Effect of weight loss on P wave dispersion in obese subjects


Duru M., Seyfeli E., Kuvandik G., KAYA H., YALÇIN F.

Obesity, cilt.14, sa.8, ss.1378-1382, 2006 (Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 14 Sayı: 8
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1038/oby.2006.156
  • Dergi Adı: Obesity
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.1378-1382
  • Anahtar Kelimeler: Arrhythmia, Atrial repolarization, Diet, Electrocardiography, Weight loss
  • Hatay Mustafa Kemal Üniversitesi Adresli: Evet

Özet

Objective: The aim of this study was to investigate effect of loss weight on P wave dispersion in obese subjects. Research Methods and Procedures: After a 12-week weight loss program (diet and medical therapy), a total of 30 (24 women and six men) obese subjects who had lost at least 10% of their original weight were included in the present study. All subjects underwent a routine standard 12-lead surface electrocardiogram. Electrocardiograms were transferred to a personal computer by a scanner and then magnified 400 times by Adobe Photoshop software (Adobe Systems, Mountain View, CA). P wave dispersion, which is also defined as the difference between the maximum P wave duration and the minimum P wave duration, was also calculated. Results: After a 12-week weight loss program, BMI (p < 0.001), maximum P wave duration (p < 0.001), and P wave dispersion (p < 0.001) significantly decreased. The mean percentage of weight loss was 13% (10% to 20.3%). The decrease in the level of P wave dispersion (21 ± 10 and 7 ± 12 ms, p < 0.002) was more prominent in Group II (≥ 12% loss of their original weight) than Group I (<12% loss of their original weight) after the weight loss program. A statistically significant correlation between decrease in the level of P wave dispersion and percentage of weight loss was found (r = 0.624, p < 0.001). Discussion: Substantial weight loss in obese subjects is associated with a decrease of P wave duration and dispersion. Therefore, these observations suggest that substantial weight loss is associated with improvement in atrial repolarization abnormalities in obese subjects. Copyright © 2006 NAASO.