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Published on: December 2, 2016
[Research on Cardiac Structure and Function in the Overweight and Obese population and Influence Factors]
Insights
Cardiac function is impaired in overweight and obese individuals, with decreased strain and altered diastolic function. Body Mass Index (BMI), waist-to-hip ratio (WHR), and free fatty acids (FFA) are key influencing factors.
Area of Science:
- Cardiology
- Medical Imaging
- Obesity Research
Background:
- Overweight and obesity are associated with cardiovascular complications.
- Early detection of cardiac dysfunction in these populations is crucial.
Purpose of the Study:
- To investigate cardiac structure and function in healthy, overweight, and obese individuals.
- To identify correlations between obesity indices and cardiac parameters.
Main Methods:
- Tissue Doppler Imaging (TDI), 2D speckle tracking imaging (2D-STI), and 3D speckle tracking imaging (3D-STI) were used.
- Analysis included global longitudinal strain (GLS), global circumferential strain (GCS), global area strain (GAS), and global radial strain (GRS).
- Correlations with Body Mass Index (BMI), Waist to Hip Ratio (WHR), and Free Fatty Acid (FFA) were assessed.
Main Results:
- Overweight and obese groups showed progressive decreases in GLS, GCS, GAS, and GRS compared to healthy individuals.
- Cardiac strain parameters and E/e'sr were significantly correlated with BMI and FFA.
- BMI, WHR, and FFA were identified as independent factors influencing cardiac function.
Conclusions:
- Cardiac structure is altered, and left ventricular systolic and diastolic function are impaired in overweight and obese populations.
- BMI, WHR, and FFA are significant independent predictors of cardiac dysfunction in this demographic.
Abstract:
In this study we performed Tissue Doppler Imaging (TDI), two-dimensional speckle tracking imaging (2D- STI) and three-dimensional speckle tracking imaging (3D-STI) on enrolled healthy, overweight and obese groups (34 subjects in each group), respectively, to analyze cardiac structure and its function. Compared with healthy group, global longitudinal strain (GLS), global circumferential strain (GCS), global area strain(GAS) and global radial strain (GRS) decreased progressively (P < 0.05). The ratio of early diastolic mitral inflow velocity to global early diastolic strain rate of left ventricle (E/e'sr) (r = 0.466, P < 0.001), GLS (r = 0.502, P < 0. 001), GCS (r = 0.426, P < 0.001), GAS (r = 0.535, P < 0.001) and GRS (r = -0.554, P < 0.001) were correlated with body mass index (BMI). E/e'sr (r = 0.37, P = 0.003), GLS (r = 0.455, P < 0.001), GCS (r = 0.282, P = 0.02), GAS (r = 0.412, P < 0.001) and GRS (r = -0.471, P < 0.001) were correlated with free fatty acid (FFA). Stepwise multiple linear regression revealed that BMI was independently correlated with E/e'sr, GLS, GCS, GAS and GRS. Waist to hip ratio (WHR) was independently correlated with GLS, GCS, GAS and GRS. FFA was independently correlated with E/e'sr (P < 0.05). The study showed that cardiac structure changed and impaired left ventricular global systolic and diastolic function in overweight and obes population. Moreover, BMI, WHR and FFA may be independent influence factors of cardiac function in overweight and obese population.
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