Early cardiac abnormalities in obese children: importance of obesity per se versus associated cardiovascular risk factors.

Abstract:

:We investigated whether obese children and adolescents have early echocardiographic signs of subclinical cardiac dysfunction and evaluated the respective influence of obesity per se versus parameters of carbohydrate and lipid metabolism that are frequently abnormal in obese subjects. The role of tissue Doppler imaging as a screening tool for these abnormalities was explored. Blood pressure and echocardiographic parameters, including tissue Doppler measurements of the septal mitral annulus were evaluated in 49 obese children and adolescents and 45 age and sex matched controls. The respective influence of obesity versus parameters of carbohydrate and lipid metabolism was examined with linear regression analysis. Obese subjects showed significantly larger left ventricular wall dimensions (posterior wall, septum, and left ventricular mass index) and signs of early diastolic filling abnormalities on conventional and tissue Doppler echocardiography compared with nonobese subjects. Multiple regression analysis showed that mainly BMI-SD scores and/or body surface area explained significant proportions of the variance of the early cardiac abnormalities. In conclusion, young, obese children and adolescents have significant changes in left ventricular wall dimensions and early diastolic filling compared with nonobese subjects. Obesity per se and not the parameters of carbohydrate and lipid metabolism predicted the early cardiac abnormalities.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Van Putte-Katier N,Rooman RP,Haas L,Verhulst SL,Desager KN,Ramet J,Suys BE

doi

10.1203/PDR.0b013e318176182b

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

205-9

issue

2

eissn

0031-3998

issn

1530-0447

journal_volume

64

pub_type

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