Anemia and Its Effect on Cardiovascular Findings in Obese Adolescents

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Yildirim O., Demircan T., TÜFEKÇİ Ö., Kizilca O., Kuyum P., KIR M., ...Daha Fazla

TURKISH JOURNAL OF HEMATOLOGY, cilt.35, sa.3, ss.192-196, 2018 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 35 Sayı: 3
  • Basım Tarihi: 2018
  • Doi Numarası: 10.4274/tjh.2018.0103
  • Dergi Adı: TURKISH JOURNAL OF HEMATOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.192-196
  • Anahtar Kelimeler: Anemia, Cardiac function, Inflammation, Iron deficiency, Obesity, IRON-DEFICIENCY, RISK-FACTOR, NONHYPERTENSIVE CHILDREN, MORBID-OBESITY, DISEASE, CHILDHOOD, ADULTS, HEART, ECHOCARDIOGRAPHY, ATHEROSCLEROSIS
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Objective: We assessed the effect of anemia on cardiovascular findings in obese adolescents. Materials and Methods: We studied 29 anemic and 33 nonanemic obese adolescents, and 33 nonobese healthy adolescents. These three groups were investigated for clinical and laboratory features of anemia and obesity. Echocardiography was used to examine cardiac functions. Results: The anemia was mild (mean hemoglobin: 11.67 +/- 0.79 g/dL), ferritin level was significantly low, and C-reactive protein and fibrinogen levels were significantly high in anemic obese patients. Increased cardiac pulse and echocardiographic findings, which may be indicative of early left ventricular diastolic dysfunction, were present in these patients. Conclusion: Anemia may develop due to iron deficiency and chronic inflammation in obese adolescents. Even mild anemia may cause increased heart rate and affect left ventricular diastolic functions. Diet programs for obese children should be carefully planned to avoid iron deficiency anemia, which may worsen the cardiac events in longterm follow-up.