马来西亚一所大学中肥胖年轻人的心电图

A. A. Myat, Nur Izzati Aqilah Bt Mt Sariman, Najihah Mohd Bisri, R. Devendran
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摘要

背景与目的:肥胖在成人中表现出各种各样的心电图异常。此前的研究主要以儿童、青少年、中年人为对象,因此得出了不同的结果。然而,没有明确的证据表明肥胖和心电图变量之间存在关联,尤其是在年轻人中。因此,本研究的目的是比较肥胖与正常BMI青年的心电图参数(PR间期、QRS间期、校正QT间期、P波和R波轴和高度)。材料和方法:对沙阿南一所私立大学的38名学生进行了横断面观察研究。他们的年龄在20到30岁之间,包括正常人和肥胖者。收集每位参与者的人体测量数据、动脉血压和标准12导联心电图。采用独立样本t检验和非参数Mann-Whitney检验比较正常人和肥胖者的数据。将心电图参数与BMI、体重和收缩压进行Pearson相关性分析。结果:肥胖者心率、PR间期、QRS间期、QT间期与正常人无显著差异。肥胖者R波高度高于正常人(P<0.05)。然而,BMI、体重、收缩压和心电图参数之间没有相关性。结论:由此可见,肥胖青年的心电图波及间隔除R波高度外与正常BMI无显著差异。肥胖组R波较高,说明肥胖青壮年脑室壁比BMI正常的青壮年脑室壁厚,与收缩压、BMI甚至体重的影响无关
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Electrocardiogram of Obese Young Adults in a University, Malaysia
Background and Aim: Obesity exhibits wide variety of electrocardiogram (ECG) abnormalities in adults. Previous researches have found different results since they tested mostly on children, adolescents, and middle aged persons. However, there’s no clear evidence of the association between obesity and ECG variables, especially in young adults. Hence, the aim of this research is to compare ECG parameters (PR interval, QRS interval, corrected QT, axis and height of P and R wave) of obese with normal BMI young adults.Materials and method: A cross-sectional observational study was done on 38 students of a private university in Shah Alam. They were aged between 20 to 30 years, involving normal and obese persons. Anthropometric data, arterial blood pressure and standard 12-lead ECGs were collected for every participant. Independent-sample t-tests and non-parametric Mann-Whitney test were conducted to compare data of normal persons and obese persons. Pearson correlation was done to correlate ECG parameters with BMI, Weight and systolic arterial blood pressure.Results: Heart rate, PR interval, QRS interval and QT interval of obese person were not significantly different from normal. Height of R wave in obese person is more than that of normal person (P<0.05). However, there was no correlation between BMI, Weight, systolic blood pressure and ECG parameters that could be found.Conclusion: Thus, ECG wave and intervals except height of the R wave of obese young adults are not significantly different from those of the normal BMI. Finding of higher R wave in obese groups indicates ventricle wall of obese young adults are thicker than that of the young adults with normal BMI and it is not related to the effect of systolic arterial blood pressure, BMI and even weight of the person
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