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CVD caused an estimated 17.9 million deaths throughout the world in 2019. These accounted for 32% of all global deaths, of which 85% were due to heart attack and stroke.1 

There are a number of key risk factors for heart attack and stroke, including high blood pressure, high cholesterol, type 2 diabetes, smoking, weight, and waist size.2

  

  

In order to mitigate its global impact, it’s important to detect CVD as early as possible so that appropriate treatment can begin.1

  

Obesity and CVD: A rapidly increasing risk4,5

Obesity is closely linked to CVD, with the risk of CVD rising as body mass index (BMI) increases.6 Obesity also accelerates the progression of other well-known risk factors for CVD, including increased blood pressure and cholesterol.4

  

The image shown is a model and not a real patient.

  

A joint review by the World Heart Federation and World Obesity Federation identified key obesityrelated cardiovascular (CV) complications:8

  

  

 

Tackling CVD and obesity

Despite attempts to reduce CV risk factors, people with obesity may still retain residual CV risk. Efforts to reduce this risk should focus on reducing systemic inflammation that contributes to the development of CV diseases.9-11

Effective weight management is therefore essential to improve CV outcomes in people with obesity.12 This involves prescribing appropriate lifestyle changes and evidence-based medical interventions that directly impact CVD risk factors.13*

  

  

International guidelines now emphasise the importance of a healthy lifestyle and managing any risk factors for the treatment of CVD and obesity. 1,4,16 It is therefore key to develop a holistic approach that focuses on the underlying metabolic issues driving both obesity and CVD. 17

  

Obesity and heart failure with preserved ejection fraction (HFpEF)

Obesity is also a major risk factor for HFpEF, a comorbidity frequently seen in those with obesity.18 People with obesity-related HFpEF often experience increased physical limitations that result in a reduced quality of life.19

Therefore, a multidisciplinary approach that positively impacts key factors contributing to HFpEF is crucial for optimising treatment.19-21

  

  

 

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*The information on this page is intended to support clinical understanding. Treatment decisions should be made based on individual patient needs and clinical judgement.

  

 

HQ25OB00130 | Approved August 2025

  

References

  1. World Health Organization. Cardiovascular diseases (CVDs) fact sheet. Accessed June 2025. https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
  2. British Heart Foundation. 5 risk factors for heart disease and how you can control them. Accessed June 2025. https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/risk-factors
  3. British Heart Foundation. Global heart & circulatory diseases factsheet. Accessed June 2025. https://www.bhf.org.uk/-/media/files/professionals/research/heart-statistics/global-factsheet.pdf
  4. Powell-Wiley TM, Poirier P, Burke LE, et al; American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Epidemiology and Prevention; and Stroke Council. Obesity and cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2014;143(21):e984-e1010.
  5. Joseph JJ, Deedwania P, Acharya T, et al., Comprehensive management of cardiovascular risk factors for adults with type 2 diabetes: a scientific statement from the American Heart Association. Circulation. 2022;145(9):e722-e759.
  6. GBD 2015 Obesity Collaborators; Afshin A, Forouzanfar MH, et al. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017;377(1):13-27.
  7. De Bacquer D, Jennings CS, Mirrakhimov E, et al. Potential for optimizing management of obesity in the secondary prevention of coronary heart disease. Eur Heart J Qual Care Clin Outcomes. 2022;8(5):568-576.
  8. Lopez-Jimenez F, Almahmeed W, Bays H, et al. Obesity and cardiovascular disease: mechanistic insights and management strategies. A joint position paper by the World Heart Federation and World Obesity Federation. Eur J Prev Cardiol. 2022;29(17):2218-2237.
  9. Chait A, de Harthigh LJ. Adipose tissue distribution, inflammation and its metabolic consequences including diabetes and cardiovascular disease. Front Cardiovasc Med. 2020;7:22.
  10. Yao L, Herlea-Pana O, Heuser-Baker J, Chen Y, Barlic-Dicen J. Roles of the chemokine system in development of obesity.
  11. Lawler PR, Bhatt DL, Godoy LC, et al. Targeting cardiovascular inflammation: next steps in clinical translation. Eur Heart J. 2021;42(1):113-131.
  12. Borlaug BA. Evaluation and management of heart failure with preserved ejection fraction. Nat Rev Cardiol. 2020;17(9):559-573.
  13. Upadhya B, Pisani B, Kitzman DW. Evolution of a geriatric syndrome: pathophysiology and treatment of heart failure with preserved ejection fraction. J Am Geriatr Soc. 2017;65(11):2431-2440.
  14. Wing RR, Lang W, Wadden TA, et al; Look AHEAD Research Group. Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care. 2011;34(7):1481-1486.
  15. Ryan DH, Yockey SR. Weight loss and improvement in comorbidity: differences at 5%, 10%, 15%, and over. Curr Obes Rep. 2017;6(2):187-194.
  16. Piepoli MF, Hoes AW, Agewall S, et al. 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 (constituted by representatives of 10 societies and by invited experts) developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J. 2016;37(29):2315-2381.
  17. Kadowaki T, Maegawa H, Watada H, et al. Interconnection between cardiovascular, renal and metabolic disorders: a narrative review with a focus on Japan. Diabetes Obes Metab. 2022;24(12):2283-2296.
  18. Tadic M, Cuspidi C. Obesity and heart failure with preserved ejection fraction: a paradox or something else? Heart Fail Rev. 2019;24(3):379-385.
  19. Yap J, Tay WT, Teng TK, et al. Association of diabetes mellitus on cardiac remodeling, quality of life, and clinical outcomes in heart failure with reduced and preserved ejection fraction. J Am Heart Assoc. 2019;8(17):e013114.
  20. Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines [published correction appears in Circulation. 2022;145(18):e1033]. [published correction appears in Circulation. 2023;146(13):e185]. [published correction appears in Circulation. 2023;147(14):e674]. Circulation. 2022;145(18):e895-e1032.
  21. Vrints C, Andreotti F, Koskinas KC, et al. 2024 ESC Guidelines for the management of chronic coronary syndromes. Eur Heart J. 2024;45(36):3415-3537.
  22. Borlaug BA, Jensen MD, Kitzman DW, Lam CSP, Obokata M, Rider OJ. Obesity and heart failure with preserved ejection fraction: new insights and pathophysiological targets. Cardiovasc Res. 2023;118(18):3434-3450.
  23. Lee DY. Obesity and heart failure with preserved ejection fraction: pathophysiology and clinical significance. Cardiovasc Prev Pharmacother. 2022;4(2):70-74.

  

 

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