Obesity

Left atrial remodeling in adolescents with obesity evaluated by speckle-tracking echocardiography

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

In adolescents with obesity, we observed a specific LA remodeling, including higher volume and lower stiffness, which could constitute early signs of an altered LV diastolic function.

Study context

Population
Adolescents with obesity and controls undergoing resting echocardiography with left ventricular (LV) and left atrial (LA) morphology and strain analysis (speckle-tracking echocardiography)
Participants
28 vs 33
Exposure
Adolescents with obesity vs controls
  • Obesityn = 28
  • Controlsn = 33reference
Outcome
LA morphology and function by speckle-tracking echocardiography and their determinants

Main finding

As reported in the abstract

  • LA volume and stiffness index increased in adolescents with obesity vs controls
  • LA reservoir, conduit and booster pump functions not different between groups

Observational data: associations, not effects.

Further findings

Independent determinants of LA volume (stepwise forward multivariate regression)

Systolic blood pressures, cardiac output and sedimentation rate; β-coefficient
0.460, p < 0.0001

Independent determinant of LA stiffness (stepwise forward multivariate regression)

Only BMI; β-coefficient
0.413, p = 0.003

Original publication

Left atrial remodeling in adolescents with obesity evaluated by speckle-tracking echocardiography. Int J Obes (Lond). Published 20 October 2023. doi:10.1038/s41366-023-01397-z

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