Document Detail


Impact of physical activity and body composition on heart function and morphology in middle-aged, abdominally obese women.
MedLine Citation:
PMID:  20646010     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Several studies have shown training induced morphological changes in the heart. Our aim was to assess how frequent, low-intensity exercise (walking and cycling) influences heart function and morphology in abdominally obese women. Fifty women with abdominal obesity (mean age 47.0 +/- 7.5 years, waist circumference (WC) 103.2 +/- 7.8 cm), free of cardiovascular problems were recruited. They were equipped with a bicycle and pedometers and instructed to start commuting in a physically active way for 6 months. Evaluation of cardiac function and morphology was performed using echocardiography (ECHO) before and after 6 months of training. The subjects increased significantly their daily physical activity. After 6 months, there was a significant decrease in WC (from 103.3 +/- 7.9 to 100.8 +/- 8.4 cm, P = 0.0003), in systolic and diastolic blood pressure (126.8 +/- 15.2 to 120.4 +/- 14.5 mmHg, P = 0.0001, and 79.8 +/- 7.8 to 77.8 +/- 8.4 mmHg, P = 0.0006, respectively). ECHO showed an increase in the right ventricular (RV) systolic longitudinal function expressed as tricuspid annular motion from 22.00 +/- 3.30 to 23.05 +/- 3.59 mm, P = 0.015; and a similar trend in left ventricular (LV) mitral annular motion, which increased from 13.09 +/- 1.53 to 13.39 +/- 1.47 mm, P = 0.070. Cycling was associated with reductions in LV systolic and RV diastolic dimensions, whereas walking was not associated with any changes in the ECHO-variables. A reduction in WC by frequent, low-intensity exercise in abdominally obese women is associated with decrease in blood pressure and improved longitudinal RV systolic function.
Authors:
Michael Eriksson; Joanna Uddén; Erik Hemmingsson; Stefan Agewall
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2010-07-20
Journal Detail:
Title:  Clinical physiology and functional imaging     Volume:  30     ISSN:  1475-097X     ISO Abbreviation:  Clin Physiol Funct Imaging     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-10     Completed Date:  2010-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137604     Medline TA:  Clin Physiol Funct Imaging     Country:  England    
Other Details:
Languages:  eng     Pagination:  354-9     Citation Subset:  IM    
Affiliation:
Department of Medicine, Section of Cardiology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden. ME829107@hotmail.com
Data Bank Information
Bank Name/Acc. No.:
ISRCTN/ISRCTN04233243
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MeSH Terms
Descriptor/Qualifier:
Adult
Bicycling
Blood Pressure
Body Composition*
Body Mass Index
Exercise*
Female
Heart Ventricles / physiopathology,  ultrasonography
Humans
Middle Aged
Obesity, Abdominal / pathology,  physiopathology,  therapy*,  ultrasonography
Risk Reduction Behavior*
Sedentary Lifestyle*
Sweden
Time Factors
Treatment Outcome
Ventricular Function, Left*
Ventricular Function, Right*
Waist Circumference
Walking

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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