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PRIMARY AND SECONDARY PREVENTION OF CARDIOVASCULAR DISEASES - page 28 / 38

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Obesity-Class 2

Prevalence-2/3 of US population has BMI>25, considered  over weight or obese

Early obesity is considered a strong marker of CVD risk

Whether excess weight is an independent risk factor for CVD is unclear because of other risk factors and metabolic disorders  associated with obesity

Abdominal adiposity associated with greater risk (waist circumference 35” in women, 40” in men)

No randomized trial of weight reduction, as an isolated intervention, to evaluate benefits of lowering risk of CVD

However, even modest weight loss improves lipids, glycemic control, BP and sleep apnea

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