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  1. Article: Editorial: The heart of NAFLD.

    Chew, Nicholas W S / Kannan, Shankar / Chong, Bryan / Chin, Yiphan / Muthiah, Mark

    Frontiers in medicine

    2023  Volume 10, Page(s) 1209625

    Language English
    Publishing date 2023-05-22
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2775999-4
    ISSN 2296-858X
    ISSN 2296-858X
    DOI 10.3389/fmed.2023.1209625
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Long-Term Prognosis of Patients With Coexisting Obesity and Malnutrition After Acute Myocardial Infarction: A Cohort Study.

    Kong, Gwyneth / Zhang, Audrey / Chong, Bryan / Lim, Jieyu / Kannan, Shankar / Han Chin, Yip / Ng, Cheng Han / Lin, Chaoxing / Khoo, Chin Meng / Muthiah, Mark / Dalakoti, Mayank / Kristanto, William / Wang, Yibin / Kong, William / Poh, Kian Keong / Chai, Ping / Foo, Roger / Chan, Mark Yan-Yee / Loh, Poay-Huan /
    Chew, Nicholas W S

    Circulation. Cardiovascular quality and outcomes

    2023  Volume 16, Issue 4, Page(s) e009340

    Abstract: Background: The double burden of malnutrition, described as the coexistence of malnutrition and obesity, is a growing global health issue. This study examines the combined effects of obesity and malnutrition on patients with acute myocardial infarction ( ...

    Abstract Background: The double burden of malnutrition, described as the coexistence of malnutrition and obesity, is a growing global health issue. This study examines the combined effects of obesity and malnutrition on patients with acute myocardial infarction (AMI).
    Methods: Patients presenting with AMI to a percutaneous coronary intervention-capable hospital in Singapore between January 2014 and March 2021 were retrospectively studied. Patients were stratified into the following: (1) nourished nonobese, (2) malnourished nonobese, (3) nourished obese, and (4) malnourished obese. Obesity and malnutrition were defined according to the World Health Organization definition (body mass index ≥27.5 kg/m
    Results: The study included 1829 AMI patients, of which 75.7% were male and mean age was 66 years. Over 75% of patients were malnourished. Majority were malnourished nonobese (57.7%), followed by malnourished obese (18.8%), nourished nonobese (16.9%), and nourished obese (6.6%). Malnourished nonobese had highest all-cause mortality (38.6%), followed by the malnourished obese (35.8%), nourished nonobese (21.4%), and nourished obese (9.9%,
    Conclusions: Among AMI patients, malnutrition is prevalent even in the obese. Compared to nourished patients, malnourished AMI patients have a more unfavorable prognosis especially in those with severe malnutrition regardless of obesity status, but long-term survival is the most favorable among nourished obese patients.
    MeSH term(s) Humans ; Male ; Aged ; Female ; Cohort Studies ; Retrospective Studies ; Malnutrition/diagnosis ; Malnutrition/epidemiology ; Malnutrition/complications ; Obesity/diagnosis ; Obesity/epidemiology ; Obesity/complications ; Prognosis ; Myocardial Infarction/complications ; Myocardial Infarction/diagnosis ; Myocardial Infarction/therapy
    Language English
    Publishing date 2023-03-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2483197-9
    ISSN 1941-7705 ; 1941-7713
    ISSN (online) 1941-7705
    ISSN 1941-7713
    DOI 10.1161/CIRCOUTCOMES.122.009340
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A two-decade population-based study on the effect of hypertension in the general population with obesity in the United States.

    Kong, Gwyneth / Chin, Yip H / Lim, Jieyu / Ng, Cheng H / Kannan, Shankar / Chong, Bryan / Lin, Chaoxing / Chan, Kai E / Anand, Vickram V / Lee, Ethan C Z / Loong, Shaun / Wong, Zhen Y / Khoo, Chin M / Muthiah, Mark / Foo, Roger / Dimitriadis, Georgios K / Figtree, Gemma A / Wang, Yibin / Chan, Mark /
    Chew, Nicholas W S

    Obesity (Silver Spring, Md.)

    2023  Volume 31, Issue 3, Page(s) 832–840

    Abstract: Objective: With rising prevalence of hypertension and obesity, the effect of hypertension in obesity remains an important global issue. The prognosis of the US general population with obesity based on hypertension control was examined.: Methods: This ...

    Abstract Objective: With rising prevalence of hypertension and obesity, the effect of hypertension in obesity remains an important global issue. The prognosis of the US general population with obesity based on hypertension control was examined.
    Methods: This study examined participants from the National Health and Nutrition Examination Survey between 1999 and 2018. Individuals with obesity were stratified into no hypertension, controlled hypertension, and uncontrolled hypertension. The study outcome was all-cause mortality. Cox regression of all-cause mortality was adjusted for age, sex, ethnicity, diabetes, and previous myocardial infarction.
    Results: Of 16,386 individuals with obesity, 53.1% had no hypertension, 24.7% had controlled hypertension, and 22.2% had uncontrolled hypertension. All-cause mortality was significantly higher in uncontrolled hypertension (17.1%), followed by controlled hypertension (14.8%) and no hypertension (4.0%). Uncontrolled hypertension had the highest mortality risk (hazard ratio [HR] 1.34, 95% CI: 1.13-1.59, p = 0.001), followed by controlled hypertension (HR 1.21, 95% CI: 1.10-1.34, p < 0.001), compared with no hypertension after adjustment. The excess mortality trend was more pronounced in females, those with diabetes, and those older than age 65 years.
    Conclusions: The incremental mortality risk in controlled and uncontrolled hypertension, compared with the normotensive counterparts, irrespective of sex, age, and diabetes status, urges health care providers to optimize hypertension control and advocate weight loss to achieve better outcomes in obesity.
    MeSH term(s) Female ; Humans ; United States ; Aged ; Nutrition Surveys ; Hypertension/epidemiology ; Obesity/epidemiology ; Diabetes Mellitus ; Blood Pressure ; Risk Factors
    Language English
    Publishing date 2023-02-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2230457-5
    ISSN 1930-739X ; 1071-7323 ; 1930-7381
    ISSN (online) 1930-739X
    ISSN 1071-7323 ; 1930-7381
    DOI 10.1002/oby.23658
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Trends and predictions of malnutrition and obesity in 204 countries and territories: an analysis of the Global Burden of Disease Study 2019.

    Chong, Bryan / Jayabaskaran, Jayanth / Kong, Gwyneth / Chan, Yiong Huak / Chin, Yip Han / Goh, Rachel / Kannan, Shankar / Ng, Cheng Han / Loong, Shaun / Kueh, Martin Tze Wah / Lin, Chaoxing / Anand, Vickram Vijay / Lee, Ethan Cheng Zhe / Chew, H S Jocelyn / Tan, Darren Jun Hao / Chan, Kai En / Wang, Jiong-Wei / Muthiah, Mark / Dimitriadis, Georgios K /
    Hausenloy, Derek J / Mehta, Anurag J / Foo, Roger / Lip, Gregory / Chan, Mark Y / Mamas, Mamas A / le Roux, Carel W / Chew, Nicholas W S

    EClinicalMedicine

    2023  Volume 57, Page(s) 101850

    Abstract: Background: Malnutrition and obesity are interdependent pathologies along the same spectrum. We examined global trends and projections of disability-adjusted life years (DALYs) and deaths from malnutrition and obesity until 2030.: Methods: Using data ...

    Abstract Background: Malnutrition and obesity are interdependent pathologies along the same spectrum. We examined global trends and projections of disability-adjusted life years (DALYs) and deaths from malnutrition and obesity until 2030.
    Methods: Using data from the 2019 Global Burden of Disease study involving 204 countries and territories, trends in DALYs and deaths were described for obesity and malnutrition from 2000 to 2019, stratified by geographical regions (as defined by WHO) and Socio-Demographic Index (SDI). Malnutrition was defined according to the 10th revision of International Classification of Diseases codes for nutritional deficiencies, stratified by malnutrition type. Obesity was measured via body mass index (BMI) using metrics related to national and subnational estimates, defined as BMI ≥25 kg/m
    Findings: In 2019, age-standardised malnutrition-related DALYs was 680 (95% UI: 507-895) per 100,000 population. DALY rates decreased from 2000 to 2019 (-2.86% annually), projected to fall 8.4% from 2020 to 2030. Africa and low SDI countries observed highest malnutrition-related DALYs. Age-standardised obesity-related DALY estimates were 1933 (95% UI: 1277-2640). Obesity-related DALYs rose 0.48% annually from 2000 to 2019, predicted to increase by 39.8% from 2020 to 2030. Highest obesity-related DALYs were in Eastern Mediterranean and middle SDI countries.
    Interpretation: The ever-increasing obesity burden, on the backdrop of curbing the malnutrition burden, is predicted to rise further.
    Funding: None.
    Language English
    Publishing date 2023-02-16
    Publishing country England
    Document type Journal Article
    ISSN 2589-5370
    ISSN (online) 2589-5370
    DOI 10.1016/j.eclinm.2023.101850
    Database MEDical Literature Analysis and Retrieval System OnLINE

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