Obesity and left ventricular mass in children

  • Mauliza Mauliza Department of Child Health, University of Sumatera Utara Medical School /H. Adam Malik Hospital, Medan, Indonesia.
  • Muhammad Ali Department of Child Health, University of Sumatera Utara Medical School /H. Adam Malik Hospital, Medan, Indonesia.
  • Melda Deliana Department of Child Health, University of Sumatera Utara Medical School /H. Adam Malik Hospital, Medan, Indonesia.
  • Tina Christina L Tobing Department of Child Health, University of Sumatera Utara Medical School /H. Adam Malik Hospital, Medan, Indonesia.
Keywords: obesity, children, left ventricular mass

Abstract

Background Obesity has negative effects on cardiac function during growth leading to increased heart size and mass, as a result of higher stroke volume and cardiac output.
Objective To assess for a relationship between obesity and left ventricular mass (LVM) in children, as well as to assess for a correlation between the duration of obesity and LVM.
Methods This cross-sectional study was conducted from October 2011 until February 2012 in Medan and included 30 obese and 30 normal weight children, aged 6 to 13 years. All subjects underwent complete echocardiography examinations to assess LVM and other left ventricular parameters. The Devereux formula was used to measure LVM.
Results During the study, 65 children underwent echocardiography, but 5 were subsequently excluded. The left ventricular dimensions in the obese group were significantly higher compared to normal weight group with regards to interventricular septum at end diastole (IVSd), interventricular septum at end systole (IVSS), left ventricular internal diameter at end diastole (LVIDd), left ventricular internal diameter at end systole (LVIDs), left ventricular posterior wall thickness at end diastole (LVPWd), left ventricular mass (LVM), and left ventricular mass index (LVMI) (P=0.0001). Duration of obesity and LVM had a moderate, positive correlation (r=0.407).
Conclusion There is significantly higher LVM in the obese group than in the normal weight group. The duration of obesity had a moderate, positive correlation to LVM.

References

Divisi Nutrisi dan Penyakit Metabolik FK Universitas Airlangga. Obesitas pada anak. [cited 2010 July]. Available from: http://www.pediatrik.com/buletin.

Van Putte-Katier N, Rooman RP, Haas L, Verhulst SL, Desager KN, Ramet J, et al. Early cardiac abnormalities in obese children: importance of obesity per se versus associated cardiovascular risk factors. Pediatr Res. 2008;64:205-9.

Ho TF. Cardiovascular risks associated with obesity in children and adolescents. Ann Acad Med Singapore. 2009;38:48-9.

Olsen LG, Hange JP. Obesity. In: Hendricks KM, Duggan C, Walker A, editors. Manual of pediatric nutrition. 3rd ed. Gaithersburg: BC Decker; 2000. p. 479-89.

Friberg P, Allendotter-Johnsson A, Ambring A, Ahl R, Arheden H, Framme J, et al. Increased left ventricular mass in obese adolescents. Eur Heart J. 2004;25:987-92.

Park MK. Dyslipidemia and other cardiovascular risk factors. In: Park MK, editor. Pediatric cardiology for practitioners. 5th ed. Philadelphia: Mosby Elsevier; 2008. p. 635-76.

Masrizal MA. Obesity and cardiovascular disease in children. Makara J Sci. 2004;8:39-42.

Poirier P, Giles TD, Bray GA, Hong Y, Stern JS, PiSunyer FX, et al. Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss. Circulation. 2006;113:898-918.

Schneider MB, Brill SR. Obesity in children and adolescents. Pediatr Rev. 2005;26:155-62.

Khositseth A, Suthutvoravut U, Chongviriyaphan N. Left ventricular mass and geometry in obese children. Asian J Clin Nutr. 2009;1:58-64.

Foppa M, Duncan BB, Rohde LE. Echocardiography-based left ventricular mass estimation. How should we define hypertrophy? Cardiovasc Ultrasound. 2005;3:17.

Crowley DI, Khoury PR, Urbina EM, Ippisch HM, Kimball TR. Cardiovascular impact of the pediatric obesity epidemic: Higher left ventricular mass is related to higher body mass index. J Pediatr. 2011; 158:709-14.

Sjarif DR. Obesitas anak dan remaja. In: Sjarif DR, Lestari ED, Mexitalia M, Nassar SS, editor. Buku ajar nutrisi pediatrik dan penyakit metabolik. 1st ed. Jakarta: Ikatan Dokter Anak Indonesia, 2011. p.230-44.

Archenti A, Pasqualinotto L. Childhood obesity: the epidemic of the third millennium. Acta Biomed. 2008;79:151-5.

Davey Smith G, Steer C, Leary S, Ness A. Is there an intrauterine influence on obesity? Evidence from parent child associations in the Avon Longitudinal Study of Parents and Children (ALSPAC). Arch Dis Child. 2007;92:876-80.

Crocker MK, Yanovski JA. Pediatric obesity: etiology and treatment. Pediatr Clin North Am. 2011;58:1217-40.

Murrin CM, Kelly GE, Tremblay RE, Kelleher CC. Body mass index and height over three generations: evidence from the Lifeways cross-generational cohort study. BMC Public Health. 2012;12:81.

Freitas Junior IF, Monteiro PA, Silveira LS, Cayres SU, Antunes BM, Bastos KN, et al. Resting heart rate as a predictor of metabolic dysfunctions in obese children and adolescents. BMC Pediatr. 2012;12:5.

Mitchell BM, Gutin B, Kapuku G, Barbeau P, Humphries MC, Owens S, et al. Left ventricular structure and function in obese adolescents: relations to cardiovascular fitness, percent body fat, and visceral adiposity, and effects of physical training. Pediatrics. 2002;109:E73-3.

Dhuper S, Abdullah RA, Weichbrod L, Mahdi E, Cohen HW. Association of obesity and hypertension with left ventricular geometry and function in children and adolescents. Obesity. 2011;19:128-33.

Grossman W, McLaurin LP, Moos SP, Stefadouros M, Young DT. Wall thickness and diastolic properties of the left ventricle. Circulation. 1974;49:129-5.

Litwin SE. Cardiac remodeling in obesity: time for a new paradigm. JACC Cardiovasc Imaging. 2010;3:275-7.

Saunders NR. Innocent heart murmurs in children. Taking a diagnostic approach. Can Fam Physician. 1995;41:1507-12.

Ippisch HM, Inge TH, Daniels SR, Wang B, Khoury PR, Witt SA, et al. Reversibility of cardiac abnormalities in morbidly obese adolescents. J Am Coll Cardiol. 2008;51:1342-8.

Ghanem S, Mostafa M, Ayad S. Early echocardiography abnormalities in obese children and adolescent and reversibility of these abnormalities after significant weight reduction. J Saudi Heart Assoc. 2010;22:13-8.

Published
2015-07-31
How to Cite
1.
Mauliza M, Ali M, Deliana M, Tobing T. Obesity and left ventricular mass in children. PI [Internet]. 31Jul.2015 [cited 25Apr.2024];55(4):224-9. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/32
Section
Articles
Received 2015-12-02
Accepted 2015-12-02
Published 2015-07-31