4.5 Article

Effect of fitness on cardiac structure and function in overweight and obesity (the FATCOR study)

期刊

出版社

ELSEVIER SCI LTD
DOI: 10.1016/j.numecd.2019.03.012

关键词

Cardiorespiratory fitness; Obesity; Global longitudinal strain; Speckle tracking echocar diography; Systolic myocardial function

资金

  1. Norwegian National Advisory Unit on Women's Health

向作者/读者索取更多资源

Background and aims: Obesity is associated with reduced left ventricular (LV) systolic myocardial function. We aimed to explore by means of a cross-sectional study whether this effect is offset in the presence of good fitness. Methods and results: We studied clinical and echocardiographic data from 469 overweight (body mass index [BMI] > 27 kg/m(2)) and obese (BMI >= 30 kg/m(2)) women and men without known cardiovascular (CV) disease in the FAT associated CardiOvasculaR dysfunction (FATCOR) study. The participants were grouped according to obesity and sex- and age adjusted peak oxygen uptake, obtained by ergospirometry. LV systolic myocardial function was assessed by peak systolic global longitudinal strain (GLS) measured by speckle tracking echocardiography. The association of fitness with GLS was tested in logistic regression analyses and reported as odds ratio (OR) with 95% confidence interval (CI). In the total study population, participants were 47 years old, 60% were women, and mean BMI was 32.0 kg/m(2). GLS did not differ between fit and unfit subjects within the overweight and obese groups (both p > 0.05), but the overweight fit group had higher GLS (more negative value) compared to the obese unfit group (-20.1 +/- 2.6 vs. -19.0 +/- 3.0, p < 0.05). In obese subjects, fitness was associated with higher GLS (OR 0.88 [95% CI 0.79-0.99, p < 0.05) in multivariable logistic regression analysis, independent of significant associations with higher arterial stiffness and lower fat percentage (all p < 0.05). In the overweight group, fitness was not significantly associated with GLS. Conclusion: In obesity, fitness was independently associated with higher GLS, while no association was found in overweight. (C) 2019 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Cardiac & Cardiovascular Systems

Higher Acceleration/Ejection Time Ratio Predicts Impaired Outcome in Aortic Valve Stenosis

Eigir Einarsen, Dana Cramariuc, Edda Bahlmann, Helga Midtbo, John B. Chambers, Eva Gerdts

Summary: The study found that in asymptomatic nonsevere aortic valve stenosis and low-gradient severe AS, a higher AT/ET ratio is associated with increased cardiovascular morbidity and mortality.

CIRCULATION-CARDIOVASCULAR IMAGING (2021)

Editorial Material Medicine, General & Internal

The risk of no risk in STEMI

Mai Tone Lonnebakken

LANCET (2021)

Article Cardiac & Cardiovascular Systems

Stage 1 hypertension, sex, and acute coronary syndromes during midlife: the Hordaland Health Study

Ester Kringeland, Grethe S. Tell, Helga Midtbo, Jannicke Igland, Teresa R. Haugsgjerd, Eva Gerdts

Summary: This study found that stage 1 hypertension is a stronger risk factor for acute coronary syndromes (ACS) in women than in men.

EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY (2022)

Review Cardiac & Cardiovascular Systems

Sex and Gender Aspects in Vascular Ageing - Focus on Epidemiology, Pathophysiology, and Outcomes

Ute Seeland, Janos Nemcsik, Mai Tone Lonnebakken, Karolina Kublickiene, Helena Schluchter, Chloe Park, Giacomo Pucci, Ioana Mozos, Rosa-Maria Bruno

Summary: Sex and gender play important roles in cardiovascular system physiology, pathophysiology, and disease development, particularly in the progression of vascular ageing and its impact on cardiovascular, renal, and cerebrovascular diseases. Understanding sex differences in physiological ageing and disease-related changes in vascular ageing trajectories is crucial to avoid misdiagnosis and mistreatment. Gender roles also influence the effectiveness of cardiovascular preventive strategies and acceptance of diagnostic and therapeutic measures, with health behaviors and sociocultural norms contributing to premature arterial vascular ageing. The VascAgeNet Gender Expert Group aims to advance the incorporation of non-invasive vascular ageing measures in routine clinical practices by addressing sex and gender differences and seeking solutions.

HEART LUNG AND CIRCULATION (2021)

Editorial Material Cardiac & Cardiovascular Systems

Sex disparities in blood pressure development: time for action

Helga Midtbo, Eva Gerdts

EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY (2022)

Article Rheumatology

Trends in the occurrence of ischaemic heart disease over time in rheumatoid arthritis: 1821 patients from 1972 to 2017

C. L. Alsing, T. W. Nystad, J. Igland, C. G. Gjesdal, H. Midtbo, G. S. Tell, B. T. Fevang

Summary: Incidence rates and excess events of AMI and IHD in RA patients declined from 1972 to 2017. There were no excess AMI or IHD events in RA patients diagnosed after 1998 compared with the general population.

SCANDINAVIAN JOURNAL OF RHEUMATOLOGY (2022)

Article Cardiac & Cardiovascular Systems

Prognosis in asymptomatic patients with discordantly graded aortic valve stenosis based on pressure recovery adjusted valve area

Edda Bahlmann, Eigir Einarsen, Dana Cramariuc, Eva R. Pedersen, Anne B. Rossebo, Helga Midtbo, Stephan Willems, Eva Gerdts

Summary: This study suggests that asymptomatic AS patients who have discordant grading after adjustment for pressure recovery are at increased cardiovascular risk, including heart failure and death.

OPEN HEART (2022)

Article Peripheral Vascular Disease

Cardiovascular organ damage in relation to hypertension status in patients with ankylosing spondylitis

Gyda Ullensvang, Ester Kringeland, Eirik Ikdahl, Sella Provan, Inger Jorid Berg, Silvia Rollefstad, Hanne Dagfinrud, Eva Gerdts, Anne Grete Semb, Helga Midtbo

Summary: This study investigated the prevalence of cardiovascular organ damage associated with hypertension in patients with ankylosing spondylitis (AS). The results showed that 34% of AS patients had hypertension, and 84% of AS patients with hypertension had cardiovascular organ damage. These findings highlight the importance of guideline-directed hypertension management in AS patients to reduce cardiovascular disease.

BLOOD PRESSURE (2023)

Article Peripheral Vascular Disease

High-normal blood pressure in midlife is a stronger risk factor for incident hypertension 26 years later in women than men: the Hordaland Health Study

Annabel Eide Ohldieck, Ester Kringeland, Helga Midtbo, Grethe S. Tell, Eva Gerdts

Summary: This study aimed to identify modifiable risk factors in early midlife associated with incident hypertension 26 years later in women and men. The results showed that high-normal blood pressure in midlife was a significantly stronger risk factor for the development of hypertension in women than in men during follow-up, independent of body mass index.

BLOOD PRESSURE (2023)

Article Medicine, General & Internal

Myocardial Work in Middle-Aged Adults with Overweight and Obesity: Associations with Sex and Central Arterial Stiffness

Katrine Tryti Lindseth, Eva Gerdts, Helga Midtbo, Nadia Pristaj, Dana Cramariuc, Eigir Einarsen

Summary: This study investigated the relation between global myocardial work index (GWI) and sex and increased body mass index (BMI). The results showed that women had higher GWI, which was mainly explained by increased left ventricular (LV) workload due to higher aortic augmentation pressure in women.

JOURNAL OF CLINICAL MEDICINE (2023)

Article Peripheral Vascular Disease

Arterial Stiffness in Overweight and Obesity: Association with Sex, Age, and Blood Pressure

John G. Eikas, Eva Gerdts, Hilde Halland, Helga Midtbo, Dana Cramariuc, Ester Kringeland

Summary: This study explored sex differences in arterial stiffness among individuals with overweight and obesity. Women had higher augmentation pressure and augmentation index, while men had higher carotid-femoral pulse wave velocity. Age and 24-hour systolic blood pressure were the main factors associated with arterial stiffness in both sexes.

HIGH BLOOD PRESSURE & CARDIOVASCULAR PREVENTION (2023)

Review Cardiac & Cardiovascular Systems

Paradoxical sinus deceleration during dobutamine stress echocardiography: case series and review of the literature

Enxhela Sulo, Einar Skulstad Davidsen, Mai Tone Lonnebakken, Oyvind Bleie, Sahrai Saeed

Summary: This study reported paradoxical sinus deceleration observed during dobutamine stress echocardiography in six patients and described its occurrence patterns and clinical characteristics. The deceleration mainly occurred at maximal dobutamine infusion, accompanied by a decrease in blood pressure and resolved spontaneously after cessation of dobutamine infusion. Patients experiencing paradoxical sinus deceleration commonly had abnormal left ventricle geometry but differed in terms of age, sex, and cardiometabolic risk factors.

EUROPEAN HEART JOURNAL-CASE REPORTS (2022)

Article Immunology

Biomarkers of inflammation and left ventricular remodelling in psoriasis patients treated with infliximab

Helga Midtbo, Ester Kringeland, Eva Gerdts, Per Magne Ueland, Klaus Meyer, Anja Linde, Arve Ulvik, Roland Jonsson, Kare Steinar Tveit

Summary: This study explored the association of inflammation with left ventricular remodelling in psoriasis patients receiving treatment with TNF-alpha blocker infliximab. The results showed that higher levels of inflammatory biomarkers were associated with greater LV mass index in psoriasis patients, indicating a role of chronic inflammation in LV remodelling.

INTERNATIONAL JOURNAL OF IMMUNOPATHOLOGY AND PHARMACOLOGY (2022)

Article Peripheral Vascular Disease

Even chained acylcarnitines predict long-term cardiovascular prognosis in patients with chest pain and non-obstructive coronary artery disease

Silje Kjellevold Storesund, Iman Karaji, Elin Strand, Asbjorn Svardal, Mai Tone Lonnebakken, Rolf Kristian Berge, Gard Frodahl Tveitevag Svingen, Ottar Kjell Nygard, Eva Ringdal Pedersen

Summary: This study explored the predictive role of carnitine metabolites in cardiovascular disease and all-cause mortality among patients with non-obstructive coronary artery disease. The results showed that serum levels of acetyl, octanoyl-, and palmitoylcarnitine were associated with CVD mortality. Higher levels of acetyl- and palmitoylcarnitine were also linked to increased risk of all-cause mortality.

INTERNATIONAL JOURNAL OF CARDIOLOGY CARDIOVASCULAR RISK AND PREVENTION (2022)

Article Multidisciplinary Sciences

Relationship between hypertension and non-obstructive coronary artery disease in chronic coronary syndrome (the NORIC registry)

Caroline A. Berge, Ingeborg Eskerud, Elise B. Almeland, Terje H. Larsen, Eva R. Pedersen, Svein Rotevatn, Mai Tone Lonnebakken

Summary: This study aimed to investigate the association between hypertension and extensive non-obstructive coronary artery disease (CAD) in patients with symptomatic chronic coronary syndrome (CCS). The results showed that hypertension was associated with extensive non-obstructive CAD in CCS patients, independent of factors such as sex, age, smoking, diabetes, statin treatment, obesity, and calcium score.

PLOS ONE (2022)

暂无数据