Sunday 27 February 2011

Abdominal Obesity as a Risk for Cardiovascular Disease and Diabetes - how can an iPAD app help?

 New data presented at the 2nd International Congress on Abdominal Obesity (ICAO) highlights the importance of abdominal obesity as a risk factor for the development of cardiovascular disease and diabetes. 

The INternational Study of Prediction of Intra-abdominal adiposity and its RElationships with cardioMEtabolic risk/Intra-Abdominal Adiposity (INSPIRE ME IAA) recruited 4,504 patients from 29 countries across a variety of ethnicities. INSPIRE ME IAA is a unique international study with standardized cardiometabolic and CT-imaging measurements which reported harmful cardiometabolic risk profiles among non-diabetic study participants with impaired plasma glucose homeostasis. Such impaired glucose homeostasis and increased cardiometabolic risk was found to be more closely related to excess visceral adiposity and liver fat than to excess body weight. In addition, the INSPIRE ME IAA investigators also found that there were major ethnic differences in the relationship between body weight and visceral adiposity, the Asian patients of the study having relatively more visceral adipose tissue despite much lower BMI values. Finally, irrespective of cholesterol lowering statin use, excess visceral adiposity was associated with further deterioration of cardiometabolic risk in both non-diabetic individuals and among individuals with type 2 diabetes. This landmark international cardiometabolic imaging study provides robust evidence that high-risk overweight/obesity must be redefined, as cardiometabolic risk is driven by body fat distribution, not by excess weight.

The global epidemic of abdominal obesity shows no sign of abating and in many areas of the world is worsening, despite the numerous interventions from regional and national governments and healthcare providers. The ICAO has rapidly become a key platform to discuss novel approaches and share scientific and clinical data to benefit regional healthcare professionals, clinicians and scientists in the fight against the epidemic of abdominal obesity, diabetes and cardiovascular disease.

As an organisation which strongly advocates a multidisciplinary approach to treating cardiometabolic risk factors, the International Chair on Cardiometabolic Risk (ICCR) believes it is in a strong position to drive a renewed effort to overcome the multi-factorial barriers preventing healthcare professionals from turning the tide in the battle against high-risk overweight/obesity associated with an excess of visceral adipose tissue/liver fat. The ICCR announced at the congress that it will be working through 2011 on a series of new initiatives to address these barriers which include:

- Launching a new web portal myhealthywaist.org to provide information, tools and resources to support healthcare professionals;

- Embarking upon a social media campaign to engage those at risk from the cardiometabolic consequences of overweight/obesity associated with an excess of visceral adipose tissue; and

- Developing a new iPad application to facilitate identification of at-risk patients by primary care and other practitioners. 


ICCR believes these new tools and resources will educate healthcare professionals and the general public, in order to equip both to overcome the challenge that abdominal obesity presents to health.

Source:
ICCR 

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