

Overview
Obesity is a complex, chronic disease characterized by excess body fat that adversely affects health. Obesity is also a major modifiable risk factor for cardiovascular disease (CVD), contributing to conditions such as hypertension, dyslipidaemia, insulin resistance, and type 2 diabetes. As the prevalence of obesity continues to rise globally and regionally, addressing obesity has become a key component of cardiovascular risk reduction in clinical practice.
Effective obesity management begins with a comprehensive clinical assessment, including measurement of body weight, calculation of body mass index (BMI), and evaluation of obesity-related comorbidities. In Asian populations, lower BMI thresholds are often used due to the higher risk of metabolic complications at comparatively lower BMI levels. Early identification and management of conditions such as diabetes, hypertension, and sleep apnoea are essential in patients with obesity, particularly those with established cardiovascular disease or elevated cardiovascular risk.
While lifestyle modification—including dietary changes, increased physical activity, and behavioural interventions—remains the cornerstone of weight management, many patients find it difficult to achieve or maintain meaningful weight loss through lifestyle measures alone. In such cases, pharmacotherapy can play an important role as an adjunct treatment to support sustained weight reduction and improve cardiometabolic health.
Several pharmacological options are now available to assist in weight management, with different mechanisms of action such as appetite suppression, enhanced satiety, or reduced fat absorption. Some therapies have also demonstrated benefits beyond weight loss, including improvements in glycaemic control, blood pressure, lipid profiles, and cardiovascular outcomes. Understanding the indications, mechanisms, safety considerations, and potential benefits of these medications is essential for healthcare professionals when selecting appropriate treatment strategies.
This e-learning module provides an evidence-based overview of obesity pharmacotherapy and its role in managing patients with cardiovascular risk. By comparing available pharmacologic options and outlining practical considerations for their use, the module aims to support healthcare professionals in developing personalised, patient-centred treatment plans that promote sustainable weight loss and improved cardiovascular health.
Upon completion of this module, participants will be able to:
Dr Pipin Kojodjojo MBBS PhD
Senior Consultant Cardiologist
Weighing In on Heart Health: Managing Obesity in Patients with Cardiovascular Disease
Upon completion of this module, learners should be able to:
Dr. Yeo Colin
MBBS (Singapore), FRCP (Edinburgh), DRCPSC
Senior Consultant, Cardiology
Changi General Hospital, Singapore
Keywords: obesity, pathophysiology of obesity, management of obesity, obesity pharmacotherapy, cardiovascular disease, obesity-related cardiovascular disease, cardiovascular risk, weight loss benefits, obesity pharmacotherapy