Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/10565
Title: Predictive power of different obesity measures for the presence of diastolic dysfunction
Authors: Yaylalı, Yalın Tolga
Fidan-Yaylalı, Güzin
Can, Beray
Şenol, Hande
Kılınç, Mehmet
Yurtdaş, Mustafa
Keywords: A body shape index
Body mass index
Diastolic dysfunction
Obesity
Waist circumference
Waist-to-hip ratio
adult
Article
body build
body height
body mass
body weight
cardiovascular risk
clinical article
controlled clinical trial
controlled study
diagnostic test accuracy study
diastolic dysfunction
disease association
echocardiography
female
high risk patient
human
male
obesity
practice guideline
predictive value
prospective study
reference value
risk assessment
sensitivity and specificity
waist circumference
waist hip ratio
complication
diastolic heart failure
middle aged
pathophysiology
Adult
Body Mass Index
Female
Heart Failure, Diastolic
Humans
Male
Middle Aged
Prospective Studies
Waist-Hip Ratio
Publisher: Turkish Society of Cardiology
Abstract: Objective: Body mass index (BMI) and waist circumference (WC) as measures of obesity have some limitations. The aim of this study was to evaluate whether one measure could predict the presence of diastolic dysfunction (DD) more accurately than the other measures. Methods: A total of 91 obese patients without any other risk factors for DD were prospectively enrolled. Echocardiographic examination was performed. DD was defined and categorized according to recent guidelines. The study participants were divided into 2 groups according to the presence of DD. Weight, height, and WC were measured; BMI and waist-to-hip ratio (WHR) were calculated; and a body shape index (ABSI) was calculated as WC/(BMI2/3height1/2). The associations between ABSI, BMI, WHR, and WC and the presence of DD were examined using logistic regression analyses. Analysis of covariance was used to examine the differences. Results: WC and BMI were significantly greater in subjects with DD (p=0.049 and 0.051, respectively). A greater BMI, WC, and WHR increased the risk of the presence of DD (BMI-DD: odds ratio [OR]=1.096, p=0.024; WC-DD: OR=1.059, p=0.007; WHR-DD: OR=2.363, p=0.007). After adjustment for age and sex, only BMI continued to be significantly associated with DD (p=0.031). ABSI was not associated with DD. Conclusion: After adjustment for age and sex, BMI was the only predictor of DD in obesity. Despite its limitations, BMI may still be a potentially more accurate measure of DD compared with other obesity measures. © 2018 Turkish Society of Cardiology.
URI: https://hdl.handle.net/11499/10565
https://doi.org/10.5543/tkda.2018.12844
ISSN: 1016-5169
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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