Circulation. 1998;97:2099-2100
(Circulation. 1998;97:2099-2100.)
© 1998 American Heart Association, Inc.
American Heart Association Call to Action: Obesity as a Major Risk Factor for Coronary Heart Disease
Robert H. Eckel, MD;
Ronald M. Krauss, MD;
; for the AHA Nutrition Committee
From the University of Colorado Health Sciences Center, Denver (R.H.E.),
and Lawrence Berkeley National Laboratory, University of California, Berkeley
(R.M.K.).
Correspondence to Robert H. Eckel, MD, General Clinical Research Center, University of Colorado Health Sciences Center, 4200 E Ninth Ave, Denver, CO 80262.
In response to the emerging body of scientific, medical,
and behavioral data about the link between excess adiposity and
coronary heart disease, the American Heart Association (AHA) has
reclassified obesity as a major, modifiable risk factor for coronary
heart disease.
In doing so, the AHA focuses more of its attention and resources on the
role of obesity in cardiovascular disease and issues a "call to
action" to the medical and research community, as well as the public.
The actions that we request are listed below and begin with the need
for more funding for research on obesity, particularly the interrelated
roles of the biochemical and behavioral factors that underlie weight
regulation. Only through such research can we better understand this
disorder and develop more effective preventive strategies and
treatments for obesity.
Obesity research today is in its infancy, at a stage comparable to
lipid research 20 years ago. From epidemiology studies, we have learned
that obesity is a serious risk factor for coronary heart disease, on a
par with cigarette smoking, physical inactivity, and high blood
cholesterol. Because the research on this "new" risk factor for
heart disease is in its infancy, the solutions are less clear. Few
drugs exist to prevent and treat obesity, and certainly there are no
drugs comparable to the "statins" to reduce high blood cholesterol.
The long-term effects of the few treatments available remain unknown.
There are few tools for treatment, in part because we are still
learning about the complex causes of excess weight.
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