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Treatment selection based on BMI [18] [19] Treatment 25-26.9 27-29.9 30-34.9 35-39.9 ≥40 Lifestyle intervention (diet, physical activity, behavior) Yes Yes Yes Yes Yes Pharmacotherapy Not appropriate With co-morbidities Yes Yes Yes Surgery Not appropriate Not appropriate Not appropriate With co-morbidities Yes
Hypertension is usually treated to achieve a blood pressure of below 140/90 mmHg to 160/100 mmHg. According to one 2003 review, reduction of the blood pressure by 5 mmHg can decrease the risk of stroke by 34% and of ischaemic heart disease by 21% and reduce the likelihood of dementia, heart failure, and mortality from cardiovascular disease. [1]
Initial treatment options ESC 2024 [2] General 120–129/70–79 BP >140/90: Two from different classes: preferably RAS-inhibitor (ACEI or ARB) with either thiazide diuretic/thiazide-like diuretic or dihydropyridine CCB. ESH 2023 [3] General age <65 General age 65–79 General age ≥80 <130/80 <140 SBP <150 SBP. BP <150/95: Lifestyle changes
In this group, 26 percent of men and 38 percent of women had excess body fat. Despite having a healthy BMI, they had: Higher triglycerides (a type of fat found in your blood)
[1] [2] Thomas visualized the human body shape as an egg or ellipse rather than as the cylinder model that is envisioned in the concept of the BMI. [1] [2] The degree of circularity of an ellipse is quantified by eccentricity, with values between 0 to 1, where 0 is a perfect circle (waist circumference same as height) and 1 is a vertical line. [1]
Body fat-defined obesity was found in 50% of men and 62% of women. While BMI-defined obesity showed high specificity (95% for men and 99% for women), BMI showed poor sensitivity (36% for men and 49% for women). In other words, the BMI will be mostly correct when determining a person to be obese, but can err quite frequently when determining a ...
Obesity and BMI An obese male with a body mass index of 53 kg/m 2: weight 182 kg (400 lb), height 185 cm (6 ft 1 in). Obesity classification is a ranking of obesity, the medical condition in which excess body fat has accumulated to the extent that it has an adverse effect on health. [1]
Because risk scores such as the Framingham Risk Score give an indication of the likely benefits of prevention, they are useful for both the individual patient and for the clinician in helping decide whether lifestyle modification and preventive medical treatment and for patient education, by identifying men and women at increased risk for future cardiovascular events.