A1 Journal article (refereed)
Overweight and obesity are associated with cardiac adverse structure remodeling in Chinese elderly with hypertension (2019)

Liu, C., Li, G., Laukkanen, J. A., Hao, L., Zhao, Q., Zhang, J., & Zhang, X. (2019). Overweight and obesity are associated with cardiac adverse structure remodeling in Chinese elderly with hypertension. Scientific Reports, 9, Article 17896. https://doi.org/10.1038/s41598-019-54359-9

JYU authors or editors

Publication details

All authors or editors: Liu, Cheng; Li, Gang; Laukkanen, Jari A.; Hao, Lan; Zhao, Qianping; Zhang, Jing; Zhang, Xu

Journal or series: Scientific Reports

eISSN: 2045-2322

Publication year: 2019

Volume: 9

Article number: 17896

Publisher: Nature Publishing Group

Publication country: United Kingdom

Publication language: English

DOI: https://doi.org/10.1038/s41598-019-54359-9

Publication open access: Openly available

Publication channel open access: Open Access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/66854

Abstract

There is limited information on the association of overweight and obesity with cardiac remodeling in elderly population. Therefore, we investigated whether overweight and obesity are associated with cardiac geometric structures and function in Chinese elderly. A total of 1183 hospitalized patients (aged 65–99 years) with primary hypertension were collected retrospectively in a cross-sectional study, and divided into underweight, normal weight, overweight and obesity patient groups according to their body mass index (BMI). Cardiac echocardiographic parameters were compared between the groups. BMI was 17.2 ± 1.2, 21.4 ± 1.2, 25.1 ± 1.2, 30.2 ± 2.6 kg/m2 in underweight, normal weight, overweight and obesity groups respectively. Aortic and left atrial diameter, interventricular septal and left ventricular (LV) posterior wall thickness, LV end-diastolic and end-systolic diameter, and indexed LV mass, and prevalence of E/A reversal were higher, while LV ejection fraction and fractional shortening were lower in elderly with overweight or obesity, as compared with whose with underweight or normal weight separately (All P < 0.05). However, multivariable regression analysis showed that overweight and obesity are independently related to increased LV wall thickness, end-diastolic diameter and mass (All P < 0.05). In conclusions, this study demonstrates that overweight and obesity are associated with increased LV wall thickness, end-diastolic diameter and mass in Asian elderly.

Keywords: overweight; obesity; older people; heart; heart diseases; hypertension

Free keywords: overweight; obesity; cardiac adverse structure; Chinese elderly; hypertension

Contributing organizations

Ministry reporting: Yes

Reporting Year: 2019

JUFO rating: 1