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Related Concept Videos

Obesity01:24

Obesity

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The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
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Review and Preview01:10

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In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
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Review and Preview01:13

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Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
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Drug Dosing: Obese Patients01:21

Drug Dosing: Obese Patients

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In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
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Pharmacokinetics in Obese Patients: Drug Absorption and Distribution01:25

Pharmacokinetics in Obese Patients: Drug Absorption and Distribution

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Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...
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Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion01:20

Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion

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Drug metabolism, a critical process in the liver, involves two primary phases: Phase I reactions and Phase II conjugation. Obesity introduces significant alterations in this metabolic process, primarily due to fatty infiltration of the liver, leading to conditions such as nonalcoholic fatty liver disease (NAFLD). This condition can modify the activities of both Phase I and II enzymes, impacting how drugs are metabolized in obese patients.Phase I metabolism sees variable effects across...
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Updated: Feb 11, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
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Obesity and Ventricular Repolarization: a Comprehensive Review.

Jad Omran1, Brian P Bostick1, Albert K Chan1

  • 1Division of Cardiovascular Medicine, University of Missouri, School of Medicine, Columbia, Missouri, USA.

Progress in Cardiovascular Diseases
|April 27, 2018
PubMed
Summary
This summary is machine-generated.

Obesity is linked to sudden cardiac death, potentially due to delayed ventricular repolarization (VR). Weight loss in obese individuals effectively shortens the corrected QT interval (QTc) and reduces QT dispersion, improving cardiac electrical stability.

Keywords:
ObesityOverweightQT or QTc dispersionQTcVentricular repolarization,electrocardiogramWeight loss

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Area of Science:

  • Cardiology
  • Obesity Medicine
  • Electrophysiology

Background:

  • Obesity is a significant risk factor for sudden cardiac death.
  • Delayed ventricular repolarization (VR) is a suspected mechanism linking obesity to cardiac events.
  • Electrocardiographic measures like corrected QT interval (QTc) and QT dispersion are used to assess VR.

Purpose of the Study:

  • To investigate the relationship between obesity and delayed ventricular repolarization.
  • To evaluate the impact of weight loss on VR parameters in obese individuals.
  • To explore potential co-morbidities associated with obesity that may influence VR.

Main Methods:

  • Review of controlled studies assessing QTc and QT dispersion in overweight/obese vs. normal weight individuals.
  • Analysis of studies examining the effects of weight loss (diet, bariatric surgery) on VR parameters.
  • Consideration of obesity-related co-morbidities (diabetes, hypertension, etc.) and their impact on VR.

Main Results:

  • Overweight and obese subjects exhibit significantly longer QTc and greater QT dispersion compared to normal weight controls.
  • Weight loss interventions (diet, bariatric surgery) lead to significant reductions in QTc and QT dispersion.
  • Obesity co-morbidities such as diabetes, hypertension, and heart failure may also delay VR.

Conclusions:

  • Obesity is associated with delayed ventricular repolarization, evidenced by prolonged QTc and increased QT dispersion.
  • Weight loss is an effective strategy to improve VR parameters in obese patients.
  • Further research is needed to determine if obesity is an independent predictor of delayed VR and if QTc prolongation sufficiently predisposes to fatal arrhythmias.