Vascular disease: obesity and excess weight as modulators of risk

Gundu H R Rao1, Indermohan Thethi, Jawed Fareed

  • 1Lillehei Heart Institute, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN 55455, USA.

Insights

Increased bodyweight significantly elevates risks for acute vascular events, including heart attacks and strokes. This review explores how excess weight contributes to vascular injury and disease progression throughout life.

Area of Science:

  • Cardiovascular Science
  • Vascular Biology
  • Obesity Research

Background:

  • Coronary artery disease (heart attacks) and cerebral artery disease (stroke) are leading causes of acute vascular events.
  • Venous thrombosis and pulmonary embolism are significant causes of hospital-associated acute vascular events.
  • Increased bodyweight is a pervasive risk factor for vascular disease across all life stages, from intrauterine growth to adulthood.

Purpose of the Study:

  • To outline major risks associated with vascular diseases leading to vascular injury.
  • To describe the modulatory role of increased bodyweight in promoting vascular disease risks.

Main Methods:

  • Literature review of established risk factors for vascular disease.
  • Analysis of mechanisms linking increased bodyweight to vascular pathology.
  • Synthesis of current understanding of obesity's impact on vascular health.

Main Results:

  • Vascular diseases, including heart attacks and strokes, are primary causes of acute vascular events.
  • Excess bodyweight, starting from early development, exacerbates multiple risk factors for vascular disease.
  • Mechanisms by which increased bodyweight promotes vascular injury and acute events are multifaceted.

Conclusions:

  • Increased bodyweight is a critical, modifiable risk factor for a spectrum of vascular diseases.
  • Understanding the link between bodyweight and vascular injury is crucial for developing preventative strategies.
  • Addressing obesity is essential for mitigating the global burden of acute vascular events.

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