Obesity: A Risk Factor for Acute Myocardial Infarction with Angiographically Patent Epicardial Coronary Vessels in an Adolescent

El‐Menyar, Ayman; Gomaa, Mohammed; Arafa, Salah

doi:10.1159/000095492

Cited by 3 publications

(2 citation statements)

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“…Several important short-term adverse effects on growth, blood pressure, blood lipids, glucose metabolism [10,11], and respiratory problems such as asthma and obstructive sleep apnea, have also been reported [12,13]. Moreover, childhood obesity has been suggested to be the sole risk factor for myocardial infarction at a young age [14] and has been linked to negative self-image, decreased self-esteem [15], and lower health-related quality of life [16,17]. …”

Section: Introductionmentioning

confidence: 99%

Childhood Obesity and Academic Achievement among Male Students in Public Primary Schools in Kuwait

et al. 2011

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Objective: The aim of this study was to investigate the association between childhood obesity and student academic performance in the classroom setting. Subjects and Methods: A multi-stage cluster random sampling was used to select a representative sample of 1,213 fifth-grade students in male public schools. Height and weight were measured using a standard protocol. Overweight was defined as BMI ≧85th but <95th percentile, while obesity as ≧95th BMI percentile, using growth charts provided by the Centre for Disease Control and Prevention (2000). Data on each student’s academic performance and sociodemographic factors were extracted from school records. Of the 1,213 students, 147 were absent on the day the survey was conducted. Therefore, the analysis was based on 1,066 students. Of the 1,066 students, 67 did not have previous school records because they were new in the school; hence the association between school performance and obesity was based on 999 students. Results: The prevalence of obesity was 186 (17.4%, 95% CI: 15.2–19.9%) while the prevalence of overweight was 232 (21.8%, 95% CI: 19.3–24.4%). There was no significant association between obesity and academic performance after adjusting for sociodemographic factors. Parental education was the most important predictor for high academic performance in the classroom setting. Conclusion: There is no association between obesity and academic performance in the classroom setting among boys in Kuwait. With the lack of evidence of a relationship between childhood obesity and academic performance, using high performance as a measure of success in prevention initiatives cannot be justified.

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Section: Introductionmentioning

confidence: 99%

Childhood Obesity and Academic Achievement among Male Students in Public Primary Schools in Kuwait

et al. 2011

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“…The patients' follow-up was not recorded, which is a limiting factor in addressing long-term mortality and rehospitalization. The occurrence of coronary spasm, insulin resistance, and micro-vessel CAD in young obese subjects is also an interesting area for research [57,58].…”

Section: Discussionmentioning

confidence: 99%

Patterns and Outcomes of Obesity Using Body Mass Index in Patients Hospitalized with Acute Cardiovascular Disorders: A Retrospective Analysis of 7284 Patients in a Middle Eastern Country

Abid,

El-Menyar,

Singh

et al. 2023

JCM

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Background: We aimed to study the presentation and in-hospital outcomes of obese patients hospitalized for cardiovascular diseases (CVDs) in a Middle Eastern country. Methods: This retrospective study included patients admitted to the Heart Hospital between 2015 and 2020. Patients were divided according to their body mass index (BMI): Group I (BMI 18.5–24.9), Group II (BMI 25–29.9), and Group III (BMI ≥ 30), by applying one-way ANOVAs and chi-square tests. The obese group (BMI ≥ 30) was graded and compared (Grade I (BMI 30–34.9), Grade II (BMI 35–39.9), and Grade III (BMI ≥ 40)). Results: There were 7284 patients admitted with CVDs (Group I (29%), Group II (37%), and Group III (34%)). The mean age was higher in Group III than Groups I and II (p < 0.001). Male sex was predominant in all groups except for morbid obesity (Grade III), in which females predominated. Diabetes mellitus (DM), hypertension, and dyslipidemia were more common in Group III. Chest pain was more common in Group II, while shortness of breath was more evident in Group III (p < 0.001). Group II had more ST-elevation myocardial infarction (STEMI), followed by Group I (p < 0.001). Atrial fibrillation (AF) was observed more frequently in Group III (p < 0.001). Congestive heart failure (CHF) was common in Group III (19%) (p < 0.001). In the subanalysis, (Grade I (62%), Grade II (22.5%), and Grade III (15.5%)), Grade I had more STEMI, whereas AF and CHF were higher in Grade III (p < 0.001). Percutaneous Coronary Intervention was performed less frequently in Grade III (p < 0.001). In-hospital mortality was higher in Grade III (17.1%), followed by Grades II (11.2%) and I (9.3%) (p < 0.001). Conclusions: In this study, one third of the hospitalized CVS patients were obese. AF and CHF with preserved EF were the most common cardiovascular presentations in obese patients. In patients with CVDs, obesity was associated with higher rates of comorbidities and in-hospital mortality. However, obesity measured by BMI alone was not an independent predictor of mortality in obese cardiac patients.

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Type 2 Diabetes, Metabolic Syndrome and Lipid Metabolism

Pinhas‐Hamiel

2018

ESPE

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Obesity: A Risk Factor for Acute Myocardial Infarction with Angiographically Patent Epicardial Coronary Vessels in an Adolescent

Cited by 3 publications

References 20 publications

Childhood Obesity and Academic Achievement among Male Students in Public Primary Schools in Kuwait

Childhood Obesity and Academic Achievement among Male Students in Public Primary Schools in Kuwait

Patterns and Outcomes of Obesity Using Body Mass Index in Patients Hospitalized with Acute Cardiovascular Disorders: A Retrospective Analysis of 7284 Patients in a Middle Eastern Country

Type 2 Diabetes, Metabolic Syndrome and Lipid Metabolism

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