Obesity Phenotypes and Electrocardiographic Characteristics in Physically Active Males: CHIEF Study Article Swipe
Yu‐Kai Lin
,
Kun‐Zhe Tsai
,
Chih‐Lu Han
,
Yen‐Po Lin
,
Jiunn‐Tay Lee
,
Gen‐Min Lin
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.3389/fcvm.2021.738575
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.3389/fcvm.2021.738575
Background: Metabolically unhealthy obesity (MUO) has been associated with surface electrocardiographic (ECG) left ventricular hypertrophy (LVH), left atrial enlargement (LAE), and inferior T wave inversions (TWI) in the middle- and old-aged populations. However, the relationship between obesity phenotypes and these ECG abnormalities in physically active young adults is yet to be determined. Methods: A total of 2,156 physically active military males aged 18–50 in Taiwan were analyzed. Obesity and metabolically unhealthy status were, respectively, defined as the body mass index ≥27 kg/m 2 and the presence of metabolic syndrome based on the ATPIII criteria for Asian male adults. Four groups were classified as the metabolically healthy non-obesity (MHNO, n = 1,484), metabolically unhealthy non-obesity (MUNO, n = 86), metabolically healthy obesity (MHO, n = 376), and MUO ( n = 210). ECG-LVH was based on the Sokolow–Lyon and Cornell voltage criteria, ECG-LAE was defined as a notched P wave ≥0.12 s in lead II or a notch of ≥0.04 s, and inferior TWI was defined as one negative T wave axis in limb leads II, III, or aVF. Physical performance was evaluated by time for a 3-km run. Multiple logistic regression analysis with adjustment for age, smoking, alcohol drinking, and physical performance was utilized to investigate the associations between obesity phenotypes and the ECG abnormalities. Results: As compared to MHNO, MUNO, MHO, and MUO were associated with lower risk of Sokolow–Lyon-based ECG-LVH [odds ratios (OR) and 95% confidence intervals: 0.80 (0.51–1.25), 0.46 (0.36–0.58), and 0.39 (0.28–0.53), respectively; p for trend <0.001], and with greater risk of ECG-LAE [OR: 0.87 (0.44–1.72), 2.34 (1.77–3.10), and 3.02 (2.13–4.28), respectively; p for trend <0.001] and inferior TWI [OR: 2.21 (0.74–6.58), 3.49 (1.97–6.19), and 4.52 (2.38–8.60), respectively; p for trend <0.001]. However, no associations between obesity phenotypes and Cornell-based ECG-LVH were found. Conclusion: In physically active young males, obesity was associated with higher risk of ECG-LAE and inferior TWI, whereas the risk between obesity and ECG-LVH might vary by the ECG criteria, possibly due to a high prevalence of exercise induced-LVH in military and greater chest wall thickness in obesity. The cardiovascular prognosis of ECG-LVH in physically active obese adults requires further study.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3389/fcvm.2021.738575
- https://www.frontiersin.org/articles/10.3389/fcvm.2021.738575/pdf
- OA Status
- gold
- Cited By
- 19
- References
- 37
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3205709075
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3205709075Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3389/fcvm.2021.738575Digital Object Identifier
- Title
-
Obesity Phenotypes and Electrocardiographic Characteristics in Physically Active Males: CHIEF StudyWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-10-13Full publication date if available
- Authors
-
Yu‐Kai Lin, Kun‐Zhe Tsai, Chih‐Lu Han, Yen‐Po Lin, Jiunn‐Tay Lee, Gen‐Min LinList of authors in order
- Landing page
-
https://doi.org/10.3389/fcvm.2021.738575Publisher landing page
- PDF URL
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https://www.frontiersin.org/articles/10.3389/fcvm.2021.738575/pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.frontiersin.org/articles/10.3389/fcvm.2021.738575/pdfDirect OA link when available
- Concepts
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Medicine, Left ventricular hypertrophy, Obesity, Odds ratio, Internal medicine, Body mass index, Logistic regression, Cardiology, Confidence interval, Metabolic syndrome, Blood pressureTop concepts (fields/topics) attached by OpenAlex
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19Total citation count in OpenAlex
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2025: 2, 2024: 5, 2023: 6, 2022: 6Per-year citation counts (last 5 years)
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37Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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