Joint statement of the European Association for the Study of Obesity and the European Society of Hypertension: Obesity and heart failure

Research output: Contribution to journalReview article


Obese individuals are more likely to develop heart failure. Yet, once heart failure is established, the impact of overweight and obesity on prognosis and survival is unclear. The purpose of this joint scientific statement of the European Association for the Study of Obesity and the European Society of Hypertension is to provide an overview on the current scientific literature on obesity and heart failure in terms of prognosis, mechanisms, and clinical management implications. Moreover, the document identifies open questions that ought to be addressed. The need for more tailored weight management recommendations in heart failure will be emphasized and, in line with the emerging evidence, aims to distinguish between primary disease and secondary outcome prevention. In the primary prevention of heart failure, it appears prudent advising obese individuals to lose or achieve a healthy body weight, especially in those with risk factors such as hypertension or type 2 diabetes. However, there is no evidence from clinical trials to guide weight management in overweight or obese patients with established heart failure. Prospective clinical trials are strongly encouraged.


  • Jens Jordan
  • Hermann Toplak
  • Guido Grassi
  • Volkan Yumuk
  • Vasilios Kotsis
  • Stefan Engeli
  • Cesare Cuspidi
  • Peter M. Nilsson
  • Nick Finer
  • Wolfram Doehner
External organisations
  • Hannover Medical School
  • Medical University of Graz
  • IRCCS Multimedica
  • Istanbul University
  • Istituto Auxologico Italiano
  • German Centre for Cardiovascular Research
  • Aristotle University of Thessaloniki
  • University College London
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Cardiac and Cardiovascular Systems


  • heart failure, hypertension, neurohumoral, obesity, obesity paradox
Original languageEnglish
Pages (from-to)1678-1688
Number of pages11
JournalJournal of Hypertension
Issue number9
Publication statusPublished - 2016 Sep 1
Publication categoryResearch