Childhood obesity and cardiac remodeling: From cardiac structure to myocardial mechanics

Marijana Tadic, Cesare Cuspidi

Research output: Contribution to journalArticlepeer-review

Abstract

Epidemic of obesity, especially morbid obesity, among children and adolescents, is a key factor associated with the dramatic increase in prevalence of type 2 diabetes mellitus, arterial hypertension, and metabolic syndrome in this population. Furthermore, childhood obesity represents a very important predictor of obesity in adulthood that is related to cardiovascular and cerebrovascular diseases. Overweight and obesity in children and adolescents are associated with impairment of cardiac structure and function. The majority of studies investigated the influence of obesity on left ventricular remodeling. However, the impact of obesity on the right ventricle, both the atria, and myocardial mechanics has been insufficiently studied. The aim of this review article is to summarize all data about heart remodeling in childhood, from cardiac size, throughout systolic and diastolic function, to myocardial mechanics, using a wide range of mainly echocardiographic techniques and parameters. Additionally, we sought to present current knowledge about the influence of weight loss, achieved by various therapeutic approaches, on the improvement of cardiac geometry, structure, and function in obese children and adolescents.

Original languageEnglish
Pages (from-to)538-546
Number of pages9
JournalJournal of Cardiovascular Medicine
Volume16
Issue number8
DOIs
Publication statusPublished - Aug 1 2015

Keywords

  • Bmi
  • Children
  • Dolescents
  • Function
  • Hypertrophy
  • Left ventricle
  • Obesity
  • Overweight
  • Right ventricle
  • Strain

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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