Fat-Free Mass and Body Fat in Patients with Myocardial Infarction Who Underwent Percutaneous Coronary Intervention

Kanic, Vojko; Frank, Barbara; Sokolović, Ivana; Glavnik, Nina; Penko, Meta

doi:10.1016/j.amjcard.2022.04.020

Cited by 4 publications

(4 citation statements)

References 18 publications

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“…Unfortunately, we do not have data on physical activity, so we could not assess the possible influence of muscle mass and cardiorespiratory fitness in these particularly vulnerable patients. Lower BMI values have been associated with lower muscle mass, leading to reduced mobility and impaired physical performance, conditions associated with a poorer outcome [18,39]. These characteristics may further explain why patients with lower BMI values have a higher risk of dying in the long term after STEMI.…”

Section: Discussionmentioning

confidence: 99%

“…The body mass index (BMI) is used most often to define categories of body weight because it can be measured very easily [16]. However, BMI does not accurately estimate body compartments, and it cannot discriminate between an excess of body fat and an increase in fat-free mass, which may result in nutritional misclassification [12,18,19]. In addition, it cannot discriminate between visceral and subcutaneous fat [16,18].…”

Section: Introductionmentioning

confidence: 99%

“…However, BMI does not accurately estimate body compartments, and it cannot discriminate between an excess of body fat and an increase in fat-free mass, which may result in nutritional misclassification [12,18,19]. In addition, it cannot discriminate between visceral and subcutaneous fat [16,18]. Visceral body fat has proatherosclerotic and cardio-depressant properties and carries a higher risk compared to subcutaneous fat [16,19].…”

Section: Introductionmentioning

confidence: 99%

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Obesity and Acute Kidney Injury in Patients with ST-Elevation Myocardial Infarction

Kanic,

Suran,

Kompara

2023

JCM

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Background: Data on the association between obesity and acute kidney injury (AKI) in patients with ST-elevation myocardial infarction (STEMI) are sparse and inconclusive. We aimed to evaluate the association between obesity and AKI and the outcome in these patients. Methods: A retrospective observational study of 3979 STEMI patients undergoing percutaneous coronary intervention (PCI) was performed at a single center. Patients with and without AKI were compared. Patients were also divided into three categories according to BMI, and these were compared. All-cause mortality was determined at 30 days and over a median period of 7.0 years. Results: The incidence of AKI was similar in all BMI categories. There was no association between BMI categories and AKI (p = 0.089). The Spearman correlation coefficient between BMI categories and AKI showed no correlation (r = −0.005; p = 0.75). More AKI patients died within 30 days and in the long term [137 (18.5%) and 283 (38.1%) patients in the AKI group died compared to 118 (3.6%) and 767 (23.1%) in the non-AKI group; p < 0.0001]. AKI was harmful in all BMI categories (p < 0.0001) and was associated with more than a 2.5-fold and a 1.5-fold multivariable-adjusted 30-day and long-term mortality risk, respectively (aOR 2.59; 95% CI 1.84–3.64; p < 0.0001, aHR 1.54; 95% CI 1.32–1.80; p < 0.0001). BMI categories were not associated with 30-day mortality (p = 0.26) but were associated with long-term mortality (p < 0.0001). Overweight and obese patients had an approximately 25% lower long-term multivariable-adjusted risk of death than normal-weight patients. In patients with AKI, BMI was only associated with long-term risk (p = 0.022). Obesity had an additional beneficial effect in these patients, and only patients with obesity, but not overweight patients, had a lower multivariable adjusted long-term mortality risk than normal-weight patients (aHR 062; 95% CI 0.446–0.88 p = 0.007). Conclusions: In patients who experienced AKI, obesity had an additional positive modifying effect. Our data suggest that the incidence of AKI in STEMI patients is not BMI-dependent.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Obesity and Acute Kidney Injury in Patients with ST-Elevation Myocardial Infarction

Kanic,

Suran,

Kompara

2023

JCM

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“…Restricted blood flow in the vessels is most often the result of coronary artery disease (CAD) caused by atherosclerotic processes ( 4 ). The development of abnormalities contributing to MI can be caused by non-modifiable factors, including male sex, as well as modifiable ones, including an unhealthy lifestyle and its consequences in the form of overweight and excessive adipose tissue content ( 5 – 7 ).…”

Section: Introductionmentioning

confidence: 99%

Lifestyle and the risk of acute coronary event: a retrospective study of patients after myocardial infarction

Szczepańska,

Białek-Dratwa,

Filipów

et al. 2023

Front. Nutr.

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IntroductionUnhealthy lifestyle behaviours that may contribute to the development of disorders leading to MI include consuming foods with a high glycaemic load and excessive supply of saturated fats, especially trans fats. Limiting the consumption of simple and refined carbohydrates, such as sweets, sweet drinks, white bread, or white pasta, has a positive effect on the lipid profile by lowering the concentration of triglycerides. Eliminating simple sugars, especially fructose, prevents the deposition of visceral adipose tissue.Materials and methodsThe study included 116 patients of the Silesian Centre for Heart Diseases in Zabrze (SCCS; Poland), with their average age being 59.45 ± 11.54 years, staying in the SCCS due to MI, from March to November 2022. The comprehensive assessment of diet quality included 72 patients: 15 women and 57 men. The research tool was the KomPAN questionnaire for examining dietary views and habits, developed by the Committee on Human Nutrition Science of the Polish Academy of Sciences, evaluating the diet in the year preceding the study. The following three indicators were used to assess the diet quality: pro-Healthy Diet Index (pHDI), non-Healthy Diet Index (nHDI) and Diet Quality Index (DQI).ResultsMost patients ate white wheat bread several times a day (39.66% of patients, with a higher percentage in men than in women – 42.35% vs. 32.26%), and white rice, fine-ground groats and pasta once a week (40.52% of patients, including 41.17% of men and 38.71% of women). Legume seeds were predominantly eaten 1–3 times a month (51.73% of responses, with comparable percentages of men and women, i.e., 51.76% vs. 51.62%), vegetables several times a week (42.25% of responses, including more women than men, i.e., 54.84% vs. 37.64%), and fruit once a day (40.52% of responses, including more men than women: 45.89% vs. 25.81%).ConclusionThe results of our assessment of individual behaviours of the whole group may indicate errors in the diet. The value of the pro-Healthy Diet Index appears to confirm this fact, while the non-Healthy Diet Index and Diet Quality Index values do not clearly demonstrate its potential adverse impact on health. These limitations of our study may be due to differences in the size of the study population and the size of the population included in the comprehensive diet assessment. Therefore, it seems necessary to conduct further research.

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Sex differences in the relationship between body mass index and outcome in myocardial infarction

Kanic¹,

Suran²

2023

The American Journal of the Medical Sciences

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Fat-Free Mass and Body Fat in Patients with Myocardial Infarction Who Underwent Percutaneous Coronary Intervention

Cited by 4 publications

References 18 publications

Obesity and Acute Kidney Injury in Patients with ST-Elevation Myocardial Infarction

Obesity and Acute Kidney Injury in Patients with ST-Elevation Myocardial Infarction

Lifestyle and the risk of acute coronary event: a retrospective study of patients after myocardial infarction

Sex differences in the relationship between body mass index and outcome in myocardial infarction

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