Key result
Childhood obesity is linked to a ~28% increase in LV mass index indicating cardiac remodeling.
Why the study?
The etiology of cardiac remodeling and dysfunction in children with obesity is not well understood, particularly the roles of blood pressure and adiposity.
Does excess abdominal and epicardial adiposity correlate with cardiac remodeling and dysfunction in children with obesity?
Cross-Sectional (n=31)
No
Does excess abdominal and epicardial adiposity correlate with cardiac remodeling and dysfunction in children with obesity?
Effect estimate: increased by 28%
Absolute Event Rate: 29% vs 22%
p-value: p=<0.001
This study aims to investigate whether excess abdominal and epicardial adiposity correlates with cardiac remodeling and dysfunction in children with obesity using cine DENSE MRI.
May implicate epicardial adiposity in pediatric contractile dysfunction beyond blood pressure; leaves open causality and need for prospective trials.
Background Obesity affects one in five children in the US and these children tend to maintain excess weight into adulthood. It has recently been shown that childhood obesity is associated with both cardiac remodeling (hypertrophy) and contractile dysfunction. However, the etiology of these cardiac changes is not well understood. We hypothesized that cardiac remodeling and dysfunction could not be entirely explained by elevations in blood pressure and that excess abdominal and epicardial adiposity may also correlate with cardiac changes.
No takes yet. Share an insight, caveat, or question.
Binkley et al. (2015) conducted a cross-sectional in Childhood Obesity (n=31). Obesity (≥95th percentile for age and height) vs. Healthy weight (5th-85th percentile) was evaluated on Left Ventricular Mass Index (g/m^2.7) (increased by 28%, p=<0.001). Children with obesity exhibited a 28% increase in left ventricular mass index and a 14% reduction in peak longitudinal strain compared to healthy controls, indicating cardiac remodeling and dysfunction.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: