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A study of cardiovascular risk in overweight and obese people in England.
Eur J Gen Pract 2006; 12(1):19-29EJ

Abstract

OBJECTIVES

To report current levels of obesity and associated cardiac risk using routinely collected primary care computer data.

METHODS

67 practices took part in an educational intervention to improve computer data quality and care in cardiovascular disease. Data were extracted from 435,102 general practice computer records. 64.3% (229,108/362,861) of people age 15 y and older had a body mass index (BMI) recording or a valid height and weight record that enabled BMI to be derived. Data about cardiovascular disease and risk factors were also extracted. The prevalence of disease and the control of risk factors in the overweight and obese population were compared with those of normal body weight.

RESULTS

56.8% of men and 69.3% of women aged over 15 y had a BMI record. 22% of men and 32.3% of women aged 15 to 24 y were overweight or obese; rising each decade to a peak of 65.6% of men and 57.5% of women aged 55 to 64 y. Thereafter, the proportion who were overweight or obese declined. The prevalence of ischaemic heart disease, diabetes mellitus and hypertension rose with increasing levels of obesity; their prevalence in those who are moderately obese was between two and three times that of the general population. Systolic and diastolic blood pressure, blood glucose even in non-diabetics, cholesterol and triglycerides were all elevated in the overweight and obese population.

CONCLUSION

Based on the recorded data over half of men and nearly half of women are overweight or obese. They have increased cardiovascular risk, which is not adequately controlled by current practice.

Authors+Show Affiliations

Primary Care Informatics, Division of Community Health Sciences, St George's University of London, London, UK. slusigna@sgul.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16945868

Citation

de Lusignan, Simon, et al. "A Study of Cardiovascular Risk in Overweight and Obese People in England." The European Journal of General Practice, vol. 12, no. 1, 2006, pp. 19-29.
de Lusignan S, Hague N, van Vlymen J, et al. A study of cardiovascular risk in overweight and obese people in England. Eur J Gen Pract. 2006;12(1):19-29.
de Lusignan, S., Hague, N., van Vlymen, J., Dhoul, N., Chan, T., Thana, L., & Kumarapeli, P. (2006). A study of cardiovascular risk in overweight and obese people in England. The European Journal of General Practice, 12(1), pp. 19-29.
de Lusignan S, et al. A Study of Cardiovascular Risk in Overweight and Obese People in England. Eur J Gen Pract. 2006;12(1):19-29. PubMed PMID: 16945868.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A study of cardiovascular risk in overweight and obese people in England. AU - de Lusignan,Simon, AU - Hague,Nigel, AU - van Vlymen,Jeremy, AU - Dhoul,Neil, AU - Chan,Tom, AU - Thana,Lavanya, AU - Kumarapeli,Pushpa, PY - 2006/9/2/pubmed PY - 2006/12/13/medline PY - 2006/9/2/entrez SP - 19 EP - 29 JF - The European journal of general practice JO - Eur J Gen Pract VL - 12 IS - 1 N2 - OBJECTIVES: To report current levels of obesity and associated cardiac risk using routinely collected primary care computer data. METHODS: 67 practices took part in an educational intervention to improve computer data quality and care in cardiovascular disease. Data were extracted from 435,102 general practice computer records. 64.3% (229,108/362,861) of people age 15 y and older had a body mass index (BMI) recording or a valid height and weight record that enabled BMI to be derived. Data about cardiovascular disease and risk factors were also extracted. The prevalence of disease and the control of risk factors in the overweight and obese population were compared with those of normal body weight. RESULTS: 56.8% of men and 69.3% of women aged over 15 y had a BMI record. 22% of men and 32.3% of women aged 15 to 24 y were overweight or obese; rising each decade to a peak of 65.6% of men and 57.5% of women aged 55 to 64 y. Thereafter, the proportion who were overweight or obese declined. The prevalence of ischaemic heart disease, diabetes mellitus and hypertension rose with increasing levels of obesity; their prevalence in those who are moderately obese was between two and three times that of the general population. Systolic and diastolic blood pressure, blood glucose even in non-diabetics, cholesterol and triglycerides were all elevated in the overweight and obese population. CONCLUSION: Based on the recorded data over half of men and nearly half of women are overweight or obese. They have increased cardiovascular risk, which is not adequately controlled by current practice. SN - 1381-4788 UR - https://www.unboundmedicine.com/medline/citation/16945868/A_study_of_cardiovascular_risk_in_overweight_and_obese_people_in_England_ L2 - http://www.tandfonline.com/doi/full/10.1080/13814780600757260 DB - PRIME DP - Unbound Medicine ER -