The effects of obesity on longitudinal ventricular and atrial strain in a rural population of Spanish children and adolescents, evaluated by a new strain software.

Autor: Aristizábal-Duque CH; Cardiology Department Cordoba, Reina Sofia University Hospital, Cordoba, Spain.; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Andalucía, Spain., Fernández Cabeza J; Cardiology Department Cordoba, Reina Sofia University Hospital, Cordoba, Spain.; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Andalucía, Spain., Blancas Sánchez IM; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Andalucía, Spain.; Urgency Department, Reina Sofia University Hospital, Cordoba, Spain., Delgado Ortega M; Cardiology Department Cordoba, Reina Sofia University Hospital, Cordoba, Spain.; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Andalucía, Spain., Aparicio-Martinez P; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Andalucía, Spain.; Department of Nursing, Pharmacology and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba, Andalusia, Spain., Romero Saldaña M; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Andalucía, Spain.; Department of Nursing, Pharmacology and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba, Andalusia, Spain., Fonseca Del Pozo FJ; Andalusian Health Service District Norte de Córdoba, Córdoba-Guadalquivir Health District, Andalusian Regional Government Cordoba, Andalucia, Spain., Álvarez-Ossorio MP; Cardiology Department Cordoba, Reina Sofia University Hospital, Cordoba, Spain.; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Andalucía, Spain., Ruíz Ortiz M; Cardiology Department Cordoba, Reina Sofia University Hospital, Cordoba, Spain.; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Andalucía, Spain., Mesa Rubio MD; Cardiology Department Cordoba, Reina Sofia University Hospital, Cordoba, Spain.; Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordoba, Andalucía, Spain.
Jazyk: angličtina
Zdroj: Pediatric obesity [Pediatr Obes] 2023 Oct; Vol. 18 (10), pp. e13069. Date of Electronic Publication: 2023 Aug 09.
DOI: 10.1111/ijpo.13069
Abstrakt: Background and Objectives: Research on the relationship between body mass index (BMI) and strain values in children and adolescents is limited. Our aim was to analyse the relationship between BMI and strain values of both ventricles and left atrium in children and adolescents.
Methods: Both ventricles and left atrial strain values were compared among different BMI categories in children and adolescents from a town in the South of Spain.
Results: Of the 198 subjects, aged 6-17 years, 53% were of normal weight, 26% were overweight and 21% had obesity. Lower absolute values of left ventricular global longitudinal strain (25.9 ± 2.0% vs. 26.9 ± 2.2%, p = 0.002) and right ventricular free wall longitudinal strain (29.5 ± 4.2% vs. 30.8 ± 4.5%, p = 0.04) were found in subjects with obesity and overweight versus subjects with normal weight. A lower right ventricular four-chamber longitudinal strain was also observed in males with obesity and overweight (24.8 ± 3.3% vs. 26.4 ± 3.6%, p = 0.03). Statistically significant negative correlations of BMI were found for all ventricular, but not atrial, strain values in univariate analysis. This association turned non-significant for right ventricular four-chamber longitudinal strain in multivariate analysis.
Conclusions: Utilizing this new strain software, children and adolescents with high BMI were associated with significantly lower values for left and right ventricular free wall longitudinal strain, without impact in left atrial strain.
(© 2023 World Obesity Federation.)
Databáze: MEDLINE
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