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Left ventricular remodelling changes without concomitant loss of myocardial fat after long-term dietary intervention
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
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2016 (English)In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 216, 92-96 p.Article in journal (Refereed) PublishedText
Abstract [en]

Background: Accumulation of myocardial triglycerides (MTG) is associated with impaired left ventricular (LV) remodelling and function in obese and diabetic subjects. The role of MTG accumulation in development of heart failure in this group of patients is unknown. Short-term studies suggest that diets that lead to weight loss could mobilize MTG, with a favourable effect on cardiac remodelling. In a 24-month, randomized, investigator-blinded study, we assessed the effect of two different diets and subsequent weight loss on cardiac function and MTG in postmenopausal women. Methods: Sixty-eight healthy postmenopausal women with body mass index [BMI] >= 27 kg/m(2) were randomized to an ad libitum Palaeolithic diet (PD) or a Nordic Nutrition Recommendation (NNR) diet for 24 months. Morphology, cardiac function, and MTG levels were measured using magnetic resonance (MR) scanning, including proton spectroscopy at baseline and 6 and 24 months. Results: Despite mean weight losses of 4.9 (1.0) kg (NNR) and 7.8 (1.1) kg (PD), the MTG content did not change over time (p = 0.98 in the NNR and p = 0.11 in the PD group at 24 months). Reduced left ventricular mass was observed in both diet groups over 24 months. Blood pressure was reduced at 6 months, but returned to baseline levels at 24 months. End diastolic volume, stroke volume, and cardiac output decreased over time. No differences between diet groups were observed. Conclusions: Diet intervention and moderate weight loss over 24 months improved LV remodelling but did not alter MTG levels in overweight/obese postmenopausal women.

Place, publisher, year, edition, pages
2016. Vol. 216, 92-96 p.
Keyword [en]
Cardiac Magnetic Resonance (CMR) imaging, Diet, Metabolic heart disease, Obesity, Weight reduction
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:umu:diva-123040DOI: 10.1016/j.ijcard.2016.04.050ISI: 000376820700015PubMedID: 27149238OAI: oai:DiVA.org:umu-123040DiVA: diva2:955885
Available from: 2016-08-26 Created: 2016-06-27 Last updated: 2016-08-26Bibliographically approved

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Mellberg, CarolineOtten, JuliaRyberg, MatsRinnström, DanielLindahl, BerntHauksson, JonJohansson, BengtOlsson, Tommy
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MedicineOccupational and Environmental MedicineDepartment of Radiation SciencesDepartment of Public Health and Clinical Medicine
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International Journal of Cardiology
Cardiac and Cardiovascular Systems

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