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Published in: Current Heart Failure Reports 3/2024

15-04-2024 | Heart Failure | Review

Putting More Weight on Obesity Trials in Heart Failure

Authors: Josephine Harrington, Naveed Sattar, G Michael Felker, James L. Januzzi, Carolyn S. P. Lam, Neha J. Pagidipati, Ambarish Pandey, Harriette G. C. Van Spall, Darren K. McGuire

Published in: Current Heart Failure Reports | Issue 3/2024

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Abstract

Purpose of Review

To review ongoing and planned clinical trials of weight loss among individuals with or at high risk of heart failure.

Recent Findings

Intentional weight loss via semaglutide among persons with heart failure and preserved ejection fraction and obesity significantly improves weight loss and health status as assessed by the KCCQ-CSS score and is associated with improvements in 6-min walk test.

Summary

Ongoing and planned trials will explore the role of intentional weight loss with treatments such as semaglutide or tirzepatide for individuals with heart failure across the entire ejection fraction spectrum.
Literature
1.
go back to reference The GBD 2015 Obesity Collaborators. Health effects of overweight and obesity in 195 countries over 25 Years. N Engl J Med. 2017;377:13–27. The GBD 2015 Obesity Collaborators. Health effects of overweight and obesity in 195 countries over 25 Years. N Engl J Med. 2017;377:13–27.
2.
go back to reference Sarma S, Sockalingam S, Dash S. Obesity as a multisystem disease: trends in obesity rates and obesity-related complications. Diabetes Obes Metab. 2021;23(Suppl 1):3–16.PubMedCrossRef Sarma S, Sockalingam S, Dash S. Obesity as a multisystem disease: trends in obesity rates and obesity-related complications. Diabetes Obes Metab. 2021;23(Suppl 1):3–16.PubMedCrossRef
3.
go back to reference Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity among adults and youth: United States, 2015–2016. NCHSData Brief. 2017;288:8. Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity among adults and youth: United States, 2015–2016. NCHSData Brief. 2017;288:8.
4.
go back to reference Sattar N, McMurray J, Borén J, Rawshani A, Omerovic E, Berg N, et al. Twenty years of cardiovascular complications and risk factors in patients with type 2 diabetes: a nationwide Swedish cohort study. Circulation. 2023;147:1872–86.PubMedCrossRef Sattar N, McMurray J, Borén J, Rawshani A, Omerovic E, Berg N, et al. Twenty years of cardiovascular complications and risk factors in patients with type 2 diabetes: a nationwide Swedish cohort study. Circulation. 2023;147:1872–86.PubMedCrossRef
5.
go back to reference Rawshani A, Rawshani A, Franzén S, Sattar N, Eliasson B, Svensson A-M, et al. Risk factors, mortality, and cardiovascular outcomes in patients with type 2 diabetes. N Engl J Med. 2018;379:633–44.PubMedCrossRef Rawshani A, Rawshani A, Franzén S, Sattar N, Eliasson B, Svensson A-M, et al. Risk factors, mortality, and cardiovascular outcomes in patients with type 2 diabetes. N Engl J Med. 2018;379:633–44.PubMedCrossRef
6.••
go back to reference Kenchaiah S, Pocock SJ, Wang D, Finn PV, Zornoff LAM, Skali H, et al. Body mass index and prognosis in patients with chronic heart failure. Circulation. 2007;116:627–36. Landmark paper showing that each 1 point increase in BMI is associated with a 5% increase in risk of HF for men, and 7% increase in risk for women.PubMedCrossRef Kenchaiah S, Pocock SJ, Wang D, Finn PV, Zornoff LAM, Skali H, et al. Body mass index and prognosis in patients with chronic heart failure. Circulation. 2007;116:627–36. Landmark paper showing that each 1 point increase in BMI is associated with a 5% increase in risk of HF for men, and 7% increase in risk for women.PubMedCrossRef
7.
go back to reference Ndumele CE, Matsushita K, Lazo M, Bello N, Blumenthal RS, Gerstenblith G, et al. Obesity and subtypes of incident cardiovascular disease. J Am Heart Assoc. 2016;5:e003921.PubMedPubMedCentralCrossRef Ndumele CE, Matsushita K, Lazo M, Bello N, Blumenthal RS, Gerstenblith G, et al. Obesity and subtypes of incident cardiovascular disease. J Am Heart Assoc. 2016;5:e003921.PubMedPubMedCentralCrossRef
8.
go back to reference Obokata M, Reddy YNV, Pislaru SV, Melenovsky V, Borlaug BA. Evidence supporting the existence of a distinct obese phenotype of heart failure with preserved ejection fraction. Circulation. 2017;136:6–19.PubMedPubMedCentralCrossRef Obokata M, Reddy YNV, Pislaru SV, Melenovsky V, Borlaug BA. Evidence supporting the existence of a distinct obese phenotype of heart failure with preserved ejection fraction. Circulation. 2017;136:6–19.PubMedPubMedCentralCrossRef
9.
go back to reference Adamson C, Jhund PS, Docherty KF, Bělohlávek J, Chiang C-E, Diez M, et al. Efficacy of dapagliflozin in heart failure with reduced ejection fraction according to body mass index. Eur J Heart Fail. 2021;23:1662–72.PubMedCrossRef Adamson C, Jhund PS, Docherty KF, Bělohlávek J, Chiang C-E, Diez M, et al. Efficacy of dapagliflozin in heart failure with reduced ejection fraction according to body mass index. Eur J Heart Fail. 2021;23:1662–72.PubMedCrossRef
10.
go back to reference Adamson C, Kondo T, Jhund P, de Boer RA, Honorio JWC, Claggett B, et al. Dapagliflozin for heart failure according to body mass index: the DELIVER trial. Eur Heart J. 2022;43:4406–17.PubMedPubMedCentralCrossRef Adamson C, Kondo T, Jhund P, de Boer RA, Honorio JWC, Claggett B, et al. Dapagliflozin for heart failure according to body mass index: the DELIVER trial. Eur Heart J. 2022;43:4406–17.PubMedPubMedCentralCrossRef
11.
go back to reference Alexander JK, Amad KH, Cole VW. Observations on some clinical features of extreme obesity, with particular reference to cardiorespiratory effects. Am J Med. 1962;32:512–24.CrossRef Alexander JK, Amad KH, Cole VW. Observations on some clinical features of extreme obesity, with particular reference to cardiorespiratory effects. Am J Med. 1962;32:512–24.CrossRef
12.
go back to reference Kasper EK, Hruban RH, Baughman KL. Cardiomyopathy of obesity: a clinicopathologic evaluation of 43 obese patients with heart failure. Am J Cardiol. 1992;70:921–4.PubMedCrossRef Kasper EK, Hruban RH, Baughman KL. Cardiomyopathy of obesity: a clinicopathologic evaluation of 43 obese patients with heart failure. Am J Cardiol. 1992;70:921–4.PubMedCrossRef
13.
go back to reference Rabbia F, Silke B, Conterno A, Grosso T, De Vito B, Rabbone I, et al. Assessment of cardiac autonomic modulation during adolescent obesity. Obes Res. 2003;11:541–8.PubMedCrossRef Rabbia F, Silke B, Conterno A, Grosso T, De Vito B, Rabbone I, et al. Assessment of cardiac autonomic modulation during adolescent obesity. Obes Res. 2003;11:541–8.PubMedCrossRef
14.
go back to reference Henning RJ. Obesity and obesity-induced inflammatory disease contribute to atherosclerosis: a review of the pathophysiology and treatment of obesity. Am J Cardiovasc Dis. 2021;11:504–29.PubMedPubMedCentral Henning RJ. Obesity and obesity-induced inflammatory disease contribute to atherosclerosis: a review of the pathophysiology and treatment of obesity. Am J Cardiovasc Dis. 2021;11:504–29.PubMedPubMedCentral
15.
go back to reference Alpert MA, Lavie CJ, Agrawal H, Aggarwal KB, Kumar SA. Obesity and heart failure: epidemiology, pathophysiology, clinical manifestations, and management. Transl Res. 2014;164:345–56.PubMedCrossRef Alpert MA, Lavie CJ, Agrawal H, Aggarwal KB, Kumar SA. Obesity and heart failure: epidemiology, pathophysiology, clinical manifestations, and management. Transl Res. 2014;164:345–56.PubMedCrossRef
16.••
go back to reference Kosiborod MN, Abildstrøm SZ, Borlaug BA, Butler J, Rasmussen S, Davies M, et al. Semaglutide in Patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389:1069–84. STEP HFpEF is the first randomized clinical trial to show that intentional weight loss (via semaglutide) results in significant improvement in clinical status for patients with heart failure and preserved ejection fraction.PubMedCrossRef Kosiborod MN, Abildstrøm SZ, Borlaug BA, Butler J, Rasmussen S, Davies M, et al. Semaglutide in Patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389:1069–84. STEP HFpEF is the first randomized clinical trial to show that intentional weight loss (via semaglutide) results in significant improvement in clinical status for patients with heart failure and preserved ejection fraction.PubMedCrossRef
17.
go back to reference The LOOK AHEAD Investigators. Cardiovascular effectsof intensive lifestyle intervention in type 2 diabetes. N Engl J Med. 2013;369:145–54.CrossRef The LOOK AHEAD Investigators. Cardiovascular effectsof intensive lifestyle intervention in type 2 diabetes. N Engl J Med. 2013;369:145–54.CrossRef
22.
go back to reference Sharma A, Lavie CJ, Borer JS, Vallakati A, Goel S, Lopez-Jimenez F, et al. Meta-analysis of the relation of body mass index to all-cause and cardiovascular mortality and hospitalization in patients with chronic heart failure. Am J Cardiol. 2015;115:1428–34.PubMedCrossRef Sharma A, Lavie CJ, Borer JS, Vallakati A, Goel S, Lopez-Jimenez F, et al. Meta-analysis of the relation of body mass index to all-cause and cardiovascular mortality and hospitalization in patients with chronic heart failure. Am J Cardiol. 2015;115:1428–34.PubMedCrossRef
23.
go back to reference Anker SD, Ponikowski P, Varney S, Chua TP, Clark AL, Webb-Peploe KM, et al. Wasting as independent risk factor for mortality in chronic heart failure. Lancet. 1997;349:1050–3.PubMedCrossRef Anker SD, Ponikowski P, Varney S, Chua TP, Clark AL, Webb-Peploe KM, et al. Wasting as independent risk factor for mortality in chronic heart failure. Lancet. 1997;349:1050–3.PubMedCrossRef
24.
go back to reference Sperrin M, Candlish J, Badrick E, Renehan A, Buchan I. Collider bias is only a partial explanation for the obesity paradox. Epidemiology. 2016;27:525–30.PubMedPubMedCentralCrossRef Sperrin M, Candlish J, Badrick E, Renehan A, Buchan I. Collider bias is only a partial explanation for the obesity paradox. Epidemiology. 2016;27:525–30.PubMedPubMedCentralCrossRef
25.
go back to reference Butt JH, Petrie MC, Jhund PS, Sattar N, Desai AS, Køber L, et al. Anthropometric measures and adverse outcomes in heart failure with reduced ejection fraction: revisiting the obesity paradox. Eur Heart J. 2023;44:1136–53.PubMedPubMedCentralCrossRef Butt JH, Petrie MC, Jhund PS, Sattar N, Desai AS, Køber L, et al. Anthropometric measures and adverse outcomes in heart failure with reduced ejection fraction: revisiting the obesity paradox. Eur Heart J. 2023;44:1136–53.PubMedPubMedCentralCrossRef
26.
go back to reference Wilding JPH, Batterham RL, Calanna S, Davies M, Van Gaal LF, Lingvay I, et al. Once-weekly semaglutide in adults with overweight or obesity. N Engl J Med. 2021;384:989–1002.PubMedCrossRef Wilding JPH, Batterham RL, Calanna S, Davies M, Van Gaal LF, Lingvay I, et al. Once-weekly semaglutide in adults with overweight or obesity. N Engl J Med. 2021;384:989–1002.PubMedCrossRef
27.
go back to reference Butler J, Shahzeb Khan M, Lindenfeld J, Abraham WT, Savarese G, Salsali A, et al. Minimally clinically important difference in health status scores in patients with HFrEF vs HFpEF. JACC Heart Fail. 2022;10:651–61.PubMedCrossRef Butler J, Shahzeb Khan M, Lindenfeld J, Abraham WT, Savarese G, Salsali A, et al. Minimally clinically important difference in health status scores in patients with HFrEF vs HFpEF. JACC Heart Fail. 2022;10:651–61.PubMedCrossRef
28.
go back to reference Borlaug BA, Kitzman DW, Davies MJ, Rasmussen S, Barros E, Butler J, et al. Semaglutide in HFpEF across obesity class and by body weight reduction: a prespecified analysis of the STEP-HFpEF trial. Nat Med. 2023;29:2358–65. Borlaug BA, Kitzman DW, Davies MJ, Rasmussen S, Barros E, Butler J, et al. Semaglutide in HFpEF across obesity class and by body weight reduction: a prespecified analysis of the STEP-HFpEF trial. Nat Med. 2023;29:2358–65.
29.
go back to reference Lincoff AM, Brown-Frandsen K, Colhoun HM, Deanfield J, Emerson SS, Esbjerg S, et al. Semaglutide and cardiovascular outcomes in obesity without diabetes. N Engl J Med. 2023;389:2221–32.PubMedCrossRef Lincoff AM, Brown-Frandsen K, Colhoun HM, Deanfield J, Emerson SS, Esbjerg S, et al. Semaglutide and cardiovascular outcomes in obesity without diabetes. N Engl J Med. 2023;389:2221–32.PubMedCrossRef
30.
go back to reference Jastreboff AM, Aronne LJ, Ahmad NN, Wharton S, Connery L, Alves B, et al. Tirzepatide once weekly for the treatment of obesity. N Engl J Med. 2022;387:205–16.PubMedCrossRef Jastreboff AM, Aronne LJ, Ahmad NN, Wharton S, Connery L, Alves B, et al. Tirzepatide once weekly for the treatment of obesity. N Engl J Med. 2022;387:205–16.PubMedCrossRef
31.
go back to reference Marso SP, Bain SC, Consoli A, Eliaschewitz FG, Jódar E, Leiter LA, et al. Semaglutide and cardiovascular outcomes in patients with type 2 diabetes. N Engl J Med. 2016;375:1834–44.PubMedCrossRef Marso SP, Bain SC, Consoli A, Eliaschewitz FG, Jódar E, Leiter LA, et al. Semaglutide and cardiovascular outcomes in patients with type 2 diabetes. N Engl J Med. 2016;375:1834–44.PubMedCrossRef
32.
go back to reference Lingvay I, Brown-Frandsen K, Colhoun HM, Deanfield J, Emerson SS, Esbjerg S, et al. Semaglutide for cardiovascular event reduction in people with overweight or obesity: SELECT study baseline characteristics. Obesity (Silver Spring). 2023;31:111–22.PubMedCrossRef Lingvay I, Brown-Frandsen K, Colhoun HM, Deanfield J, Emerson SS, Esbjerg S, et al. Semaglutide for cardiovascular event reduction in people with overweight or obesity: SELECT study baseline characteristics. Obesity (Silver Spring). 2023;31:111–22.PubMedCrossRef
34.
go back to reference Khan MS, Fonarow GC, McGuire DK, Hernandez AF, Vaduganathan M, Rosenstock J, et al. Glucagon-Like Peptide 1 Receptor Agonists and Heart Failure. Circulation. 2020;142:1205–18.PubMedCrossRef Khan MS, Fonarow GC, McGuire DK, Hernandez AF, Vaduganathan M, Rosenstock J, et al. Glucagon-Like Peptide 1 Receptor Agonists and Heart Failure. Circulation. 2020;142:1205–18.PubMedCrossRef
35.
go back to reference Margulies KB, Hernandez AF, Redfield MM, Givertz MM, Oliveira GH, Cole R, et al. Effects of liraglutide on clinical stability among patients with advanced heart failure and reduced ejection fraction: a randomized clinical trial. JAMA. 2016;316:500–8.PubMedPubMedCentralCrossRef Margulies KB, Hernandez AF, Redfield MM, Givertz MM, Oliveira GH, Cole R, et al. Effects of liraglutide on clinical stability among patients with advanced heart failure and reduced ejection fraction: a randomized clinical trial. JAMA. 2016;316:500–8.PubMedPubMedCentralCrossRef
36.
go back to reference Jorsal A, Kistorp C, Holmager P, Tougaard RS, Nielsen R, Hänselmann A, et al. Effect of liraglutide, a glucagon-like peptide-1 analogue, on left ventricular function in stable chronic heart failure patients with and without diabetes (LIVE)-a multicentre, double-blind, randomised, placebo-controlled trial. Eur J Heart Fail. 2017;19:69–77.PubMedCrossRef Jorsal A, Kistorp C, Holmager P, Tougaard RS, Nielsen R, Hänselmann A, et al. Effect of liraglutide, a glucagon-like peptide-1 analogue, on left ventricular function in stable chronic heart failure patients with and without diabetes (LIVE)-a multicentre, double-blind, randomised, placebo-controlled trial. Eur J Heart Fail. 2017;19:69–77.PubMedCrossRef
37.
go back to reference Rao VN, Fudim M, Mentz RJ, Michos ED, Felker GM. Regional adiposity and heart failure with preserved ejection fraction. Eur J Heart Fail. 2020;22:1540–50.PubMedCrossRef Rao VN, Fudim M, Mentz RJ, Michos ED, Felker GM. Regional adiposity and heart failure with preserved ejection fraction. Eur J Heart Fail. 2020;22:1540–50.PubMedCrossRef
38.
go back to reference Sorimachi H, Obokata M, Takahashi N, Reddy YNV, Jain CC, Verbrugge FH, et al. Pathophysiologic importance of visceral adipose tissue in women with heart failure and preserved ejection fraction. Eur Heart J. 2020;42:1595–605.PubMedCentralCrossRef Sorimachi H, Obokata M, Takahashi N, Reddy YNV, Jain CC, Verbrugge FH, et al. Pathophysiologic importance of visceral adipose tissue in women with heart failure and preserved ejection fraction. Eur Heart J. 2020;42:1595–605.PubMedCentralCrossRef
39.
go back to reference Xu C, Guo Y, Zhang S, Lai Y, Huang M, Zhan R, et al. Visceral adiposity index and the risk of heart failure, late-life cardiac structure, and function in ARIC study. Eur J Prev Cardiol. 2023;30:1182–92.PubMedCrossRef Xu C, Guo Y, Zhang S, Lai Y, Huang M, Zhan R, et al. Visceral adiposity index and the risk of heart failure, late-life cardiac structure, and function in ARIC study. Eur J Prev Cardiol. 2023;30:1182–92.PubMedCrossRef
40.•
go back to reference 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. 2022;18(18):3434–50. An excellent review of the mechanisms and pathophysiology underlying heart failure with preserved ejection fraction in patients with obesity.CrossRef 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. 2022;18(18):3434–50. An excellent review of the mechanisms and pathophysiology underlying heart failure with preserved ejection fraction in patients with obesity.CrossRef
41.
go back to reference Madamanchi C, Alhosaini H, Sumida A, Runge MS. Obesity and natriuretic peptides, BNP and NT-proBNP: mechanisms and diagnostic implications for heart failure. Int J Cardiol. 2014;176:611–7.PubMedPubMedCentralCrossRef Madamanchi C, Alhosaini H, Sumida A, Runge MS. Obesity and natriuretic peptides, BNP and NT-proBNP: mechanisms and diagnostic implications for heart failure. Int J Cardiol. 2014;176:611–7.PubMedPubMedCentralCrossRef
42.
go back to reference Hollstein T, Schlicht K, Krause L, Hagen S, Rohmann N, Schulte DM, et al. Effect of various weight loss interventions on serum NT-proBNP concentration in severe obese subjects without clinical manifest heart failure. Sci Rep. 2021;11:10096.PubMedPubMedCentralCrossRef Hollstein T, Schlicht K, Krause L, Hagen S, Rohmann N, Schulte DM, et al. Effect of various weight loss interventions on serum NT-proBNP concentration in severe obese subjects without clinical manifest heart failure. Sci Rep. 2021;11:10096.PubMedPubMedCentralCrossRef
43.
go back to reference Fedele D, Bicchiega V, Collo A, Barutta F, Pistone E, Gruden G, et al. Short term variation in NTproBNP after lifestyle intervention in severe obesity. PLoS ONE. 2017;12:e0181212.PubMedPubMedCentralCrossRef Fedele D, Bicchiega V, Collo A, Barutta F, Pistone E, Gruden G, et al. Short term variation in NTproBNP after lifestyle intervention in severe obesity. PLoS ONE. 2017;12:e0181212.PubMedPubMedCentralCrossRef
45.
47.
go back to reference Novo Nordisk A/S. The cardiovascular safety of cagrilintide 2.4 mg s.c. in combination with semaglutide 2.4 mg s.c. (CagriSema 2.4 mg/2.4 mg s.c.) once-weekly in participants with obesity and established cardiovascular disease [Internet]. clinicaltrials.gov. Report No.: NCT05669755. 2023. https://clinicaltrials.gov/ct2/show/NCT05669755. Novo Nordisk A/S. The cardiovascular safety of cagrilintide 2.4 mg s.c. in combination with semaglutide 2.4 mg s.c. (CagriSema 2.4 mg/2.4 mg s.c.) once-weekly in participants with obesity and established cardiovascular disease [Internet]. clinicaltrials.gov. Report No.: NCT05669755. 2023. https://​clinicaltrials.​gov/​ct2/​show/​NCT05669755.
48.
go back to reference Rivus Pharmaceuticals, Inc. Exploratory Phase 2A, double-blind, placebo-controlled, dose escalation study to determine the safety, tolerability, PD, and PK of HU6 for the Treatment of subjects with obese heart failure with preserved ejection fraction (HFpEF) [Internet]. clinicaltrials.gov. Report No.: NCT05284617. 2023. https://clinicaltrials.gov/study/NCT05284617. Rivus Pharmaceuticals, Inc. Exploratory Phase 2A, double-blind, placebo-controlled, dose escalation study to determine the safety, tolerability, PD, and PK of HU6 for the Treatment of subjects with obese heart failure with preserved ejection fraction (HFpEF) [Internet]. clinicaltrials.gov. Report No.: NCT05284617. 2023. https://​clinicaltrials.​gov/​study/​NCT05284617.
49.
go back to reference Amgen. A Phase 2 randomized, placebo-controlled, double-blind, dose-ranging study to evaluate the efficacy, safety, and tolerability of AMG 133 in adult subjects with overweight or obesity, with or without type 2 diabetes mellitus [Internet]. clinicaltrials.gov. Report No.: NCT05669599. https://clinicaltrials.gov/study/NCT05669599. Accessed Aug 2023. Amgen. A Phase 2 randomized, placebo-controlled, double-blind, dose-ranging study to evaluate the efficacy, safety, and tolerability of AMG 133 in adult subjects with overweight or obesity, with or without type 2 diabetes mellitus [Internet]. clinicaltrials.gov. Report No.: NCT05669599. https://​clinicaltrials.​gov/​study/​NCT05669599. Accessed Aug 2023.
50.
go back to reference Batsis JA, Sarr MG, Collazo-Clavell ML, Thomas RJ, Romero-Corral A, Somers VK, et al. Cardiovascular risk after bariatric surgery for obesity. Am J Cardiol. 2008;102:930–7.PubMedPubMedCentralCrossRef Batsis JA, Sarr MG, Collazo-Clavell ML, Thomas RJ, Romero-Corral A, Somers VK, et al. Cardiovascular risk after bariatric surgery for obesity. Am J Cardiol. 2008;102:930–7.PubMedPubMedCentralCrossRef
51.
go back to reference Doumouras AG, Wong JA, Paterson JM, Lee Y, Sivapathasundaram B, Tarride J-E, et al. Bariatric surgery and cardiovascular outcomes in patients with obesity and cardiovascular disease. Circulation. 2021;143:1468–80.PubMedCrossRef Doumouras AG, Wong JA, Paterson JM, Lee Y, Sivapathasundaram B, Tarride J-E, et al. Bariatric surgery and cardiovascular outcomes in patients with obesity and cardiovascular disease. Circulation. 2021;143:1468–80.PubMedCrossRef
52.
go back to reference Fisher DP, Johnson E, Haneuse S, Arterburn D, Coleman KJ, O’Connor PJ, et al. Association between bariatric surgery and macrovascular disease outcomes in patients with type 2 diabetes and severe obesity. JAMA. 2018;320:1570–82.PubMedPubMedCentralCrossRef Fisher DP, Johnson E, Haneuse S, Arterburn D, Coleman KJ, O’Connor PJ, et al. Association between bariatric surgery and macrovascular disease outcomes in patients with type 2 diabetes and severe obesity. JAMA. 2018;320:1570–82.PubMedPubMedCentralCrossRef
53.
go back to reference Wilding JPH, Batterham RL, Davies M, Van Gaal LF, Kandler K, Konakli K, et al. Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. Diabetes Obes Metab. 2022;24:1553–64.PubMedPubMedCentralCrossRef Wilding JPH, Batterham RL, Davies M, Van Gaal LF, Kandler K, Konakli K, et al. Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. Diabetes Obes Metab. 2022;24:1553–64.PubMedPubMedCentralCrossRef
54.
go back to reference St Clair Gibson A, Goedecke JH, Harley YX, Myers LJ, Lambert MI, Noakes TD, et al. Metabolic setpoint control mechanisms in different physiological systems at rest and during exercise. J Theor Biol. 2005;236:60–72.PubMedCrossRef St Clair Gibson A, Goedecke JH, Harley YX, Myers LJ, Lambert MI, Noakes TD, et al. Metabolic setpoint control mechanisms in different physiological systems at rest and during exercise. J Theor Biol. 2005;236:60–72.PubMedCrossRef
Metadata
Title
Putting More Weight on Obesity Trials in Heart Failure
Authors
Josephine Harrington
Naveed Sattar
G Michael Felker
James L. Januzzi
Carolyn S. P. Lam
Neha J. Pagidipati
Ambarish Pandey
Harriette G. C. Van Spall
Darren K. McGuire
Publication date
15-04-2024
Publisher
Springer US
Published in
Current Heart Failure Reports / Issue 3/2024
Print ISSN: 1546-9530
Electronic ISSN: 1546-9549
DOI
https://doi.org/10.1007/s11897-024-00655-z

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