Echocardiographic Changes in Type 2 Diabetes Mellitus with Reference to Body Mass Index and Waist Hip Ratio
October - December 2017 | Vol 3 | Issue 4 | Page : 62-66
Saad Bin Saif 1*, M Ghosh2, P K Agrawal 2, Faiyaz Alam
3, Abhishek Kumar 1, Yogesh Kumar Dubey 1, Tabrez
1 Post Graduate Trainee; 2Professor; 3Assistant
Professor, Department of Medicine, Katihar Medical College, Katihar.
How to cite this article: Saif SB , Ghosh M, Agrawal PK, Alam F,
Kumar A, Dubey YK, Alam T. Echocardiographic Changes in Type 2 Diabetes Mellitus
with Reference to Body Mass Index and Waist Hip Ratio. Int Arch BioMed Clin Res.
Background: Diabetes mellitus (DM) refers to a group of common metabolic disorders
that share the phenotype of hyperglycaemia. India alone had 65.1 million diabetics
by the year 2013. DM with high BMI & increased central obesity (WHR) have changes
in the cardiac geometry evidenced in echocardiography. AIM OF STUDY: Estimation
of Body Mass Index (BMI) and Waist Hip Ratio (WHR) & Establish a relationship between
obesity, particularly central obesity in type 2 diabetes mellitus patients and cardiac
changes with the help of echocardiography. Methods: 30 Subjects with type 2 DM attending
the OPD or admitted in Katihar Medical College indoor department & 30 control patients
were also be taken from the same, all of age >40 years. The cases and the controls
were examined thoroughly with respect to BMI (>30) & WHR (> 0.85 for females and
> 0.95 for males) and echocardiography was done. Results: The cases i.e. type 2
diabetes with high WHR and BMI had highly significant alteration in LV geometry
as compared to the controls & had significantly high mean LV mass 189.10grams as
compared to 134.04 grams of the controls. There was significant early diastolic
dysfunction found in the cases group while no significant difference was found in
systolic dysfunction between cases & controls. The incidence of changes in left
ventricular geometry was higher in female type 2 diabetic subjects with high waist
hip ratio and BMI as compared to males. Conclusions: Form the data of the present
study it can be concluded that type 2 diabetics with obesity, particularly central
type, have an increased predisposition to the development of left ventricular structural
or geometrical abnormality. They have significantly higher left ventricular Mass.
Obese type 2 diabetics also have higher incidence of diastolic dysfunction. All
these abnormalities occur with greater frequency in females. Thus, type 2 diabetics
with high BMI and Waist hip ratio have higher risk of development of cardiovascular
disease, which is higher for female than males.
Keywords: Diabetes mellitus, BMI, Metabolic disorders
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