María Mercedes Rodicio1, Vanessa Domenech de Miguel2, María Guinda Jiménez2, Secundino Cigarrán Guldrís3, María Montserrat López Franco2, Ana Estany Gestal4, María L Couce5, María Rosaura Leis Trabazo6. 1. Pediatrics Service, Hospital da Costa, Burela, Lugo, Spain. Electronic address: mariamercedes.rodicio.garcia@sergas.es. 2. Pediatrics Service, Hospital da Costa, Burela, Lugo, Spain. 3. Nephrology Service, Hospital da Costa, Burela, Lugo, Spain. 4. Unit of Clinical Epidemiology and Biostatistics, Foundation for Research, Innovation and Development Ramón Domínguez, Santiago de Compostela, Spain. 5. Metabolic Unit, Neonatology Service, Department of Pediatrics, University Clinical Hospital of Santiago, IDIS, CiberEr, ISCIII, Santiago de Compostela, Spain. 6. Unit of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, University Clinical Hospital of Santiago, IDIS. CiberObn. ISCIII. University of Santiago de Compostela, Santiago de Compostela, Spain.
Abstract
OBJECTIVES: Childhood obesity rates are increasing as well as chronic disease and cardiovascular risk factors for patients at young ages. In this study, we evaluate the correlation between cardiac parameters, body mass index (BMI), and other body composition indicators in children and adolescents. METHODS: In this cross-sectional study, we evaluated anthropometric measurements, bioelectrical impedance parameters, and echocardiographic measurements including the left ventricular mass (LVM), LVM index (LVMI), and left atrial diameter (LAD) in children and adolescents ages 7 to 15 y. We performed linear and multivariate regression analyses and analyzed the correlations between cardiac parameters, BMI, and other body composition parameters. RESULTS: We analyzed 96 children and adolescents and found 40.6% to be obese and 29.2% overweight. LVMI and LAD indexed to height were significantly higher in individuals who were obese. LVMI increased significantly with increasing BMI (r = 0.717; P < 0.001), waist circumference (r = 0.670; P < 0.001), waist-to-height ratio (r = 0.650; P < 0.001), and body surface (r = 0.570; P < 0.001). Only BMI was significant in the multivariate analysis. LVMI was directly and positively correlated with fat mass (FM) and percentage of visceral and abdominal FM and negatively correlated with percentage of lean body mass. LAD was significantly correlated with body surface (r = 0.728; P < 0.001), BMI (r = 0.611; P < 0.001), waist circumference (r = 0.614; P < 0.001), and waist-to-height ratio (r = 0.341; P < 0.01). When indexed to height, LAD was only correlated with BMI and waist-to-height ratio. CONCLUSIONS: Obesity is associated with cardiac disturbances at a very early age and these changes are closely related to the degree of adiposity. Cardiac structural parameters are significantly correlated with BMI and waist circumference in pediatric patients ages 7 to 15 y.
OBJECTIVES: Childhood obesity rates are increasing as well as chronic disease and cardiovascular risk factors for patients at young ages. In this study, we evaluate the correlation between cardiac parameters, body mass index (BMI), and other body composition indicators in children and adolescents. METHODS: In this cross-sectional study, we evaluated anthropometric measurements, bioelectrical impedance parameters, and echocardiographic measurements including the left ventricular mass (LVM), LVM index (LVMI), and left atrial diameter (LAD) in children and adolescents ages 7 to 15 y. We performed linear and multivariate regression analyses and analyzed the correlations between cardiac parameters, BMI, and other body composition parameters. RESULTS: We analyzed 96 children and adolescents and found 40.6% to be obese and 29.2% overweight. LVMI and LAD indexed to height were significantly higher in individuals who were obese. LVMI increased significantly with increasing BMI (r = 0.717; P < 0.001), waist circumference (r = 0.670; P < 0.001), waist-to-height ratio (r = 0.650; P < 0.001), and body surface (r = 0.570; P < 0.001). Only BMI was significant in the multivariate analysis. LVMI was directly and positively correlated with fat mass (FM) and percentage of visceral and abdominal FM and negatively correlated with percentage of lean body mass. LAD was significantly correlated with body surface (r = 0.728; P < 0.001), BMI (r = 0.611; P < 0.001), waist circumference (r = 0.614; P < 0.001), and waist-to-height ratio (r = 0.341; P < 0.01). When indexed to height, LAD was only correlated with BMI and waist-to-height ratio. CONCLUSIONS:Obesity is associated with cardiac disturbances at a very early age and these changes are closely related to the degree of adiposity. Cardiac structural parameters are significantly correlated with BMI and waist circumference in pediatric patients ages 7 to 15 y.
Authors: Isabel María Blancas Sánchez; Cristhian H Aristizábal-Duque; Juan Fernández Cabeza; Pilar Aparicio-Martínez; Manuel Vaquero Alvarez; Martín Ruiz Ortíz; María Dolores Mesa Rubio; Francisco Javier Fonseca Pozo Journal: Pediatr Res Date: 2022-03-23 Impact factor: 3.953
Authors: Jeannine von der Born; Sarah Baberowski; Nima Memaran; Lena Grams; Denise Homeyer; Bianca Borchert-Mörlins; Rizky Indrameikha Sugianto; Mira Paulsen; Elena Bauer; Carl Grabitz; Bernhard M W Schmidt; Arno Kerling; Philipp Beerbaum; Meike Stiesch; Uwe Tegtbur; Anette Melk Journal: Pediatr Cardiol Date: 2022-04-08 Impact factor: 1.838
Authors: Joanna Bartkowiak; Ernest Spitzer; Reto Kurmann; Fabian Zürcher; Peter Krähenmann; Victoria Garcia-Ruiz; Jorge Mercado; Christoph Ryffel; Sylvain Losdat; Nassip Llerena; Pedro Torres; Jonas Lanz; Martin Stocker; Ben Ren; Martin Glöckler; Thomas Pilgrim Journal: Sci Rep Date: 2021-06-22 Impact factor: 4.379