Correspondence
Association With Increased Risk of Stroke
Dtsch Arztebl Int 2010; 107(12): 214. DOI: 10.3238/arztebl.2010.0214b
;


It follows that the statement in the article that there is “no association with stroke risk” is untenable. This is based on a study in the Asia-Pacific area and cannot be directly transferred to the European population. We refer you to Yusuf et al. (3) for the association between overweight and myocardial infarction.
We agree with the authors that the morbidity associated with overweight must be specified more precisely. Nevertheless, the important role of overweight in cerebrovascular and cardiovascular diseases should not be neglected, as, taken together, these are the most important causes of mortality and handicap in adults.
DOI: 10.3238/arztebl.2010.0214b
Dr. med. Yaroslav Winter
Klinik für Neurologie, Universitätsklinikum Gießen und Marburg,
Rudolf-Bultmann-Str. 8, 35039 Marburg, Germany
Prof. Dr. med. habil. Tobias Back
Neurologische Klinik
Sächsisches Krankenhaus Arnsdorf
Hufelandstr. 15, 01477 Arnsdorf, Germany
Conflict of interest statement
The author declares that no conflict of interest exists according to the guidelines of the International Committee of Medical Journal Editors.
1.
Hu G, Tuomilehto J, Silventoinen K, et al.: Body Mass Index, Waist Circumference, and Waist-Hip Ratio on the Risk of Total and Type-Specific Stroke. Archives of internal medicine 2007; 167: 1420–7. MEDLINE
2.
Winter Y, Rohrmann S, Linseisen J, et al.: Contribution of obesity and abdominal fat mass to risk of stroke and transient ischemic attacks. Stroke 2008; 39: 3145–51. MEDLINE
3.
Yusuf S, Hawken S, Ôunpuu S, et al.: Obesity and the risk of myocardial infarction in 27 000 participants from 52 countries: a case-control study. Lancet 2005; 366: 1640–49. MEDLINE
4.
Lenz M, Richter T, Mühlhauser I: The morbidity and mortality associated with overweight and obesity in adulthood [Morbidität und Mortalität bei Übergewicht und Adipositas im Erwachsenenalter]. Dtsch Arztebl Int 2009; 106(40): 641–8. VOLLTEXT
1. | Hu G, Tuomilehto J, Silventoinen K, et al.: Body Mass Index, Waist Circumference, and Waist-Hip Ratio on the Risk of Total and Type-Specific Stroke. Archives of internal medicine 2007; 167: 1420–7. MEDLINE |
2. | Winter Y, Rohrmann S, Linseisen J, et al.: Contribution of obesity and abdominal fat mass to risk of stroke and transient ischemic attacks. Stroke 2008; 39: 3145–51. MEDLINE |
3. | Yusuf S, Hawken S, Ôunpuu S, et al.: Obesity and the risk of myocardial infarction in 27 000 participants from 52 countries: a case-control study. Lancet 2005; 366: 1640–49. MEDLINE |
4. | Lenz M, Richter T, Mühlhauser I: The morbidity and mortality associated with overweight and obesity in adulthood [Morbidität und Mortalität bei Übergewicht und Adipositas im Erwachsenenalter]. Dtsch Arztebl Int 2009; 106(40): 641–8. VOLLTEXT |