51. Obesity and metabolic features associated with long-term developing diastolic dysfunction in an initially healthy population-based cohort
- Author
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Ludovic Mercklé, Jean-Pierre Després, João Pedro Ferreira, Zied Frikha, Erasmus Bachus, Jean Marc Boivin, Margret Leosdottir, Patrick Rossignol, Zohra Lamiral, Erwan Bozec, Nicolas Girerd, Kénora Chau, Martin Magnusson, and Faiez Zannad
- Subjects
Adult ,Male ,medicine.medical_specialty ,Waist ,Population ,030204 cardiovascular system & hematology ,Ventricular Function, Left ,Body Mass Index ,Cohort Studies ,Ventricular Dysfunction, Left ,03 medical and health sciences ,0302 clinical medicine ,Diastole ,Risk Factors ,Internal medicine ,Simethicone ,medicine ,Humans ,Obesity ,Prospective Studies ,030212 general & internal medicine ,education ,Triglycerides ,Metabolic Syndrome ,2. Zero hunger ,education.field_of_study ,Myristates ,business.industry ,Incidence ,Incidence (epidemiology) ,Nicotinic Acids ,General Medicine ,Odds ratio ,Middle Aged ,Healthy Volunteers ,3. Good health ,Drug Combinations ,Blood pressure ,Cohort ,Cetrimonium Compounds ,Cardiology ,Female ,France ,Cardiology and Cardiovascular Medicine ,business ,Body mass index ,Stearic Acids ,Follow-Up Studies ,Cohort study - Abstract
Diastolic dysfunction (DD) is increasingly common. However, its metabolic determinants are poorly known. This study aims to determine which metabolic and inflammatory features predict DD in initially healthy adults. We prospectively analyzed the association between metabolic features and DD in 728 initially healthy adults aged 30–60 from Eastern France enrolled in the STANISLAS population-based cohort. Clinical and biological cardiovascular features were collected at baseline (1994–1995). DD was assessed twenty years later (2011–2016) by echocardiography using current international guidelines. For replication purposes, 1463 subjects from the Malmo Preventive Project cohort were analyzed. In the STANISLAS cohort, 191 subjects (26.2%) developed DD. In age-sex-adjusted logistic models, significant predictors of DD were body mass index (BMI, odds ratio for 1-standard-deviation increase (OR) 1.28, 95% CI 1.08–1.52), waist circumference (WC, OR 1.48, 95% CI 1.18–1.84), waist-hip ratio (OR 1.53, 95% CI 1.16–2.02), systolic blood pressure (OR 1.19, 95% CI 1.00–1.43) and triglycerides (TG, OR 1.18, 95% CI 1.00–1.40). Subjects with elevated WC (> 80th percentile) and TG (> 50th percentile) had a twofold higher DD risk (age-sex-adjusted odds ratio 2.00, 95% CI 1.20–3.31, P = 0.008), whereas no such interplay was observed for BMI. In the Malmo cohort, BMI was similarly associated with DD; participants with both elevated BMI and TG were at higher DD risk (age-sex-adjusted odds ratio 1.61, 95% CI 1.18–2.20, P = 0.002). Subjects with elevated WC and TG may have a higher long-term DD risk. Prevention targeting visceral obesity may help reduce the incidence of DD.
- Published
- 2018
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