controlled Trial. JAMA. 2009;301(14):1439-50. doi: 10.1001/jama.2009.454.
    • (2009) JAMA , vol.301 , Issue.14 , pp. 1439-1450
    • O'Connor, C.M.1    Whellan, D.J.2    Lee, K.L.3    Keteyian, S.J.4    Cooper, L.S.5    Ellis, S.J.6
  • 42
    • 56149088321 scopus 로고    scopus 로고
    • Prognostic importance of weight loss in patients with coronary heart disease regardless of initial body mass index
    • 10.1097/HJR.0b013e3282f48348 18525390 10.1097/HJR.0b013e3282f48348
    • Sierra-Johnson J, Romero-Corral A, Somers VK, Lopez-Jimenez F, Thomas RJ, Squires RW, et al. Prognostic importance of weight loss in patients with coronary heart disease regardless of initial body mass index. Eur J Cardiovasc Prev Rehabil. 2008;15(3):336-40. doi: 10.1097/HJR.0b013e3282f48348.
    • (2008) Eur J Cardiovasc Prev Rehabil , vol.15 , Issue.3 , pp. 336-340
    • Sierra-Johnson, J.1    Romero-Corral, A.2    Somers, V.K.3    Lopez-Jimenez, F.4    Thomas, R.J.5    Squires, R.W.6
  • 44
    • 77949442633 scopus 로고    scopus 로고
    • Clinical role of exercise training in the management of patients with chronic heart failure
    • 10.1097/HCR.0b013e3181d0c1c1
    • Keteyian SJ, Piña IL, Hibner BA, Fleg JL. Clinical role of exercise training in the management of patients with chronic heart failure. J Cardpulm Rehabil Prev. 2010;30(2):67-76. doi: 10.1097/HCR.0b013e3181d0c1c1.
    • (2010) J Cardpulm Rehabil Prev , vol.30 , Issue.2 , pp. 67-76
    • Keteyian, S.J.1    Piña, I.L.2    Hibner, B.A.3    Fleg, J.L.4


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