美国患者伴或不伴肥胖的心力衰竭的流行病学、临床特征和负担

IF 2.2 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Current Medical Research and Opinion Pub Date : 2025-07-01 Epub Date: 2025-08-01 DOI:10.1080/03007995.2025.2535464
Yiqiao Zhang, Zhenxiang Zhao, Sonia Kim, Anthony N Fabricatore, Prashanth Iyer
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引用次数: 0

摘要

目的:本研究旨在评估2019年至2023年肥胖患者中心力衰竭(HF)的患病率,包括保留射血分数的HF (HFpEF)和降低射血分数的HF (HFrEF),以及这些HF亚组患者的肥胖患病率。此外,它还试图描述五个不同患者亚组的临床负担、合并症和药物使用情况。方法:采用来自科莫多保健地图的去识别数据进行非介入回顾性研究。患者被分为5个亚组:伴有肥胖的HFpEF、无肥胖的HFpEF、伴有肥胖的HFrEF、无肥胖的HFrEF和无HF的肥胖。计算年患病率和总患病率,并分析各亚组的临床特征、合并症和伴随用药情况。结果:共纳入44,574,028例患者。肥胖人群中HF患病率为852.84 / 10000,HFpEF和HFrEF随时间增加。HF患者的肥胖患病率为6872.29 / 10,000,HFpEF患者的肥胖率特别高。肥胖和心力衰竭的患者更年轻,高血压、血脂异常、2型糖尿病、阻塞性睡眠呼吸暂停和慢性肾病的发病率更高。与没有肥胖的心衰患者相比,肥胖患者使用抗高血压药、降脂药和抗糖尿病药的比例明显更高。调整后的分析显示,与非肥胖或非HF亚组相比,肥胖和HF患者多重合并症和药物使用的几率明显更高。结论:肥胖在心力衰竭中很常见,尤其是HFpEF,并与更大的临床和药物负担相关,强调需要有针对性的策略来控制这两种情况并减少相关并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The epidemiology, clinical characteristics, and burden of heart failure with or without obesity in US patients.

Objective: This study aimed to assess the prevalence of heart failure (HF), including HF with preserved ejection fraction (HFpEF) and HF with reduced ejection fraction (HFrEF), among patients with obesity, and the prevalence of obesity in patients with these HF subgroups between 2019 and 2023. Additionally, it sought to describe the clinical burden, comorbidities, and medication used across five distinct patient subgroups.

Methods: A non-interventional retrospective study using Komodo Healthcare Map data was conducted. Patients were categorized into five subgroups: HFpEF with obesity, HFpEF without obesity, HFrEF with obesity, HFrEF without obesity, and obesity without HF. Annual and overall prevalence rates were calculated, and clinical characteristics, comorbidities, and concomitant medication use were analyzed across subgroups.

Results: A total of 44,574,028 patients were included in the study. HF prevalence in obesity was 852.84 per 10,000. Obesity prevalence among HF patients was 6872.29 per 10,000, with a particularly high rate among those with HFpEF. Patients with obesity and HF were younger and had elevated rates of hypertension, dyslipidemia, type 2 diabetes, obstructive sleep apnea, and chronic kidney disease. Compared to HF patients without obesity, those with obesity had significantly greater use of antihypertensives, lipid-lowering agents, and antidiabetics. Adjusted analyses showed significantly higher odds of multiple comorbidities and medication use in patients with obesity and HF compared to non-obese or non-HF subgroups.

Conclusion: Obesity is common in HF, especially HFpEF, and associated with greater clinical and medication burdens, underscoring the need for targeted strategies to manage both conditions and reduce associated complications.

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来源期刊
Current Medical Research and Opinion
Current Medical Research and Opinion 医学-医学:内科
CiteScore
4.40
自引率
4.30%
发文量
247
审稿时长
3-8 weeks
期刊介绍: Current Medical Research and Opinion is a MEDLINE-indexed, peer-reviewed, international journal for the rapid publication of original research on new and existing drugs and therapies, Phase II-IV studies, and post-marketing investigations. Equivalence, safety and efficacy/effectiveness studies are especially encouraged. Preclinical, Phase I, pharmacoeconomic, outcomes and quality of life studies may also be considered if there is clear clinical relevance
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