Left ventricular function response to exercise in normotensive obese subjects: influence of degree and duration of obesity
Autor: | Licata, G., Scaglione, R., Paterna, S., Parrinello, G., Indovina, A., Chiara, D., Alaimo, M., G, Merlino, G. |
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Přispěvatelé: | Licata,G, Scaglione,R, Paterna, S, Parrinello,G, Indovina,A, Di Chiara,MA, Alaimo,G, Merlino,G |
Rok vydání: | 1992 |
Předmět: |
Adult
Male medicine.medical_specialty Settore MED/09 - Medicina Interna Hemodynamics Physical exercise Overweight Ventricular Function Left Body Mass Index Electrocardiography Risk Factors Left ventricular function obesity Internal medicine Diabetes mellitus medicine Humans Obesity Cardiac Output Ejection fraction business.industry Middle Aged medicine.disease Settore MED/11 - Malattie Dell'Apparato Cardiovascolare Endocrinology Blood pressure Echocardiography Exercise Test Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business Body mass index |
Zdroj: | International Journal of Cardiology. 37:223-230 |
ISSN: | 0167-5273 |
DOI: | 10.1016/0167-5273(92)90212-l |
Popis: | This study has been designed to evaluate whether duration and severity of obesity can influence left ventricular function response to exercise in obese subjects without other known cardiovascular risk factors such as hypertension, diabetes or hyperlipoproteinemia. A total of 29 obese subjects were included and they were divided, according to their body mass index and to Garrow's criteria as follows: Overweight or mildly obese subjects: body mass index from 25 to 30 kg/m2; moderately obese subjects: body mass index30 and40 kg/m2. Both obese groups were further subdivided according to their duration of obesity evaluated by accurate anamnesis in subgroup A (duration of obesity less than 120 months) and subgroup B (duration of obesity more than 120 months). Left ventricular ejection fraction was detected by blood pool gated radionuclide angiocardiography both at rest and after symptom-limited bicycle ergometer procedure. At peak exercise left ventricular ejection fraction increased significantly (p0.05) only in overweight subjects. Exercise produced an increase of left ventricular ejection fraction in 14 overweight and in 5 moderately obese subjects and a decrease in 2 moderately obese subjects. At peak exercise mean heart rate and mean blood pressure increased significantly (p0.001) in both groups. When obese subjects were subgrouped according to duration of obesity, left ventricular ejection fraction increased significantly (p0.05) only in overweight subjects with duration of obesity less than 120 months. Duration of obesity correlated inversely with percent change in left ventricular ejection fraction (EF) at peak exercise (delta EF) (r = -0.59; p0.001).(ABSTRACT TRUNCATED AT 250 WORDS) |
Databáze: | OpenAIRE |
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