Key result
Higher anthropometric measures were associated with adverse cardiac structure, with a 5-unit increment in BMI significantly increasing the odds of abnormal left ventricular geometry (OR 1.40).
Why the study?
Do higher anthropometric measures associate with adverse echocardiographic measures of left ventricular structure and function in Hispanic/Latinos?
Cross-Sectional (n=1,824)
Yes
Do higher anthropometric measures associate with adverse echocardiographic measures of left ventricular structure and function in Hispanic/Latinos?
Odds Ratio: 1.4 (95% CI 1.3–1.9)
p-value: p=0.03
Higher adiposity measures in US Hispanic/Latinos are independently associated with adverse structural and functional echocardiographic changes, highlighting an increased risk for heart failure.
Summary Objective The objective of this study is to determine associations between anthropometry and echocardiographic measures of cardiac structure and function in Hispanic/Latinos. Methods A total of 1,824 participants from ECHO‐SOL were included. We evaluated associations between echocardiographic measures of left ventricular structure and function and anthropometric measures using multivariable‐adjusted linear and logistic regression models adjusting for traditional cardiovascular risk factors. Results The mean age was 56 ± 0.17 years, 57% were women. The mean body mass index (BMI) was 30 ± 9.4 kg m −2 , waist circumference (WC) was 100 ± 18 cm, and waist‐to‐hip ratio (WHR) was 0.93 ± 0.15. Adjusted analysis showed that 5‐unit increment in BMI and 5‐cm increase in WC was associated with 3.4 ± 0.6 and 1.05 ± 0.05 g m −2.7 ( p < 0.05 for both) higher left ventricular (LV) mass index, respectively. Similarly, 0.1‐unit increment in WHR was associated with 2.0 ± 0.16 g m −2.7 higher LV mass index ( p < 0.01). WHR was associated with 0.22 ± 0.08% decrease in ejection fraction ( p < 0.05). Concomitantly, 5‐unit increment in BMI and WC was associated with increased odds of abnormal LV geometry (odds ratio 1.40 and 1.16, p = 0.03 and <0.01, respectively); 0.1‐unit increment in WHR was associated with increased odds of abnormal LV geometry (odds ratio 1.51, p < 0.01). Conclusions Among Hispanic/Latinos, higher anthropometric measures were associated with adverse cardiac structure and function.
No takes yet. Share an insight, caveat, or question.
Ponce et al. (2018) conducted a cross-sectional in Healthy Hispanic/Latino adults (n=1,824). Higher anthropometric measures (e.g., body mass index) was evaluated on Abnormal left ventricular geometry (per 5-unit increment in BMI) (OR 1.40, 95% CI 1.30-1.90, p=0.03). Higher anthropometric measures were associated with adverse cardiac structure, with a 5-unit increment in BMI significantly increasing the odds of abnormal left ventricular geometry (OR 1.40).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: