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21.04.2018 | Original Paper

Obesity and metabolic features associated with long-term developing diastolic dysfunction in an initially healthy population-based cohort

Zeitschrift:
Clinical Research in Cardiology
Autoren:
Kénora Chau, Nicolas Girerd, Martin Magnusson, Zohra Lamiral, Erwan Bozec, Ludovic Merckle, Margret Leosdottir, Erasmus Bachus, Zied Frikha, João Pedro Ferreira, Jean-Pierre Després, Patrick Rossignol, Jean-Marc Boivin, Faiez Zannad
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s00392-018-1259-6) contains supplementary material, which is available to authorized users.

Abstract

Background

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.

Methods

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 Malmö Preventive Project cohort were analyzed.

Results

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 Malmö 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).

Conclusions

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.

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Zusatzmaterial
Supplementary material 1 (DOCX 292 KB)
392_2018_1259_MOESM1_ESM.docx
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