Kumar Tarun, Jha Kamlesh, Sharan Ashok, Sakshi Pooja, Kumar Shishir, Kumari Amita
Department of Physiology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Department of Physiology, All India Institute of Medical Sciences, Patna, Bihar, India.
J Family Med Prim Care. 2019 May;8(5):1626-1629. doi: 10.4103/jfmpc.jfmpc_168_19.
Obesity affects the different organ systems of human body and has been recognized as a risk factor for the development of many diseases. Most of the cardiovascular diseases develop due to obesity which reflects alterations in either cardiac morphology or conduction defects. These abnormalities are reflected in ECG as prolongation of various intervals. Prolongation of QT-interval has been found to be associated with ventricular arrhythmia and sudden cardiac death.
The aim of the study was to investigate the effect of obesity on QT-interval to assess the risk of development of cardiovascular diseases in early stage.
A cross-sectional study was conducted on 80 cases and 80 controls, which included adults of 18-40 years age groups from both sexes. The cases were obese [body mass index (BMI) >30 kg/m] and the controls were nonobese (BMI < 25 kg/m). ECG of the cases and controls was recorded and their QT-intervals were calculated and analyzed with BMI by independent samples test.
We found significantly higher QT-intervals in obese group in comparison to that of nonobese group ( = 0.000).
Obesity was found to be associated with prolongation of QT-interval among young obese adults. This prolongation of QT-interval duration increases the possibility of left ventricular enlargement and ventricular fibrillation. Hence the present study helps in creating awareness among obese people so that they can change their lifestyle in order to prevent the onset of the deleterious effects of obesity on their health.
肥胖影响人体的不同器官系统,已被公认为多种疾病发生的危险因素。大多数心血管疾病因肥胖而发生,这反映在心脏形态改变或传导缺陷上。这些异常在心电图中表现为各种间期延长。已发现QT间期延长与室性心律失常和心源性猝死有关。
本研究旨在探讨肥胖对QT间期的影响,以评估早期心血管疾病发生的风险。
对80例病例和80例对照进行横断面研究,包括18至40岁的成年男女。病例为肥胖者[体重指数(BMI)>30kg/m],对照为非肥胖者(BMI<25kg/m)。记录病例和对照的心电图,计算其QT间期,并通过独立样本检验分析QT间期与BMI的关系。
我们发现肥胖组的QT间期显著高于非肥胖组(P = 0.000)。
在年轻肥胖成年人中,肥胖与QT间期延长有关。QT间期持续时间的延长增加了左心室扩大和心室颤动的可能性。因此,本研究有助于提高肥胖人群的认识,使他们能够改变生活方式,以预防肥胖对健康产生的有害影响。