{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T21:17:22Z","timestamp":1793740642778,"version":"4.6.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T00:00:00Z","timestamp":1627344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100000860","name":"European Society of Cardiology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000860","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Prevention guidelines have identified the management of obese patients as an important priority to reduce the burden of incident and recurrent cardiovascular disease. Still, studies have demonstrated that over 80% of patients with coronary heart disease (CHD) fail to achieve their weight target. Here, we describe advice received and actions reported by overweight CHD patients since being discharged from hospital and how weight changes relate to their risk profile.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Based on data from 10 507 CHD patients participating in the EUROASPIRE IV and V studies, we analysed weight changes from hospital admission to the time of a study visit \u22656 and &amp;lt;24\u2009months later. At hospitalization, 34.9% were obese and another 46.0% were overweight. Obesity was more frequent in women and associated with more comorbidities. By the time of the study visit, 19.5% of obese patients had lost \u22655% of weight. However, in 16.4% weight had increased \u22655%. Weight gain in those overweight was associated with physical inactivity, non-adherence to dietary recommendations, smoking cessation, raised blood pressure, dyslipidaemia, dysglycaemia, and lower levels of quality of life. Less than half of obese patients was considering weight loss in the coming month.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The management of obesity remains a challenge in the secondary prevention of CHD despite a beneficial effect of weight loss on risk factor prevalences and quality of life. Cardiac rehabilitation programmes should include weight loss interventions as a specific component and the incremental value of telehealth intervention as well as recently described pharmacological interventions need full consideration.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjqcco\/qcab043","type":"journal-article","created":{"date-parts":[[2021,6,5]],"date-time":"2021-06-05T03:13:13Z","timestamp":1622862793000},"page":"568-576","source":"Crossref","is-referenced-by-count":19,"title":["Potential for optimizing management of obesity in the secondary prevention of coronary heart disease"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3202-7238","authenticated-orcid":false,"given":"Dirk","family":"De Bacquer","sequence":"first","affiliation":[{"name":"Department of Public Health and Primary Care, Ghent University , C. Heymanslaan 10\u20136K3, entrance 42 , B-9000 Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catriona S","family":"Jennings","sequence":"additional","affiliation":[{"name":"National Institute for Prevention and Cardiovascular Health, National University of Ireland - Galway, Cro\u00ed Heart & Stroke Centre , Cro\u00ed House, Moyola Lane, Newcastle, Galway H91 FF68 , Ireland"},{"name":"Imperial College Healthcare NHS Trust , Praed Street, London W2 1NY , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2982-6108","authenticated-orcid":false,"given":"Erkin","family":"Mirrakhimov","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Internal Diseases, Kyrgyz State Medical Academy , Akhunbaev str. 92, 720020, Bishkek , Kyrgyzstan"},{"name":"National Centre of Cardiology and Internal Medicine Named After Academician Mirrakhimov MM , Togolok Moldo str. 3, 720040, Bishkek , Kyrgyzstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dragan","family":"Lovic","sequence":"additional","affiliation":[{"name":"Cardiology Department, Singidunum University, School of Medicine, Clinic for Internal Disease Intermedica , Jovana Ristica str. 20\/2, 18000 Nis , Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Bruthans","sequence":"additional","affiliation":[{"name":"Centre for Cardiovascular Prevention, First Faculty of Medicine and Thomayer Hospital, Charles University , Videnska 800, Prague 4, 140 59 , Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delphine","family":"De Smedt","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, Ghent University , C. Heymanslaan 10\u20136K3, entrance 42 , B-9000 Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Gotcheva","sequence":"additional","affiliation":[{"name":"National Heart Hospital, Department of Cardiology , Konjovitza str. 65, 1309 Sofia , Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Dolzhenko","sequence":"additional","affiliation":[{"name":"Shupyk National Medical Academy of Postgraduate Education , Dorohozhytska 9, 04112, Kyiv , Ukraine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zlatko","family":"Fras","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine, Division of Medicine, University Medical Centre Ljubljana , Zalo\u0161ka 7, SI-1525 Ljubljana , Slovenia"},{"name":"Medical Faculty, University of Ljubljana , Vrazov trg 2, 1000 Ljubljana , Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4165-804X","authenticated-orcid":false,"given":"Nana","family":"Pogosova","sequence":"additional","affiliation":[{"name":"National Medical Research Centre of Cardiology of the Ministry of Healthcare of the Russian Federation , 3-rd Cherepkovskaya str. 15A, 121552 Moscow , Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seppo","family":"Lehto","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Lapland Central Hospital, Ounasrinteentie 22, 96400 Rovaniemi , Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Hasan-Ali","sequence":"additional","affiliation":[{"name":"Cardiovascular Medicine Department, Assiut University Heart Hospital, Assiut University , Assiut University Campus, 71515 Assiut , Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Jankowski","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College , 2 Jakubowski Str., 30-688 Krak\u00f3w , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kornelia","family":"Kotseva","sequence":"additional","affiliation":[{"name":"National Institute for Prevention and Cardiovascular Health, National University of Ireland - Galway, Cro\u00ed Heart & Stroke Centre , Cro\u00ed House, Moyola Lane, Newcastle, Galway H91 FF68 , Ireland"},{"name":"Imperial College Healthcare NHS Trust , Praed Street, London W2 1NY , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"De Backer","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, Ghent University , C. Heymanslaan 10\u20136K3, entrance 42, B-9000 Ghent , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Wood","sequence":"additional","affiliation":[{"name":"National Institute for Prevention and Cardiovascular Health, National University of Ireland - Galway, Cro\u00ed Heart & Stroke Centre , Cro\u00ed House, Moyola Lane, Newcastle, Galway H91 FF68 , Ireland"},{"name":"National Heart and Lung Institute, Imperial College London , Guy Scadding Building, Dovehouse St, London SW3 6LY , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Ryd\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Medicine, Solna, Karolinska Institutet , FoU - Tema Hj\u00e4rta och K\u00e4rl, S1:02, Karolinska Universitetssjukhuset\/Solna, SE-171 76, Stockholm , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,7,27]]},"reference":[{"key":"2022081709511292400_qcab043-B1","doi-asserted-by":"crossref","first-page":"2315","DOI":"10.1093\/eurheartj\/ehw106","article-title":"2016 European Guidelines on cardiovascular disease prevention in clinical practice. The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice","volume":"37","author":"Piepoli","year":"2016","journal-title":"Eur Heart J"},{"key":"2022081709511292400_qcab043-B2","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1177\/2047487318825350","article-title":"Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry","volume":"26","author":"Kotseva","year":"2019","journal-title":"Eur J Prev Cardiol"},{"key":"2022081709511292400_qcab043-B3","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.gheart.2015.11.003","article-title":"Trends in lifestyle, risk factor control, and use of evidence-based medications in patients with coronary heart disease in europe: results from 3 EUROASPIRE Surveys, 1999-2013","volume":"12","author":"Kotseva","year":"2017","journal-title":"Glob Heart"},{"key":"2022081709511292400_qcab043-B4","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1097\/HJR.0b013e328336a05f","article-title":"Management of overweight and obese patients with coronary heart disease across Europe","volume":"17","author":"De Bacquer","year":"2010","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"key":"2022081709511292400_qcab043-B5","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1177\/2047487315569401","article-title":"EUROASPIRE IV: a European Society of Cardiology survey on the lifestyle, risk factor and therapeutic management of coronary patients from 24 European countries","volume":"23","author":"Kotseva","year":"2016","journal-title":"Eur J Prev Cardiolog"},{"key":"2022081709511292400_qcab043-B6","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1089\/dia.2014.0354","article-title":"Accuracy of a simplified glucose measurement device\u2014the HemoCue Glucose 201RT","volume":"17","author":"Segerhag","year":"2015","journal-title":"Diabetes Technol Ther"},{"key":"2022081709511292400_qcab043-B7","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1177\/2047487312450544","article-title":"HeartQoL: I. Development of a new core health-related quality of life questionnaire for patients with ischemic heart disease","volume":"21","author":"Oldridge","year":"2014","journal-title":"Eur J Prev Cardiol"},{"key":"2022081709511292400_qcab043-B8","first-page":"1","article-title":"Challenges in coronary heart disease prevention\u2014experiences from a long-term follow-up study in Norway","volume":"4","author":"Sverre","year":"2020","journal-title":"Scand Cardiovasc J"},{"key":"2022081709511292400_qcab043-B9","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1016\/j.ahj.2007.10.026","article-title":"Weight change after myocardial infarction\u2014the Enhancing Recovery in Coronary Heart Disease patients (ENRICHD) experience","volume":"155","author":"Lopez-Jimenez","year":"2008","journal-title":"Am Heart J"},{"key":"2022081709511292400_qcab043-B10","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/j.ahj.2007.06.006","article-title":"Predictors of weight change in overweight patients with myocardial infarction","volume":"154","author":"Fadl","year":"2007","journal-title":"Am Heart J"},{"key":"2022081709511292400_qcab043-B11","doi-asserted-by":"crossref","first-page":"1999","DOI":"10.1016\/S0140-6736(08)60868-5","article-title":"EUROACTION Study Group. Nurse-coordinated multidisciplinary, family-based cardiovascular disease prevention programme (EUROACTION) for patients with coronary heart disease and asymptomatic individuals at high risk of cardiovascular disease: a paired, cluster-randomised controlled trial","volume":"371","author":"Wood","year":"2008","journal-title":"Lancet"},{"key":"2022081709511292400_qcab043-B12","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1016\/S0140-6736(06)69251-9","article-title":"Association of bodyweight with total mortality and with cardiovascular events in coronary artery disease: a systematic review of cohort studies","volume":"368","author":"Romero-Corral","year":"2006","journal-title":"Lancet"},{"key":"2022081709511292400_qcab043-B13","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1093\/eurheartj\/ehs217","article-title":"Evidence for obesity paradox in patients with acute coronary syndromes: a report from the Swedish Coronary Angiography and Angioplasty Registry","volume":"34","author":"Anger\u00e5s","year":"2013","journal-title":"Eur Heart J"},{"key":"2022081709511292400_qcab043-B14","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.ypmed.2017.04.013","article-title":"Obesity in coronary heart disease: an unaddressed behavioral risk factor","volume":"104","author":"Ades","year":"2017","journal-title":"Prev Med"},{"key":"2022081709511292400_qcab043-B15","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.1016\/j.amjmed.2009.06.006","article-title":"The obesity paradox, weight loss, and coronary disease","volume":"122","author":"Lavie","year":"2009","journal-title":"Am J Med"},{"key":"2022081709511292400_qcab043-B16","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1186\/s12933-019-0934-x","article-title":"Effects of 1 year of exercise training versus combined exercise training and weight loss on body composition, low-grade inflammation and lipids in overweight patients with coronary artery disease: a randomized trial","volume":"18","author":"Pedersen","year":"2019","journal-title":"Cardiovasc Diabetol"},{"key":"2022081709511292400_qcab043-B17","doi-asserted-by":"crossref","first-page":"1631","DOI":"10.1136\/heartjnl-2014-307119","article-title":"Association of body mass index with mortality and cardiovascular events for patients with coronary artery disease: a systematic review and meta-analysis","volume":"101","author":"Wang","year":"2015","journal-title":"Heart"},{"key":"2022081709511292400_qcab043-B18","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1016\/j.mayocp.2014.04.033","article-title":"The prognostic importance of weight loss in coronary artery disease: a systematic review and meta-analysis","volume":"89","author":"Pack","year":"2014","journal-title":"Mayo Clin Proc"},{"key":"2022081709511292400_qcab043-B19","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/j.pcad.2013.09.009","article-title":"Potential benefits of weight loss in coronary heart disease","volume":"56","author":"Ades","year":"2014","journal-title":"Prog Cardiovasc Dis"},{"key":"2022081709511292400_qcab043-B20","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/S0002-9149(97)89239-9","article-title":"Effects of cardiac rehabilitation, exercise training, and weight reduction on exercise capacity, coronary risk factors, behavioral characteristics, and quality of life in obese coronary patients","volume":"79","author":"Lavie","year":"1997","journal-title":"Am J Cardiol"},{"key":"2022081709511292400_qcab043-B21","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1080\/13548506.2010.542167","article-title":"Short-term effects of a multi-disciplinary cardiac rehabilitation programme on psychological well-being, exercise capacity and weight in a sample of obese in-patients with coronary heart disease: a practice-level study","volume":"16","author":"Manzoni","year":"2011","journal-title":"Psychol Health Med"},{"key":"2022081709511292400_qcab043-B22","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1001\/jama.2011.1914","article-title":"Bariatric surgery and long-term cardiovascular events","volume":"307","author":"Sj\u00f6str\u00f6m","year":"2012","journal-title":"JAMA"},{"key":"2022081709511292400_qcab043-B23","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.amjcard.2019.09.041","article-title":"Comparison of short and long term cardiovascular outcomes after bariatric surgery in patients with vs without coronary artery disease","volume":"125","author":"Pirlet","year":"2020","journal-title":"Am J Cardiol"},{"key":"2022081709511292400_qcab043-B24","doi-asserted-by":"crossref","first-page":"2671","DOI":"10.1161\/CIRCULATIONAHA.108.834184","article-title":"High-calorie-expenditure exercise: a new approach to cardiac rehabilitation for overweight coronary patients","volume":"119","author":"Ades","year":"2009","journal-title":"Circulation"},{"key":"2022081709511292400_qcab043-B25","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1097\/HCR.0b013e3181d6f9a8","article-title":"The treatment of obesity in cardiac rehabilitation","volume":"30","author":"Ades","year":"2010","journal-title":"J Cardiopulm Rehabil Prev"},{"key":"2022081709511292400_qcab043-B26","doi-asserted-by":"crossref","first-page":"e006997","DOI":"10.1161\/JAHA.117.006997","article-title":"Self-care for the prevention and management of cardiovascular disease and stroke. A scientific statement for Healthcare Professionals from the American Heart Association","volume":"6","author":"Riegel","year":"2017","journal-title":"J Am Heart Assoc"},{"key":"2022081709511292400_qcab043-B27","doi-asserted-by":"crossref","first-page":"1808","DOI":"10.1111\/jocn.14784","article-title":"Weight management telehealth intervention for overweight and obese rural cardiac rehabilitation participants: a randomised trial","volume":"28","author":"Barnason","year":"2019","journal-title":"J Clin Nurs"},{"key":"2022081709511292400_qcab043-B28","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1016\/S0140-6736(21)00213-0","article-title":"Semaglutide 2\u00b74 mg once a week in adults with overweight or obesity, and type 2 diabetes (STEP 2): a randomised, double-blind, double-dummy, placebo-controlled, phase 3 trial","volume":"397","author":"Davies","year":"2021","journal-title":"Lancet"},{"key":"2022081709511292400_qcab043-B29","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1056\/NEJMoa2032183","article-title":"Once-weekly semaglutide in adults with overweight or obesity","volume":"384","author":"Wilding","year":"2021","journal-title":"N Engl J Med"},{"key":"2022081709511292400_qcab043-B30","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1097\/HCR.0000000000000510","article-title":"Effects of behavioral weight loss and weight loss goal setting in cardiac rehabilitation","volume":"40","author":"Barrett","year":"2020","journal-title":"J Cardiopulm Rehabil Prev"}],"container-title":["European Heart Journal - Quality of Care and Clinical Outcomes"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjqcco\/advance-article-pdf\/doi\/10.1093\/ehjqcco\/qcab043\/39316970\/qcab043.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjqcco\/article-pdf\/8\/5\/568\/45450195\/qcab043.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjqcco\/article-pdf\/8\/5\/568\/45450195\/qcab043.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T09:51:46Z","timestamp":1660729906000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjqcco\/article\/8\/5\/568\/6328626"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,27]]},"references-count":30,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,7,27]]},"published-print":{"date-parts":[[2022,8,17]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjqcco\/qcab043","relation":{},"ISSN":["2058-5225","2058-1742"],"issn-type":[{"value":"2058-5225","type":"print"},{"value":"2058-1742","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,9]]},"published":{"date-parts":[[2021,7,27]]}}}