Predictors of Weight Reduction and Smoking Cessation in Overweight and Obese Patients with Acute Myocardial infarctions.
10.12701/yujm.2011.28.1.20
- Author:
Jung Kyu KANG
1
;
Jang Hoon LEE
;
Su Young HA
;
Myung Hwan BAE
;
Dong Heon YANG
;
Hun Sik PARK
;
Yongkeun CHO
;
Shung Chull CHAE
;
Jae Eun JUN
Author Information
1. Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Republic of Korea. choyk@mail.knu.ac.kr
- Publication Type:Original Article
- Keywords:
Myocardial infarction;
Weight loss;
Smoking cessation
- MeSH:
Body Weight;
Follow-Up Studies;
Humans;
Life Style;
Multivariate Analysis;
Myocardial Infarction;
Overweight;
Smoke;
Smoking;
Smoking Cessation;
Weight Loss
- From:Yeungnam University Journal of Medicine
2011;28(1):20-30
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Little is known about predictors of lifestyle modification in overweight or obese patients with acute myocardial infarctions. METHODS: Between October 2005 and May 2007, 311 overweight or obese patients with an AMI visited Kyungpook National University Hospital. Among them, 216 patients (63+/-11 years old, 144 males) with > or =1 year of follow-up were included. RESULTS: Body weight of all patients showed a significant decrease and 20% showed a >3% weight reduction at 1 year of follow-up. Ninety-six (44%) patients were smoking at baseline, and 52% of them had quit by 1 year of follow-up. Only six smokers were successful with both a >3% weight reduction and smoking cessation. In multivariate analysis, age (OR 1.084, 95% CI 1.028-1.144, p=0.003) and smoking cessation (OR 0.167, 95% CI 0.048-0.575, p=0.005) were independent predictors of weight reduction. Abdominal circumference was a negative predictor of smoking cessation (OR 0.903, 95% CI 0.820-0.994, p=0.037). CONCLUSIONS: Mean body weight of all patients showed a significant decrease at follow-up. Smoking cessation and age were independent predictors of weight reduction, and abdominal circumference was a negative predictor of smoking cessation.
