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All Journal Majalah Kedokteran Bandung Althea Medical Journal Journal of Mathematical and Fundamental Sciences Majalah Kedokteran Gigi Indonesia Global Medical and Health Communication Jurnal Media Gizi Indonesia (MGI) Sari Pediatri Jurnal Sistem Kesehatan Padjadjaran Journal of Dentistry Paediatrica Indonesiana GIZI INDONESIA Jurnal Gizi Klinik Indonesia JTP - Jurnal Teknologi Pendidikan Padjadjaran Journal of Dental Researchers and Students Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Jurnal Ners Pediomaternal Nursing Journal Jurnal Maternitas Aisyah (JAMAN AISYAH) Berita Kedokteran Masyarakat Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan Media Penelitian dan Pengembangan Kesehatan
Dida Akhmad Gurnida
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Padjadjaran Rumah Sakit Dr. Hasan Sadikin Bandung
Astronomy Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Education Environmental Science Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Nursing Physics Public Health

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Early Left Ventricular Structural Changes With Preserved Function in Overweight and Obese Adolescents: A Speckle-Tracking Echocardiography Study Nurfandi, Wendi; Hafsah, Tisnasari; Rahayuningsih, Sri Endah; Apandi, Putria Rayani; Hakim, Dzulfikar Djalil Lukmanul; Ghrahani, Reni; Kuswiyanto, Rahmat Budi; Gurnida, Dida Akhmad
Althea Medical Journal Vol 12, No 4 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n4.4343

Abstract

Background: Overweight and obesity in adolescents are associated with dyslipidemia and may contribute to early cardiovascular remodelling. Speckle-tracking echocardiography (STE) is a sensitive imaging technique capable of detecting early myocardial functional alterations before the onset of clinical symptoms. This study aimed to evaluate the correlation between cardiac chamber dimensions, left ventricular (LV) geometry and function, and lipid profiles in overweight and obese adolescents. Methods: A cross-sectional study was conducted from June to September 2023, involving 51 overweight and obese adolescents aged 15–18 years in Bandung, Indonesia. Anthropometric measurements, fasting lipid profiles (triglycerides, total cholesterol, LDL, HDL), and transthoracic echocardiography were obtained. LV dimensions, LV mass index (LVMI), ejection fraction (EF), fractional shortening (FS), and global longitudinal strain (GLS) were assessed. Associations were analyzed using Pearson correlation.Results: Participants were predominantly male (64.7%) with a mean age of 16.3±0.6 years. Overweight (47.1%) and obesity (52.9%) were almost equally distributed with a mean BMI of 29.6±4.1 kg/m². LVMI correlated negatively with total cholesterol (r=−0.356; p=0.005), HDL (r=−0.351; p=0.006), and LDL (r=−0.280; p=0.023). The LV posterior wall thickness and LV end-diastolic diameter were also inversely correlated with selected lipid parameters. Interventricular septal thickness in systole correlated positively with triglycerides (r=0.270; p=0.028). No significant correlations were found between lipid profiles and LV function parameters, including EF, FS, and GLS (p>0.05).Conclusions: In overweight and obese adolescents, lipid profiles are associated with early alterations in LV structural dimensions while LV systolic function remains preserved. These findings support the importance of early cardiovascular screening and lifestyle modification to reduce future cardiometabolic risk.
Co-Authors Abdullah Ichsan Adhi Pribadi Akhmad Yogi Pramatirta, Akhmad Yogi Alex Chairulfatah Anas Subarnas Anggraini Alam Ari indra Susanti Aris Primadi Aziz, Alamsyah Aziz, Muhammad Alamsyah Carla Pusparani Chin Annrie Eidwina Chin Annrie Eidwina, Chin Annrie Damayani, Ayi Diah Dany Hilmanto Dedi Rachmadi Deni Kurniadi Sunjaya Dewi Marhaeni Diah Herawati Dewi Marheini Diah Herawati Dicky Santosa Dwi Agustian Dzulfikar Djalil Lukmanul Hakim Dzulfikar Djalil Lukmanul Hakim Eddy Fadlyana Elsa Pudji Setiawati Erliana Ulfah Erwina Sumartini Fitria Nurwulansari Fransisca Sri Susilaningsih Fransisca Sri Susilaningsih Gaga Irawan Nugraha Galuhafiar Puratmaja Geraldo Laurus Giyawati Yulilania Okinarum Hadi - Susiarno Hadyana Sukandar Hadyana Sukandar Hani Hilda Kartika harahap, mustika hana Heda Melinda Nataprawira Herri S. Sastramihardja Herry Garna Herry Herman Ichsan, Abdullah Ieva Baniasih Akbar Iis Rosita Insi Farisa Desy Arya Irna Sufiawati Irvan Afriandi Jusuf Sulaeman Effendi Jusuf Sulaeman Effendi Kusnandi Rusmil Kusteja, Nadya Fauzia Larasati, Putri Argi Laurus, Geraldo Lelani Reniarti Lia Faridah Lina Ferryana Melisa Lilisari Melsa Sagita Imaniar Mercy Amelia Nanan Nur'aeny Nanan Nur'aeny Nanan Nur'aeny Nanan Sekarwana Novina Novina Nur Eva Aristina Nur'aeny, Nanan Nurfandi, Wendi Nurihsan, Achmad Juntika Nurul Auliya Kamila Nurwulansari, Fitria Oki Suwarsa Primadevi, Inggit Putria Rayani Apandi, Putria Rayani Rahmat Budi Kuswiyanto, Rahmat Budi Reni Ghrahani Rini Rossanti Ruswana Anwar Sembiring, Gaipyana Setyorini Irianti Siska Wiramihardja Siska Wiramihardja, Siska Siti - Damayanti Siti Aisyah Siti Nur Fatimah Siti Nur Fatimah Sri Endah Rahayuningsih Sri Endah Rahayuningsih Susiarno, Hadi Syarifah Prita Yulianty Syifa Rahma Septiani Tetty - Yuniati Tika - Lubis Tisnasari Hafsah, Tisnasari Tono Djuwantono Uni Gamayani Viiola Irene Winata Yesi Herawati Yudith Setiati Ermaya Zulmansyah , Zulmansyah