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Association between obesity and heart failure symptoms in male and female patients

机译：肥胖和心脏病之间的联系男性和女性患者的症状

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In patients with heart failure (HF), higher body mass index (BMI) has been associated with lower rates of hospitalization and mortality (obesity paradox). Symptoms are antecedents of hospitalizations, but little is known about the relationship between BMI and symptoms and gender differences. To examine the association of BMI with symptoms in male and female patients with HF, controlling for cov-ariates (sample characteristics, depressive symptoms and sodium intake). In this cross-sectional correlational study, patients (N = 247) provided data on BMI, symptoms and covariates. BMI was categorized into four groups: normal/underweight (35 kg/m2). General linear regression was used to analyse the data. The Obese II/III group had more severe HF symptoms than other groups only in male patients. In male patients, older age, Caucasian race, more comorbidities and more severe depressive symptoms were also associated with more severe symptoms. In female patients, more severe depressive symptoms, more comorbidities and higher sodium intake were associated with more severe symptoms. The obesity paradox does not fully extend to symptoms, and gender has a role in the relationship between obesity and symptoms.
机译：心力衰竭(HF)患者更高的身体质量指数(BMI)较低有关的住院率和死亡率(肥胖悖论)。住院治疗,但很少知道BMI和症状和性别之间的关系的差异。在男性和女性患者的症状高频控制cov-ariates(样本特点、抑郁症状和钠摄入)。研究中,患者体重指数(N = 247)提供的数据,症状和协变量。四组:正常/体重( 35 kg / m2)。线性回归是用来分析数据。肥胖II / III组有更严重的心力衰竭比其他组仅在男性患者症状。老年男性患者,白种人的种族,更多并发症和更严重的抑郁症状也与更严重的症状。在女性患者中,更严重的抑郁症状,更多的并发症和高钠摄入量与更严重的症状有关。肥胖悖论并不完全扩展症状,和性别的角色肥胖与症状之间的关系。

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