Weight Change after Myocardial Infarction—the Enhancing Recovery in Coronary Heart Disease patients (ENRICHD) Experience

López-Jiménez, Francisco; Wu, Colin O.; Tian, Xin; O'Connor, C.; Rich, Michael W.; Burg, Matthew M.; Sheps, David S.; Raczynski, James M.; Somers, Virend K.; Jaffe, Allan S.

doi:10.1016/j.ahj.2007.10.026

Cited by 58 publications

(44 citation statements)

References 31 publications

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“…Many studies indicate that mean weight does not change after AMI [27,28]. However, in our study, there was a significant decrease in mean weight when compared to baseline weight; weight loss was associated with more comorbidities at baseline, suggesting weight loss might be a marker of coronary vascular disease (CVD), severity or poorer overall health.…”

Section: Discussioncontrasting

confidence: 51%

Association Between the Weight Loss and Anxiety, Depression After Percutaneous Transluminal Coronary Angioplasty: A Need for Pre-Discharged Counseling

Shetty

Devasia

Rao

et al. 2017

Asian J Pharm Clin Res

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Objectives: To see the association between weight loss and anxiety, depression after percutaneous transluminal coronary angioplasty (PTCA) for coronary artery disease patients. (1) To see the severity of anxiety and depression 1 month after PTCA, (2) to evaluate the relationship between the weight changes and major adverse cardiac events (MACE) in 1 month follow-up. Methods:A total 1001 patients who underwent PTCA for acute coronary syndrome and coronary heart disease were included. Data were collected at baseline and 1 month after PTCA. A validated Euro 5Q-5D-5L questionnaire was used to assess the level of anxiety and depression. Chi-square test was applied to find out the association between weight loss status and anxiety, depression.Results: There was a significant decrease in mean weight 1 month after coronary angioplasty (64.18±11.022 vs. 61.96±11.17, p<0.001). No association was observed between weight loss status and anxiety, depression in PTCA patients (p=0.5) and there is no significant association between weight changes and MACE 1 month after PTCA (p=0.92). Conclusion:Data show that anxiety and depression were observed in 64.9% of the study population after coronary angioplasty but anxiety and depression are not associated with weight loss after PTCA. Loss of weight may be due to the modified post angioplasty lifestyles such as adherent to Mediterranean diet, physical exercise, cessation of smoking, optimum control of blood pressure, blood sugar, and blood cholesterol along with prescribed medications. Anxiety and depression may turn into chronic stage if not treated wisely could lead to significant MACE. Proper pre-hospital discharge counseling is necessary for all post PTCA patients to sustain their quality of life.

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Section: Discussioncontrasting

confidence: 51%

Association Between the Weight Loss and Anxiety, Depression After Percutaneous Transluminal Coronary Angioplasty: A Need for Pre-Discharged Counseling

Shetty

Devasia

Rao

et al. 2017

Asian J Pharm Clin Res

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“…Later investigations of this university student population revealed reported body mass gain in 55%, body mass loss in 12% of the students, and stable body mass over the one-year period in 33% (Serlachius et al, 2007). Confirmation came from larger cohort studies showing that some stressed individuals gained body mass while others lost it (Kivimaki et al, 2006;Block et al, 2009;Lopez-Jimenez et al, 2008). Given the evidence from the above-mentioned 'classical habituation experiment' showing that two third of participants were habituators while one third were non-habituators (Kirschbaum et al, 1995), it is likely that the London first-year students also belong to a non-homogeneous study population.…”

Section: Non-homogeneous Populationsmentioning

confidence: 65%

Stress habituation, body shape and cardiovascular mortality

Peters

McEwen

2015

Neuroscience & Biobehavioral Reviews

118

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High cardiovascular mortality is well documented in lean phenotypes exhibiting visceral fat accumulation. In contrast, corpulent phenotypes with predominantly subcutaneous fat accumulation display a surprisingly low mortality. The term 'obesity paradox' reflects the difficulty in understanding the biological mechanisms underlying these clinical observations. The allostatic load model of chronic stress focuses on glucocorticoid dysregulation as part of a 'network of allostasis' involving autonomic, endocrine, metabolic, and immune mediators. Here, we expand upon the energetic demands of the brain and show that 'habituators' and 'non-habituators' develop divergent patterns of fat distribution. Central to this process is the recurrent rise in the cerebral energy need (arousal) that non-habituators experience during chronic stress. These neuroenergetic alterations promote visceral fat accumulation, subcutaneous fat loss, and atherogenesis with subsequent cardiovascular events. Habituators are more or less protected against such cardiovascular complications, but there is a metabolic trade-off that we shall discuss in the present paper.

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“…15 Interestingly, another patient-based prospective study reported that weight gain after MI was not associated with increased risk of mortality from MI. 16 These findings suggest that ideal weight management policies for primary and secondary prevention may be different. There was a U-shaped relationship between BMI and mortality from cardiovascular disease.…”

mentioning

confidence: 85%

“…12-14 Additionally, patients who lose weight after MI have a higher risk of mortality from cardiovascular disease. 16 Tumor necrosis factor (TNF)-α, a pro-inflammatory cytokine, is produced by the myocardial cells under conditions of cardiac injury, such as myocardial ischemia or infarction and left ventricular pressure or volume overload. 21 Patients with chronic HF have higher TNF-α.…”

Section: Discussionmentioning

confidence: 99%

Association Between Weight Change Since 20 Years of Age With Mortality From Myocardial Infarction and Chronic Heart Failure in the Japan Collaborative Cohort (JACC) Study

Cui

Iso

Tanabe

et al. 2014

Circ J

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Weight Change after Myocardial Infarction—the Enhancing Recovery in Coronary Heart Disease patients (ENRICHD) Experience

Cited by 58 publications

References 31 publications

Association Between the Weight Loss and Anxiety, Depression After Percutaneous Transluminal Coronary Angioplasty: A Need for Pre-Discharged Counseling

Association Between the Weight Loss and Anxiety, Depression After Percutaneous Transluminal Coronary Angioplasty: A Need for Pre-Discharged Counseling

Stress habituation, body shape and cardiovascular mortality

Association Between Weight Change Since 20 Years of Age With Mortality From Myocardial Infarction and Chronic Heart Failure in the Japan Collaborative Cohort (JACC) Study

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