What is the primary risk factor for developing coronary heart disease related to obesity?

The primary risk factor for developing coronary heart disease related to obesity is hypertension. Hypertension, or high blood pressure, is a significant health concern that often accompanies obesity. Excess body fat, particularly visceral fat, can lead to various metabolic changes in the body, including insulin resistance and increased inflammation, both of which can elevate blood pressure.

When an individual is obese, the heart must work harder to pump blood through a greater volume of body tissue. This increased workload can lead to higher blood pressure. Over time, persistently high blood pressure can damage the arteries, making them less elastic and narrowing their diameter, which further increases the risk of heart disease by contributing to atherosclerosis (the build-up of fats, cholesterol, and other substances in and on the artery walls).

While other options presented have their own risks associated with obesity, hypertension is the most direct and significant link to coronary heart disease in this context. It is crucial for individuals who are overweight or obese to monitor and manage their blood pressure as part of a comprehensive strategy to reduce the risk of developing cardiovascular diseases. Understanding these connections highlights the importance of weight management and lifestyle changes in promoting heart health.