EVALUATION OF THE RELATIONSHIP BETWEEN LEPTIN LEVELS AND SOME CARDIAC MORPHOLOGICAL AND FUNCTIONAL INDICATORS IN TYPE 2 DIABETES PATIENTS WITH OVERWEIGHT OR OBESITY
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Abstract
Objectives: To assess the relationship between leptin concentrations and some cardiac morphological and functional indicators in type 2 diabetes patients with overweight or obesity. Subjects and methods: A descriptive, cross-sectional study and comparison among three groups: group of type 2 diabetes patients with overweight or obesity (study group); group of type 2 diabetes patients without overweight or obesity (disease-control), and control group. Results: 266 participants were divided into three groups. Serum leptin levels in the study group was 0.43 (0.35 - 0.53) (ng/mL), in the disease-control: 0.42 (0.34 - 0.52) (ng/mL) and in the control group: 0.46 (0.36 - 0.60) (ng/mL) (p > 0.05). In the study group, patients with increased leptin level had higher left ventricular mass index compared to those with decreased leptin level (p < 0.05). Leptin concentration had negative correlation with interventricular septum e’-wave, lateral wall e’-wave; positive correlation with E/e’ratio (interventricular septum, lateral wall, mean), left ventricular posterior wall thickness in diastole, left ventricular muscle mass, left ventricular mass index (p < 0.05). Conclusion: In type 2 diabetes patients with overweight or obesity, leptin levels have an effect on left ventricular posterior wall thickness in diastole, left ventricular muscle mass, left ventricular muscle mass index and some cardiac functional indices (e'-wave and E/e').
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References
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