Cardiac magnetic resonance characteristics of healthy and obese individuals as per the World Health Organization classification
. | Healthy (n = 191) . | Obesity Class I (n = 66) . | Obesity Class II (n = 34) . | Obesity Class III (n = 7) . | P-value . |
---|---|---|---|---|---|
Left heart | |||||
Left atrial end-diastolic volume, mL | 68 (53–81) | 83 (70–100)* | 89 (62–106)* | 110 (106–137)*,**,*** | <0.0001 |
Left atrial end-systolic volume, mL | 23 (17–30) | 31 (23–51)* | 33 (24–51)* | 54 (44–79)*,**,*** | <0.0001 |
Left atrial stroke volume, mL | 43 (34–52) | 48 (37–58)* | 49 (38–59) | 57 (53–67)* | 0.007 |
Left atrial ejection fraction, % | 65 (60–69) | 61 (52–67)* | 60 (52–64)* | 49 (32–60)*,** | <0.0001 |
Left atrial global longitudinal strain, % | −28 (−33 to −24) | −25 (−29 to −16)* | −23 (−30 to −18)* | −17 (−23 to −9)*,** | <0.0001 |
Left ventricular end-diastolic volume, mL | 126 (109–150) | 136 (119–167)* | 140 (128–164)* | 141 (119–205) | <0.001 |
Left ventricular end-systolic volume, mL | 47 (40–59) | 53 (41–64) | 48 (40–67) | 56 (47–82) | 0.121 |
Left ventricular stroke volume, mL | 78 (67–88) | 86 (77–102)* | 93 (83–109)* | 96 (73–123)* | <0.0001 |
Left ventricular mass, g | 85 (69–108) | 111 (92–130)*,*** | 130 (111–148)*,** | 142 (120–175)*,** | <0.0001 |
Left ventricular ejection fraction, % | 62 (59–65) | 63 (58–68) | 66 (61–69)* | 59 (58–67) | 0.039 |
Left ventricular peak ejection rate, mL/sec | 382 (318–447) | 450 (337–516)* | 423 (389–494)* | 464 (403–585)* | <0.0001 |
Left ventricular peak filling rate, mL/sec | 448 (385–573) | 465 (363–597) | 474 (356–592) | 500 (431–776) | 0.834 |
Left ventricular cardiac output, mL/min | 4847 (4119–5679) | 5834 (5153–6937)* | 6177 (4876–7948)* | 7064 (5221–7331)* | <0.0001 |
Left ventricular global longitudinal strain, % | −21 (−24 to −19) | −22 (−26 to −20) | −23 (−26 to −17) | −21 (−25 to −17) | 0.159 |
Right heart | |||||
Right atrial end-diastolic volume, mL | 65 (54–75) | 76 (52–96)* | 85 (64–107)* | 99 (83–107)* | <0.0001 |
Right atrial end-systolic volume, mL | 29 (23–38) | 33 (21–45) | 38 (33–54)* | 42 (36–72)* | <0.001 |
Right atrial stroke volume, mL | 34 (27–41) | 39 (30–51)* | 43 (31–56)* | 44 (29–53) | 0.013 |
Right atrial ejection fraction, % | 53 (48–59) | 52 (47–60) | 51 (44–57) | 55 (35–58) | 0.762 |
Right atrial global longitudinal strain, % | −28 (−31 to −24) | −26 (−31 to −22)* | −26 (−30 to −21) | −21 (−28 to −12)* | 0.019 |
Right ventricular end-diastolic volume, mL | 70 (57–86) | 83 (65–98)* | 93 (78–115)* | 96 (91–121)* | <0.0001 |
Right ventricular end-systolic volume, mL | 27 (20–35) | 29 (65–98) | 35 (28–52)* | 37 (36–53)*,** | <0.001 |
Right ventricular stroke volume, mL | 43 (35–53) | 53 (40–62)* | 57 (49–72)* | 66 (45–75)* | <0.0001 |
Right ventricular ejection fraction, % | 62 (58–67) | 63 (60–68) | 61 (56–65) | 60 (51–66) | 0.115 |
Right ventricular cardiac output, mL/min | 2644 (2091–3391) | 3602 (2691–4405)* | 4030 (2969–5004)* | 3775 (3150–5079)* | <0.0001 |
Right ventricular global longitudinal strain, % | −32 (−36 to −29) | −31 (−36 to −28) | −30 (−35 to −25) | −29 (−31 to −23) | 0.089 |
. | Healthy (n = 191) . | Obesity Class I (n = 66) . | Obesity Class II (n = 34) . | Obesity Class III (n = 7) . | P-value . |
---|---|---|---|---|---|
Left heart | |||||
Left atrial end-diastolic volume, mL | 68 (53–81) | 83 (70–100)* | 89 (62–106)* | 110 (106–137)*,**,*** | <0.0001 |
Left atrial end-systolic volume, mL | 23 (17–30) | 31 (23–51)* | 33 (24–51)* | 54 (44–79)*,**,*** | <0.0001 |
Left atrial stroke volume, mL | 43 (34–52) | 48 (37–58)* | 49 (38–59) | 57 (53–67)* | 0.007 |
Left atrial ejection fraction, % | 65 (60–69) | 61 (52–67)* | 60 (52–64)* | 49 (32–60)*,** | <0.0001 |
Left atrial global longitudinal strain, % | −28 (−33 to −24) | −25 (−29 to −16)* | −23 (−30 to −18)* | −17 (−23 to −9)*,** | <0.0001 |
Left ventricular end-diastolic volume, mL | 126 (109–150) | 136 (119–167)* | 140 (128–164)* | 141 (119–205) | <0.001 |
Left ventricular end-systolic volume, mL | 47 (40–59) | 53 (41–64) | 48 (40–67) | 56 (47–82) | 0.121 |
Left ventricular stroke volume, mL | 78 (67–88) | 86 (77–102)* | 93 (83–109)* | 96 (73–123)* | <0.0001 |
Left ventricular mass, g | 85 (69–108) | 111 (92–130)*,*** | 130 (111–148)*,** | 142 (120–175)*,** | <0.0001 |
Left ventricular ejection fraction, % | 62 (59–65) | 63 (58–68) | 66 (61–69)* | 59 (58–67) | 0.039 |
Left ventricular peak ejection rate, mL/sec | 382 (318–447) | 450 (337–516)* | 423 (389–494)* | 464 (403–585)* | <0.0001 |
Left ventricular peak filling rate, mL/sec | 448 (385–573) | 465 (363–597) | 474 (356–592) | 500 (431–776) | 0.834 |
Left ventricular cardiac output, mL/min | 4847 (4119–5679) | 5834 (5153–6937)* | 6177 (4876–7948)* | 7064 (5221–7331)* | <0.0001 |
Left ventricular global longitudinal strain, % | −21 (−24 to −19) | −22 (−26 to −20) | −23 (−26 to −17) | −21 (−25 to −17) | 0.159 |
Right heart | |||||
Right atrial end-diastolic volume, mL | 65 (54–75) | 76 (52–96)* | 85 (64–107)* | 99 (83–107)* | <0.0001 |
Right atrial end-systolic volume, mL | 29 (23–38) | 33 (21–45) | 38 (33–54)* | 42 (36–72)* | <0.001 |
Right atrial stroke volume, mL | 34 (27–41) | 39 (30–51)* | 43 (31–56)* | 44 (29–53) | 0.013 |
Right atrial ejection fraction, % | 53 (48–59) | 52 (47–60) | 51 (44–57) | 55 (35–58) | 0.762 |
Right atrial global longitudinal strain, % | −28 (−31 to −24) | −26 (−31 to −22)* | −26 (−30 to −21) | −21 (−28 to −12)* | 0.019 |
Right ventricular end-diastolic volume, mL | 70 (57–86) | 83 (65–98)* | 93 (78–115)* | 96 (91–121)* | <0.0001 |
Right ventricular end-systolic volume, mL | 27 (20–35) | 29 (65–98) | 35 (28–52)* | 37 (36–53)*,** | <0.001 |
Right ventricular stroke volume, mL | 43 (35–53) | 53 (40–62)* | 57 (49–72)* | 66 (45–75)* | <0.0001 |
Right ventricular ejection fraction, % | 62 (58–67) | 63 (60–68) | 61 (56–65) | 60 (51–66) | 0.115 |
Right ventricular cardiac output, mL/min | 2644 (2091–3391) | 3602 (2691–4405)* | 4030 (2969–5004)* | 3775 (3150–5079)* | <0.0001 |
Right ventricular global longitudinal strain, % | −32 (−36 to −29) | −31 (−36 to −28) | −30 (−35 to −25) | −29 (−31 to −23) | 0.089 |
Data are given as median (25th–75th percentile).
Bold values denote statistical significance. Healthy includes individuals with normal BMI < 25 kg/m2 and free of any metabolic, cardiovascular and respiratory disease.
*P < 0.05 compared with healthy.
**P < 0.05 compared with obesity Class I.
***P < 0.05 compared with obesity Class II.
Cardiac magnetic resonance characteristics of healthy and obese individuals as per the World Health Organization classification
. | Healthy (n = 191) . | Obesity Class I (n = 66) . | Obesity Class II (n = 34) . | Obesity Class III (n = 7) . | P-value . |
---|---|---|---|---|---|
Left heart | |||||
Left atrial end-diastolic volume, mL | 68 (53–81) | 83 (70–100)* | 89 (62–106)* | 110 (106–137)*,**,*** | <0.0001 |
Left atrial end-systolic volume, mL | 23 (17–30) | 31 (23–51)* | 33 (24–51)* | 54 (44–79)*,**,*** | <0.0001 |
Left atrial stroke volume, mL | 43 (34–52) | 48 (37–58)* | 49 (38–59) | 57 (53–67)* | 0.007 |
Left atrial ejection fraction, % | 65 (60–69) | 61 (52–67)* | 60 (52–64)* | 49 (32–60)*,** | <0.0001 |
Left atrial global longitudinal strain, % | −28 (−33 to −24) | −25 (−29 to −16)* | −23 (−30 to −18)* | −17 (−23 to −9)*,** | <0.0001 |
Left ventricular end-diastolic volume, mL | 126 (109–150) | 136 (119–167)* | 140 (128–164)* | 141 (119–205) | <0.001 |
Left ventricular end-systolic volume, mL | 47 (40–59) | 53 (41–64) | 48 (40–67) | 56 (47–82) | 0.121 |
Left ventricular stroke volume, mL | 78 (67–88) | 86 (77–102)* | 93 (83–109)* | 96 (73–123)* | <0.0001 |
Left ventricular mass, g | 85 (69–108) | 111 (92–130)*,*** | 130 (111–148)*,** | 142 (120–175)*,** | <0.0001 |
Left ventricular ejection fraction, % | 62 (59–65) | 63 (58–68) | 66 (61–69)* | 59 (58–67) | 0.039 |
Left ventricular peak ejection rate, mL/sec | 382 (318–447) | 450 (337–516)* | 423 (389–494)* | 464 (403–585)* | <0.0001 |
Left ventricular peak filling rate, mL/sec | 448 (385–573) | 465 (363–597) | 474 (356–592) | 500 (431–776) | 0.834 |
Left ventricular cardiac output, mL/min | 4847 (4119–5679) | 5834 (5153–6937)* | 6177 (4876–7948)* | 7064 (5221–7331)* | <0.0001 |
Left ventricular global longitudinal strain, % | −21 (−24 to −19) | −22 (−26 to −20) | −23 (−26 to −17) | −21 (−25 to −17) | 0.159 |
Right heart | |||||
Right atrial end-diastolic volume, mL | 65 (54–75) | 76 (52–96)* | 85 (64–107)* | 99 (83–107)* | <0.0001 |
Right atrial end-systolic volume, mL | 29 (23–38) | 33 (21–45) | 38 (33–54)* | 42 (36–72)* | <0.001 |
Right atrial stroke volume, mL | 34 (27–41) | 39 (30–51)* | 43 (31–56)* | 44 (29–53) | 0.013 |
Right atrial ejection fraction, % | 53 (48–59) | 52 (47–60) | 51 (44–57) | 55 (35–58) | 0.762 |
Right atrial global longitudinal strain, % | −28 (−31 to −24) | −26 (−31 to −22)* | −26 (−30 to −21) | −21 (−28 to −12)* | 0.019 |
Right ventricular end-diastolic volume, mL | 70 (57–86) | 83 (65–98)* | 93 (78–115)* | 96 (91–121)* | <0.0001 |
Right ventricular end-systolic volume, mL | 27 (20–35) | 29 (65–98) | 35 (28–52)* | 37 (36–53)*,** | <0.001 |
Right ventricular stroke volume, mL | 43 (35–53) | 53 (40–62)* | 57 (49–72)* | 66 (45–75)* | <0.0001 |
Right ventricular ejection fraction, % | 62 (58–67) | 63 (60–68) | 61 (56–65) | 60 (51–66) | 0.115 |
Right ventricular cardiac output, mL/min | 2644 (2091–3391) | 3602 (2691–4405)* | 4030 (2969–5004)* | 3775 (3150–5079)* | <0.0001 |
Right ventricular global longitudinal strain, % | −32 (−36 to −29) | −31 (−36 to −28) | −30 (−35 to −25) | −29 (−31 to −23) | 0.089 |
. | Healthy (n = 191) . | Obesity Class I (n = 66) . | Obesity Class II (n = 34) . | Obesity Class III (n = 7) . | P-value . |
---|---|---|---|---|---|
Left heart | |||||
Left atrial end-diastolic volume, mL | 68 (53–81) | 83 (70–100)* | 89 (62–106)* | 110 (106–137)*,**,*** | <0.0001 |
Left atrial end-systolic volume, mL | 23 (17–30) | 31 (23–51)* | 33 (24–51)* | 54 (44–79)*,**,*** | <0.0001 |
Left atrial stroke volume, mL | 43 (34–52) | 48 (37–58)* | 49 (38–59) | 57 (53–67)* | 0.007 |
Left atrial ejection fraction, % | 65 (60–69) | 61 (52–67)* | 60 (52–64)* | 49 (32–60)*,** | <0.0001 |
Left atrial global longitudinal strain, % | −28 (−33 to −24) | −25 (−29 to −16)* | −23 (−30 to −18)* | −17 (−23 to −9)*,** | <0.0001 |
Left ventricular end-diastolic volume, mL | 126 (109–150) | 136 (119–167)* | 140 (128–164)* | 141 (119–205) | <0.001 |
Left ventricular end-systolic volume, mL | 47 (40–59) | 53 (41–64) | 48 (40–67) | 56 (47–82) | 0.121 |
Left ventricular stroke volume, mL | 78 (67–88) | 86 (77–102)* | 93 (83–109)* | 96 (73–123)* | <0.0001 |
Left ventricular mass, g | 85 (69–108) | 111 (92–130)*,*** | 130 (111–148)*,** | 142 (120–175)*,** | <0.0001 |
Left ventricular ejection fraction, % | 62 (59–65) | 63 (58–68) | 66 (61–69)* | 59 (58–67) | 0.039 |
Left ventricular peak ejection rate, mL/sec | 382 (318–447) | 450 (337–516)* | 423 (389–494)* | 464 (403–585)* | <0.0001 |
Left ventricular peak filling rate, mL/sec | 448 (385–573) | 465 (363–597) | 474 (356–592) | 500 (431–776) | 0.834 |
Left ventricular cardiac output, mL/min | 4847 (4119–5679) | 5834 (5153–6937)* | 6177 (4876–7948)* | 7064 (5221–7331)* | <0.0001 |
Left ventricular global longitudinal strain, % | −21 (−24 to −19) | −22 (−26 to −20) | −23 (−26 to −17) | −21 (−25 to −17) | 0.159 |
Right heart | |||||
Right atrial end-diastolic volume, mL | 65 (54–75) | 76 (52–96)* | 85 (64–107)* | 99 (83–107)* | <0.0001 |
Right atrial end-systolic volume, mL | 29 (23–38) | 33 (21–45) | 38 (33–54)* | 42 (36–72)* | <0.001 |
Right atrial stroke volume, mL | 34 (27–41) | 39 (30–51)* | 43 (31–56)* | 44 (29–53) | 0.013 |
Right atrial ejection fraction, % | 53 (48–59) | 52 (47–60) | 51 (44–57) | 55 (35–58) | 0.762 |
Right atrial global longitudinal strain, % | −28 (−31 to −24) | −26 (−31 to −22)* | −26 (−30 to −21) | −21 (−28 to −12)* | 0.019 |
Right ventricular end-diastolic volume, mL | 70 (57–86) | 83 (65–98)* | 93 (78–115)* | 96 (91–121)* | <0.0001 |
Right ventricular end-systolic volume, mL | 27 (20–35) | 29 (65–98) | 35 (28–52)* | 37 (36–53)*,** | <0.001 |
Right ventricular stroke volume, mL | 43 (35–53) | 53 (40–62)* | 57 (49–72)* | 66 (45–75)* | <0.0001 |
Right ventricular ejection fraction, % | 62 (58–67) | 63 (60–68) | 61 (56–65) | 60 (51–66) | 0.115 |
Right ventricular cardiac output, mL/min | 2644 (2091–3391) | 3602 (2691–4405)* | 4030 (2969–5004)* | 3775 (3150–5079)* | <0.0001 |
Right ventricular global longitudinal strain, % | −32 (−36 to −29) | −31 (−36 to −28) | −30 (−35 to −25) | −29 (−31 to −23) | 0.089 |
Data are given as median (25th–75th percentile).
Bold values denote statistical significance. Healthy includes individuals with normal BMI < 25 kg/m2 and free of any metabolic, cardiovascular and respiratory disease.
*P < 0.05 compared with healthy.
**P < 0.05 compared with obesity Class I.
***P < 0.05 compared with obesity Class II.
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