What is the relationship between adolescent obesity and coronary artery disease (CAD) in adulthood?

Updated: Feb 20, 2019
  • Author: Steven M Schwarz, MD, FAAP, FACN, AGAF; Chief Editor: Jatinder Bhatia, MBBS, FAAP  more...
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Answer

An increased risk of death from all causes and from coronary artery disease (CAD) has been consistently observed in males, but not in females, who had obesity during adolescence. In a follow-up of the Harvard Growth Study, the risk of morbidity from CAD and atherosclerosis was increased among men and women who had been overweight (BMI > 75th percentile) as teenagers. The trend towards higher BMI values among adolescents in the US has also been associated with increases in left ventricular mass, when compared to similar cohorts in earlier generations, further suggesting that early obesity increases the long-term risk for development of cardiac disease. [28]


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