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Obese cardiac patients are less likely to die than their normal weight counterparts, say researchers.
研究人员称,身体肥胖的心脏病患者比正常体重患者有较小的死亡几率。
This is despite them reporting worse health and being less likely to follow lifestyle advice, a study of more than 4,400 patients reported.
One explanation is that doctors treat the disease more aggressively, the University College London team said.
The British Heart Foundation also said that where people stored fat, not just general obesity, was important.
It is not the first time researchers have pointed out this paradox, that being overweight or obese - a risk factor for heart disease in itself - can actually lead to a better prognosis(预知).
One theory has been that maybe such patients were fitter, despite their size - taking more exercise for example.
To see if this was the case, researchers from University College London looked at data from patients who took part in the Health Survey for England or Scottish Health Survey.
They found that, as with other studies, patients with cardiovascular disease who were obese or overweight were less likely to die over the next seven years than people of a normal weight who had the condition.
In all 31% of patients were obese - that is with a body mass index of 30 or more - they reported in Preventive Medicine.
Those patients tended to be younger but reported worse health and had more heart risk factors such as raised cholesterol(胆固醇) and blood pressure, but were less likely to smoke.
The researchers found that those who took part in physical activity at least once a week and did not smoke had a lower risk of death whatever their weight.
But obese patients who did not stick to these healthy lifestyle recommendations still had a lower risk of death than normal weight patients who smoked or were inactive.
肥胖心脏病患者死亡的可能性比正常体重,研究人员说。
研究人员称,身体肥胖的心脏病患者比正常体重患者有较小的死亡几率。
尽管这是他们报告严重的健康和生活方式建议不太可能跟随,4400多名患者的研究报告。
一种解释是,医生治疗疾病更积极,英国伦敦大学学院队说。
英国心脏基金会也表示,如果人们脂肪储存起来,不只是一般的肥胖,是非常重要的。
这不是第一次研究人员已经指出这一悖论,是超重或肥胖的-本身对心脏疾病的危险因素-实际上可以导致一个更好的预后(预知)。
有一种理论一直钳工,也许这样的病人,不论其大小 - 例如多运动。
要看到,如果是这样的话,看着来自伦敦大学学院的研究人员从患者谁参加了在英格兰或苏格兰健康调查健康调查的数据。
他们发现,与其他的研究中,谁是肥胖或超重与心血管疾病患者在接下来的7岁,比的条件正常体重的人死亡的可能性较小。
在所有的31%的患者为肥胖 - 即身体质量指数在30以上 - 他们预防医学报道。
这些患者往往是年轻,但报道严重的健康有更多的心脏风险因素,如提出的胆固醇(胆固醇)和血压,但不太可能吸烟。
研究人员发现,那些参加体力活动,每周至少一次,不吸烟的死亡风险较低,无论其体重。
但肥胖患者没有坚持这些健康的生活方式建议仍然较低的死亡风险比体重正常的病人谁吸烟或无效。
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