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Updated: Mar 18, 2026

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Published on: June 15, 2020
Impact of Body Mass Index on Left Ventricular Function
D S Chadha1, A Swamy1, S K Malani2
1Classified Specialist (Cardiology), Command Hospital (AF), Bangalore.
Insights
Obesity is linked to heart problems. This study found subclinical diastolic dysfunction in obese individuals, which worsens with higher body mass index (BMI).
Area of Science:
- Cardiology
- Obesity Research
- Echocardiography
Background:
- Obesity is a significant risk factor for cardiovascular disease.
- The direct impact of obesity on cardiac function requires further elucidation.
- This study investigates the relationship between isolated obesity and left ventricular function.
Purpose of the Study:
- To determine the direct effect of varying grades of obesity on echocardiographic indices.
- To assess systolic and diastolic left ventricular function in obese individuals.
- To correlate body mass index (BMI) with cardiac function parameters.
Main Methods:
- Echocardiographic assessment of systolic and diastolic function in 51 obese and 25 normal-weight individuals.
- Classification into normal weight (BMI <25kg/m²), overweight (BMI 25-29.9 kg/m²), and obese (BMI >30 kg/m²) groups.
- Dysfunction defined as ≥ 2 SD deviation from normal weight group values.
Main Results:
- Increased ejection fraction and fractional shortening in overweight and obese groups.
- Enlarged left ventricular dimensions without changes in relative wall thickness.
- Prevalence of subclinical diastolic dysfunction in obese subjects, correlating with BMI.
- No systolic dysfunction observed; diastolic dysfunction noted in all obesity grades.
Conclusions:
- Subclinical left ventricular diastolic dysfunction is present across all obesity grades.
- Diastolic dysfunction in obesity is directly correlated with body mass index (BMI).
- Obesity, even without other comorbidities, impacts diastolic cardiac function.
Background:
Obesity is associated with increased cardiovascular morbidity and mortality. A direct effect of isolated obesity on cardiac function is not well established. The study was designed to determine the direct effect of various grades of isolated obesity on echocardiographic indices of systolic and diastolic left ventricular function.
Methods:
Fifty one obese and 25 normal weight, serving personnel without any other pathological condition were studied. Group I (n=25) consisted of subjects with normal weight and body mass index (BMI <25kg/m(2)), Group II (n=34) of overweight subjects (BMI 25-29.9 kg/m(2)) and Group III (n=17) of obese subjects (BMI >30 kg/m(2)). Echocardiographic indices of systolic and diastolic function were obtained and dysfunction was assumed when at least two values differed by ≥ 2 SD from the normal weight group.
Result:
Ejection fraction, fractional shortening were increased (p<0.05) in Group II and III. Left ventricular dimensions were increased (p< 0.001) but relative wall thickness was unchanged. Systolic dysfunction was not observed in any of the obese patients. The mitral valve pressure half time (p< 0.01), left atrial diameter (p < 0.01) and the deceleration time were increased (p< 0.01) in obese subjects, while other diastolic variables were unchanged. No difference were found between obesity subgroups. Subclinical diastolic dysfunction was more prevalent among obese subjects. BMI correlated significantly with indices of left ventricular systolic and diastolic function.
Conclusion:
Subclinical left ventricular diastolic dysfunction was noted in all grades of obesity which correlates with BMI.
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