Document Detail


Predictors of weight change in overweight patients with myocardial infarction.
MedLine Citation:
PMID:  17892997     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Weight loss is recommended among overweight survivors of myocardial infarction (MI). This study describes patterns of weight change among overweight patients with MI and identifies factors associated with weight change. METHODS: A prospective cohort of 1253 overweight or heavier (body mass index [BMI] > or = 25 kg/m2) post-MI patients were enrolled in the 19-center PREMIER study and followed up for 1 year to determine changes in weight. Patients were categorized at 1 month as overweight (BMI = 25-29.9 kg/m2), obese (BMI = 30-39.9 kg/m2), or morbidly obese (BMI > or = 40 kg/m2). Unadjusted percent weight change was assessed at 1 year, and multivariable linear regression was used to identify independent correlates of change. RESULTS: Mean weight change was -0.2% and varied by the severity of baseline obesity (+0.4% for overweight patients, -0.5% for obese patients, and -3.7% for morbidly obese patients [P < .001]). Multivariable analyses revealed the following to be significantly associated with weight change: depression 1 month post-MI (+2.7%, P = .001), lack of health insurance (+2%, P = .01), smoking cessation 1 month post-MI (+2.7% vs current smokers, P < .001), morbid obesity (+4.7% vs overweight patients, P < .0001), and increasing age (-0.8% per decade, P = .001). An interaction between smoking cessation and weight class was detected in that overweight patients who quit had a mean increase of 5.3% (95% CI 3.1%-7.4%), whereas no significant change was observed among obese and morbidly obese patients who quit. CONCLUSIONS: Although post-MI patients had negligible weight loss over 1 year, several sociodemographic, clinical, and lifestyle characteristics were associated with weight change. New, targeted interventions will likely be needed to improve weight management after an MI.
Authors:
Yazid Y Fadl; Harlan M Krumholz; Mikhail Kosiborod; Frederick A Masoudi; Pamela N Peterson; Kimberly J Reid; William S Weintraub; Donna M Buchanan; John A Spertus
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American heart journal     Volume:  154     ISSN:  1097-6744     ISO Abbreviation:  Am. Heart J.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-25     Completed Date:  2007-11-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  711-7     Citation Subset:  AIM; IM    
Affiliation:
Washington University in St. Louis, St. Louis, MO, USA.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Body Mass Index
Depression / epidemiology
Female
Health Status
Humans
Linear Models
Male
Middle Aged
Multivariate Analysis
Myocardial Infarction / epidemiology*,  physiopathology*
Obesity / epidemiology,  physiopathology
Overweight / physiology*
Smoking Cessation
Social Support
Survivors
Weight Gain*
Weight Loss*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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