Obesity, CVD: Mechanisms, Management, Personalized Care
Received: 02-Jul-2025 / Manuscript No. jowt-25-174559 / Editor assigned: 04-Jul-2025 / PreQC No. jowt-25-174559 / Reviewed: 18-Jul-2025 / QC No. jowt-25-174559 / Revised: 23-Jul-2025 / Manuscript No. jowt-25-174559 / Published Date: 30-Jul-2025
Abstract
Obesity significantly impacts cardiovascular health through complex interactions involving genetic factors, lifestyle, and diverse pathophysiological mechanisms. This research explores how obesity leads to vascular dysfunction, cardiotoxicity from cancer treat- ments, and conditions like heart failure with preserved ejection fraction. It highlights the role of gut microbiota and epigenetic changes. Effective management strategies discussed include personalized lifestyle interventions, pharmacotherapy, and bariatric surgery, with a focus on mitigating risks in populations from children to adults. The findings emphasize the critical need for comprehensive, tailored approaches to improve cardiac outcomes in obese individuals.
Keywords
Obesity; Cardiovascular Disease; Genetic Predisposition; Lifestyle Interventions; Pharmacotherapy; Bariatric Surgery; Vascular Dysfunction; Gut Microbiota; Epigenetic Mechanisms; Heart Failure
Introduction
This article explores the complex interplay between lifestyle choices, genetic predispositions, and the development of obesity and cardiovascular disease. It highlights the importance of personalized approaches in prevention and management, integrating genetic insights with lifestyle interventions to mitigate risks effectively. The paper delves into novel strategies that leverage a deeper understanding of these factors to improve patient outcomes[1].
This review examines the intricate relationship between obesity and cardiotoxicity induced by cancer treatments. It details the underlying mechanisms contributing to cardiovascular damage in obese cancer patients and discusses current strategies for prevention and management. The article emphasizes the need for tailored interventions to mitigate cardiac risks in this vulnerable population[2].
This review explores the bidirectional relationship between obesity, gut microbiota composition, and cardiovascular disease development. It highlights how dysbiosis in the gut contributes to obesity and its cardiovascular complications, and conversely, how dietary changes can modulate the microbiota to impact cardiac health. Understanding these interactions is crucial for developing targeted therapeutic strategies[3].
This narrative review discusses the growing concern of cardiovascular risk factors in children and adolescents affected by obesity. It summarizes the long-term implications of early-onset obesity on cardiac health, including hypertension, dyslipidemia, and early atherosclerosis. The article emphasizes the critical need for early screening, intervention, and comprehensive management strategies in pediatric populations to prevent adult cardiovascular disease[4].
This scoping review evaluates the current landscape of pharmacotherapies for weight loss and their impact on cardiovascular outcomes. It synthesizes evidence on various anti-obesity medications, detailing their efficacy in reducing body weight and their observed cardiovascular benefits or risks. The article provides insights into optimizing medication choices for patients with obesity and concomitant cardiovascular disease or risk factors[5].
This systematic review and meta-analysis investigates the significant impact of bariatric surgery on various cardiovascular risk factors in patients with obesity. It consolidates evidence demonstrating improvements in blood pressure, lipid profiles, glycemic control, and reduction in the incidence of cardiovascular events following surgical intervention. The findings underscore bariatric surgery as an effective strategy for mitigating cardiovascular risk in appropriate candidates[6].
This article explores the mechanisms by which obesity leads to vascular dysfunction, a critical precursor to cardiovascular disease. It covers aspects like endothelial dysfunction, arterial stiffness, and microvascular changes, alongside the contributing roles of inflammation and metabolic dysregulation. The review also discusses emerging therapeutic strategies aimed at improving vascular health in obese individuals[7].
This narrative review delves into the significant link between obesity and heart failure with preserved ejection fraction (HFpEF). It examines the pathophysiological mechanisms, including systemic inflammation, metabolic derangements, and cardiac structural changes, that contribute to the development and progression of HFpEF in obese individuals. The article highlights the importance of weight management as a therapeutic target for improving outcomes in this patient population[8].
This review explores current and future strategies for managing cardiometabolic risk in individuals with obesity. It covers various interventions, including lifestyle modifications, pharmacotherapy, and bariatric surgery, discussing their efficacy in reducing the risk of cardiovascular events and improving metabolic health. The article emphasizes personalized approaches and the integration of novel therapies[9].
This article investigates the epigenetic mechanisms that bridge obesity and cardiovascular disease. It discusses how diet, lifestyle, and obesity-related metabolic changes can induce epigenetic modifications, such as DNA methylation and histone acetylation, which in turn influence gene expression patterns critical for cardiac function and vascular health. Understanding these mechanisms offers new avenues for therapeutic intervention[10].
Description
This article explores the complex interplay between lifestyle choices, genetic predispositions, and the development of obesity and cardiovascular disease. It highlights the importance of personalized approaches in prevention and management, integrating genetic insights with lifestyle interventions to mitigate risks effectively. The paper delves into novel strategies that leverage a deeper understanding of these factors to improve patient outcomes. [1]
This review examines the intricate relationship between obesity and cardiotoxicity induced by cancer treatments. It details the underlying mechanisms contributing to cardiovascular damage in obese cancer patients and discusses current strategies for prevention and management. The article emphasizes the need for tailored interventions to mitigate cardiac risks in this vulnerable population. [2]
This review explores the bidirectional relationship between obesity, gut microbiota composition, and cardiovascular disease development. It highlights how dysbiosis in the gut contributes to obesity and its cardiovascular complications, and conversely, how dietary changes can modulate the microbiota to impact cardiac health. Understanding these interactions is crucial for developing targeted therapeutic strategies. [3]
This narrative review discusses the growing concern of cardiovascular risk factors in children and adolescents affected by obesity. It summarizes the long-term implications of early-onset obesity on cardiac health, including hypertension, dyslipidemia, and early atherosclerosis. The article emphasizes the critical need for early screening, intervention, and comprehensive management strategies in pediatric populations to prevent adult cardiovascular disease. [4]
This scoping review evaluates the current landscape of pharmacotherapies for weight loss and their impact on cardiovascular outcomes. It synthesizes evidence on various anti-obesity medications, detailing their efficacy in reducing body weight and their observed cardiovascular benefits or risks. The article provides insights into optimizing medication choices for patients with obesity and concomitant cardiovascular disease or risk factors. [5]
This systematic review and meta-analysis investigates the significant impact of bariatric surgery on various cardiovascular risk factors in patients with obesity. It consolidates evidence demonstrating improvements in blood pressure, lipid profiles, glycemic control, and reduction in the incidence of cardiovascular events following surgical intervention. The findings underscore bariatric surgery as an effective strategy for mitigating cardiovascular risk in appropriate candidates. [6]
This article explores the mechanisms by which obesity leads to vascular dysfunction, a critical precursor to cardiovascular disease. It covers aspects like endothelial dysfunction, arterial stiffness, and microvascular changes, alongside the contributing roles of inflammation and metabolic dysregulation. The review also discusses emerging therapeutic strategies aimed at improving vascular health in obese individuals. [7]
This narrative review delves into the significant link between obesity and heart failure with preserved ejection fraction (HFpEF). It examines the pathophysiological mechanisms, including systemic inflammation, metabolic derangements, and cardiac structural changes, that contribute to the development and progression of HFpEF in obese individuals. The article highlights the importance of weight management as a therapeutic target for improving outcomes in this patient population. [8]
This review explores current and future strategies for managing cardiometabolic risk in individuals with obesity. It covers various interventions, including lifestyle modifications, pharmacotherapy, and bariatric surgery, discussing their efficacy in reducing the risk of cardiovascular events and improving metabolic health. The article emphasizes personalized approaches and the integration of novel therapies. [9]
This article investigates the epigenetic mechanisms that bridge obesity and cardiovascular disease. It discusses how diet, lifestyle, and obesity-related metabolic changes can induce epigenetic modifications, such as DNA methylation and histone acetylation, which in turn influence gene expression patterns critical for cardiac function and vascular health. Understanding these mechanisms offers new avenues for therapeutic intervention. [10]
Conclusion
This collection of articles thoroughly investigates the complex relationship between obesity and cardiovascular disease, highlighting various aspects from genetic predispositions and lifestyle choices to specific clinical implications and therapeutic strategies. The research emphasizes the critical importance of personalized approaches in prevention and management, advocating for the integration of genetic insights with targeted lifestyle interventions to mitigate risks effectively. It delves into how obesity intricately contributes to severe conditions, such as cardiotoxicity induced by cancer treatments in vulnerable patients, and explores the bidirectional link with gut microbiota composition that profoundly impacts cardiac health. A significant concern addressed is the growing presence of cardiovascular risk factors in children and adolescents affected by obesity, underscoring the urgent need for early screening, intervention, and comprehensive management strategies in these pediatric populations. Discussions extend to evaluating current therapeutic landscape, including various pharmacotherapies for weight loss and their observed impact on cardiovascular outcomes, along with the undeniable benefits of bariatric surgery in significantly improving cardiovascular risk factors. Mechanistically, the data explores in detail how obesity leads to vascular dysfunction, including endothelial dysfunction and arterial stiffness, alongside contributing roles of systemic inflammation and metabolic derangements, which are critical precursors to cardiovascular disease and conditions like heart failure with preserved ejection fraction (HFpEF). Current and future strategies for managing cardiometabolic risk in individuals with obesity are comprehensively reviewed, encompassing lifestyle modifications, pharmacotherapy, and bariatric surgery, with an emphasis on integrating novel therapies. Furthermore, the articles investigate the epigenetic mechanisms that connect obesity to cardiovascular disease, explaining how diet and lifestyle induce modifications that influence gene expression critical for cardiac function. Collectively, these works advocate for a holistic understanding and tailored therapeutic approaches to improve patient outcomes in the context of obesity-related cardiac challenges across different populations and disease manifestations, emphasizing comprehensive care.
References
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Citation: Grant M (2025) Obesity, CVD: Mechanisms, Management, Personalized Care. jowt 15: 820.
Copyright: © 2025 Michael Grant This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
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