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January 1, 2008Sunhwan'giOpen Access

The Early Change of Left Ventricular Function in Overweight and Obese Patients: Analysis With Tissue Doppler Echocardiography

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Key result

Overweight and obesity independently increased the risk of left ventricular diastolic dysfunction by 2.13 times and 3.10 times, respectively, compared to normal weight individuals.

Why the study?

Does overweight and obesity worsen left ventricular diastolic function in patients with normal systolic function?

Population

2,684 patients aged 18-55 years with normal cardiac size, normal systolic function, no regional wall motion…

Comparison

Overweight and Obesity vs Normal weight (BMI <25 kg/m²)

Design

Cross-sectional

Authors

SRSung Kee RyuEwha Womans UniversityJCJae Woong ChoiEulji UniversityYCYong Bum ChoChonnam National University

Discussion

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Overview

May warrant closer diastolic monitoring in overweight patients with preserved EF; extends observational data but leaves causality open.

Study Design

Type

Cross-Sectional (n=2,684)

Multicenter

No

Structured PICO

Does overweight and obesity worsen left ventricular diastolic function in patients with normal systolic function?

P
Population
2,684 adults aged 18-55 years with normal left ventricular systolic function and size, evaluated for early diastolic function changes across normal, overweight, and obese BMI categories.
E
Exposure
Overweight (BMI 25-29.9 kg/m²) and Obesity (BMI ≥30 kg/m²)
C
Comparator
Normal weight (BMI <25 kg/m²)
O
Outcome
Left ventricular diastolic function measured by Doppler (E, A) and tissue Doppler (E', A', E/E')surrogate

Main Result

Odds Ratio: 2.13 (95% CI 1.76–2.63)

p-value: p=<0.01

Diastolic function worsens with increasing weight before the development of systolic dysfunction, and tissue Doppler imaging is sensitive for detecting these early changes in overweight and obese patients.

Limitations

  • Did not include measurements of abdominal obesity, which may have a greater impact on diastolic dysfunction than BMI alone in the Korean population.
  • Did not include measurements of abdominal obesity

Cite This Study

Ryu et al. (2008) conducted a cross-sectional in Overweight and Obesity (n=2,684). Overweight (BMI 25-29.9 kg/m²) vs. Normal weight (BMI <25 kg/m²) was evaluated on Left ventricular diastolic dysfunction (OR 2.13, 95% CI 1.76-2.63, p=<0.01). Overweight and obesity independently increased the risk of left ventricular diastolic dysfunction by 2.13 times and 3.10 times, respectively, compared to normal weight individuals.

synapsesocial.com/papers/6a99eebbc7224591c9c3e8b4https://doi.org/10.4070/kcj.2008.38.5.270
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of Overweight and Obesity on Left Ventricular Diastolic Function and Value of Tissue Doppler Echocardiography2013 · 50 citations
  2. 2Effect of Obesity and Overweight on Left Ventricular Diastolic Function2011 · 364 citations
  3. 3The role of tissue Doppler study in the assessment of left ventricular dysfunction in obesity2008 · 22 citations
  4. 4Cardiac Changes in Overweight and Obese Patients2016 · 9 citations
  5. 5Left Ventricular Diastolic Dysfunction and Obesity: A Systematic Review and Meta-analysis of Echocardiographic Studies2016 · 2 citations