Key result
Insulin administration via hyperinsulinaemic euglycaemic clamp does not alter LV function compared to normal saline.
Why the study?
The study was designed to determine the effect of insulin on cardiac function in overweight and obese subjects during dynamic exercise.
Does insulin affect left ventricular function during dynamic exercise in overweight and obese subjects?
Does insulin affect left ventricular function during dynamic exercise in overweight and obese subjects?
Insulin sensitivity correlates with left ventricular ejection fraction, suggesting a metabolic pathogenesis for impaired LV function in obesity.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for insulin sensitivity's role in LV performance in obesity; does not support practice changes pending interventional data.
AIMS: We designed this study in order to determine the effect of insulin on cardiac function in overweight and obese subjects during exercise. METHODS AND RESULTS: The cardiac function of 62 normal glucose tolerant subjects, aged 30-40 and divided into normal weight (group 1, n=22, BMI 20-24.9 kg/m(2)), overweight (group 2, n=20, BMI 25-29.9 kg/m(2)), and obesity (group 3, n=20, BMI 30-35 kg/m(2)) was evaluated at rest and during dynamic exercise through angiocardioscintigraphy, when on hyperinsulinaemic euglycaemic clamp (test A) and when on normal saline infusion (test B). Left ventricular function at rest was statistically greater (P<0.05) in both tests in overweight and obese subjects compared with normal weight controls, with no statistical difference (P=0.057) within groups between insulin and normal saline infusion. During exercise, cardiac function improved in all the subjects in both tests. The increase was lower in overweight and obese patients, even if statistically significant only in obese vs. control subjects in both tests (P<0.05). Insulin sensitivity showed a significant correlation (P< or =0.001) with left ventricular ejection fraction (LVEF) at rest and with change in LVEF during clamp. CONCLUSION: Our findings suggest a metabolic pathogenesis for the impaired LV function in obesity.
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Sasso et al. (2005) studied Overweight and obesity (n=62). Hyperinsulinaemic euglycaemic clamp vs. Normal saline infusion was evaluated on Left ventricular function at rest and during dynamic exercise (p=0.057). Insulin administration via hyperinsulinaemic euglycaemic clamp did not significantly alter left ventricular function compared to normal saline within BMI groups (P=0.057).
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