Left atrial diameters in overweight children with normal blood pressure

Yu, Jeong Jin; Yeom, Hee Hyun; Chung, Sochung; Park, Youngshin; Lee, Dong Hwan

doi:10.1016/j.jpeds.2005.10.042

Cited by 23 publications

(25 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our study, we found that left atrial size was higher in obese children, which is compatible with the findings of earlier studies (6,7). However, it is not clear whether left atrial size in children is an independent risk factor for cardiovascular diseases as in adults.…”

Section: Variablessupporting

confidence: 90%

“…Therefore, left atrial size can be considered an independent risk factor for cardiovascular diseases. However, relation between insulin resistance and left atrial size in obese children has been shown in one study only (7). The factors associated with left atrial size in obese children have not been clearly defined.…”

Section: Introductionmentioning

confidence: 92%

“…In our study, we aimed to determine any potential relation between obesity and left atrial size, which has been suggested as an early cardiac risk factor predictor in non-hypertensive obese children (6,7).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Factors associated with left atrial size in obese children: an observational study

Özdemir¹,

Abacı²,

Hızlı³

et al. 2011

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

ÖZETAmaç: Sol atriyal boyutun kalp-damar hastalıkları için bağımsız bir risk faktörü olduğu kabul edilmektedir. Sol atriyum ölçümleri kalp-damar hastalıklarının önemli bir risk faktörü olan obeziteyi değerlendirmede kullanılabilir. Bu çalışmada, hipertansiyonu olmayan obez çocuklarda, kardiyak risk belirteci olan sol atriyal boyutu etkileyen faktörlerin belirlenmesi amaçlanmıştır. Yöntemler: Bu enine-kesitsel gözlemsel çalışma Çocuk Kardiyolojisi Kliniğinde Nisan 2008 ile Eylül 2009 arasında yapılmıştır. Seksen obez çocuk ve 82 normal vücut ağırlıklı çocuk çalışmaya alınmıştır. Obezite tanısı, Dünya Sağlık Örgütü sınıflamasında tanımlanan, vücut kitle indeksi standart sapma skorunun aynı cinsiyet ve yaş için olanının + 2 standart sapma üzerinde olması şeklinde tanımlanmıştır. Bütün çocuklara iki-boyutlu, M-mod ve Doppler ekokardiyografi çalışmaları yapılmıştır. Olguların karşılaştırılmasında, grup oran farklılıklarında, sol atriyal boyut ile ilişkili değişkenlerin değerlendirilmesinde ve bağımsız değişkenlerin etkilerinin araştırılmasında sırasıyla Student's t-testi, Ki-kare testi, Pearson korelasyon analizi ve çoklu regresyon analizi kullanılmıştır. Bulgular: Obez hastaların ortalama yaşı 11.7±2.2 yıl ve normal çocukların ortalama yaşı 11.7±2.2 yıl olarak belirlendi. Obez çocuklarda, vücut ağırlığı, vücut kitle indeksi, vücut kitle indeksi standart sapma skoru, bel çevresi, sistolik ve diyastolik kan basıncı, açlık insülini ile insülin direnci istatistiksel olarak artmış bulundu (p<0.05). Sol atriyal boyutun, yaş (r=0.523), vücut kitle indeksi (r=0.394), bel çevresi (r=0.421), diyastolik kan basıncı (r=0.230), insülin direnci (r=0.350) ve sol ventrikül kütlesi (r=0.535) ile istatistiksel olarak ilişkisi de saptandı (p<0.05). Çoklu regresyon ABSTRACTObjective: Left atrial size can be considered an independent risk factor for cardiovascular diseases. The measurements of left atrium may be used to assess obesity, which is an important risk factor of cardiovascular diseases. It is aimed to determine the factors that effect to the left atrial size, which is an indicator of cardiac risk in obese children without hypertension. Methods: The cross-sectional observational study was performed between April 2008 and September 2009 at the clinic of Pediatric Cardiology. Eighty obese and 82 lean children were studied. Diagnosis of obesity was defined according to the World Health Organization classification as the standard deviation score of body mass index being over + 2 standard deviation of the same gender and age. All subjects underwent twodimensional, M-mode, and Doppler echocardiographic studies. Student's t-test, Chi-square test, Pearson correlation analysis, and multiple stepwise regression analyses were used to compare the subjects, differences in group proportions, evaluate the relation of variables with the left atrial size, and examine the effects of significant independent variables, respectively. Results: The mean age of obese patients was 11.7±2.2 years and it of lean subjects was 11.7±2.2 years. Body weight, ...

show abstract

Section: Variablessupporting

confidence: 90%

Section: Introductionmentioning

confidence: 92%

See 1 more Smart Citation

Factors associated with left atrial size in obese children: an observational study

Özdemir¹,

Abacı²,

Hızlı³

et al. 2011

Anadolu Kardiyol Derg

View full text Add to dashboard Cite

show abstract

“…Studies [1,2] have reported that office BP closely correlates with BMI and other anthropometric indices of obesity such as waist-to-hip ratio. There is also evidence that obesity is associated with left ventricular hypertrophy [3][4][5][6][7][8][9][10][11], which is known to be an independent predictor of cardiovascular mortality and morbidity.…”

Section: Introductionmentioning

confidence: 99%

Obesity and daytime pulse pressure are predictors of left ventricular hypertrophy in true normotensive individuals

Kotsis

Stabouli²,

Toumanidis³

et al. 2010

Journal of Hypertension

View full text Add to dashboard Cite

show abstract

“…Alterations in cardiac structure with increased LVM and increased left atrial diameter were found in overweight and obese children compared with normal weight peers [69,[82][83][84]. Elevation in BP in relation to obesity appears to play a major role in these associations [85].…”

Section: Mass Changesmentioning

confidence: 97%

Cardiac Abnormalities in Youth with Obesity and Type 2 Diabetes

Bacha

Gidding

2016

Curr Diab Rep

View full text Add to dashboard Cite

Childhood obesity has been linked to cardiovascular disease (CVD) risk in adulthood. Of great concern is the expected increase in the population's CVD burden in relation to childhood obesity. This is compounded by the risk related to chronic hyperglycemia exposure in youth with type 2 diabetes. We herein provide an overview of the spectrum of early cardiovascular disease manifestation in youth with obesity and type 2 diabetes, in particular abnormalities in cardiac structure and function. Cardiac remodeling and adverse target organ damage is already evident in the pediatric age group in children with obesity and type 2 diabetes. This supports the importance of intensifying obesity prevention efforts and early intervention to treat comorbidities of obesity in the pediatric age group to prevent cardiac events in early adulthood.

show abstract

Left atrial diameters in overweight children with normal blood pressure

Cited by 23 publications

References 19 publications

Factors associated with left atrial size in obese children: an observational study

Factors associated with left atrial size in obese children: an observational study

Obesity and daytime pulse pressure are predictors of left ventricular hypertrophy in true normotensive individuals

Cardiac Abnormalities in Youth with Obesity and Type 2 Diabetes

Contact Info

Product

Resources

About