Obesity may worsen quality of life in patients with PAH, Study finds
Researchers have found in a new study that Patients with pulmonary arterial hypertension who were also overweight or obese had a higher incidence of hospitalization and worse health-related quality of life, compared with those with normal weight. The findings further revealed that patients with PAH as well as obesity or overweight had a decreased risk for transplant or death, compared with those with normal weight.
The study has appeared in the in the journal of Annals of the American Thoracic Society.
Obesity is associated with pulmonary arterial hypertension (PAH), but its impact on outcomes such as health-related quality of life (HRQoL), hospitalizations, and survival are not well understood. Effective treatment of pulmonary hypertension requires a systematic diagnostic approach to identify all reversible mechanisms. Many of these mechanisms are relevant to those afflicted with obesity. The unique mechanisms of PH in the obese include obstructive sleep apnea, obesity hypoventilation syndrome, anorexigen use, cardiomyopathy of obesity, and pulmonary thromboembolic disease. Novel mechanisms of PH in the obese include endothelial dysfunction and hyperuricemia. A wide range of effective therapies exists to mitigate the disability of PH in the obese.
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