Ricerca avanzata

Home > Riviste > International Angiology > Fascicoli precedenti > International Angiology 2013 Ottobre;32(5) > International Angiology 2013 Ottobre;32(5):471-8

FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOINTERNATIONAL ANGIOLOGY

Rivista di Angiologia

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,899

Periodicità: Bimestrale

ISSN 0392-9590

Online ISSN 1827-1839

 

International Angiology 2013 Ottobre;32(5):471-8

 ORIGINAL ARTICLES

The influence of Body Mass Index on chronic venous disorders therapy

Chudek J. 1, Kocełak P. 1, Ziaja D. 2, Owczarek A. 3, Ziaja K. 2

1 Department of Pathophysiology, Medical University of Silesia, Katowice, Poland;
2 Department of General and Vascular Surgery, Medical University of Silesia, Katowice, Poland;
3 Statistical Division, Department of Instrumental Analysis, Medical University of Silesia, Katowice, Poland

Aim: Obesity is of importance among the risk factors predisposing for chronic venous disorders (CVD). Little is known how obesity affects the management of CVD. As the data concerning the treatments of CVD in the obese are incomplete, we performed an analysis of the different CVD therapies managements with respect to body mass index and the obesity.
Methods: We analyzed 9797 CVD patients from of a previous large national CVD survey, in regard to their Body Mass Index (BMI), CVD class and CVD therapies. Among them 2213 patients presented class I, 516 class II or morbid obesity.
Results: BMI was significantly associated with the method of CVD therapy. Logistic regression showed that venoactive drugs are preferentially used except in class I obesity patients but also when therapy is managed by general practitioner. Logistic regression analysis showed that class II and morbid obesity is associated with more frequent prevalence of previous surgical procedures related to CVD (OR=2.62 with 95% confidence interval of [2.16-3.17]) and topical agent use, (OR=1.77, [1.38-2.25]) but with a significant decreased compliance with compression therapy (OR=0.74, [0.61 - 0.89]), regardless of the clinical course of the disease, and socio-demographic factors. While class I obesity increased the adherence with VADs.
Conclusion: The therapy of CVD is affected by body mass index. Class II and morbid obese CVD patients are less frequently compliant with compression therapy but are willing to accept surgical procedures and the use of topical agents.

lingua: Inglese


FULL TEXT  ESTRATTI

inizio pagina