No obesity paradox in out-of-hospital cardiac arrest: Data from the Swedish registry of cardiopulmonary resuscitation

Does obesity influence the return of spontaneous circulation among out-of-hospital cardiac arrest patients? A retrospective cohort study

“…Sharma et al [34] rightly pointed out that in most cases, a more appropriate name for this phenomenon is the 'BMI paradox'. Recent studies, both in patients after OHCA and in other life-threatening conditions, suggest that the 'obesity paradox' does not exist and that the protective effect of obesity should not be considered [35,36]. Taking into account all the possible consequences of obesity (both problems with life support and health complications), the ERC guidelines rightly emphasize the need for CA prevention, including early detection and treatment of, for example, coronary heart disease, with which obesity is strongly correlated [1,37].…”