Early Famine Exposure Results in Left Ventricular Remodeled, Diastolic Dysfunction and Systolic Function Preserved in Adults

Zhou, Dan1,2; Feng, Xiaoxuan1; Wu, Shiping1; Yan, Mengqi1; Wang, Jiabin3; Nie, Zhiqiang3; Feng, Yingqing1

2024-03-01

10.1159/000533659

ANNALS OF NUTRITION AND METABOLISM   影响因子和分区

0250-6807

1421-9697

Introduction: Malnutrition during a critical window of development in a fetus or infant can result in abnormal cardiac remodeling and function. It is uncertain whether the contribution of these effects continues to impact the cardiac remodeling and function of adults over the course of several decades of growth. Our study examined the impact of early Chinese famine exposure on cardiac remodeling, left ventricular (LV) diastolic function, and LV systolic function in adults. Methods: Participants at high risk of cardiovascular disease from the China Patient-Centered Evaluative Assessment of Cardiac Events Million Persons Project (PEACE MPP) were enrolled. The famine in China lasted from 1959 to 1962. A total of three groups were formed based on the participants' birth dates: pre-famine group, famine exposure group, and post-famine group. Logistic regression and linear mixed models were used to explore the association between famine exposure and cardiac remodeling, LV diastolic function and LV systolic function in adults. Results: The study included 2,758 participants, the mean age was 57.05 years, 62.8% were female, 26.4% had LV hypertrophy (LVH), 59.6% had LV diastolic dysfunction (LVDD), and 10.5% had reduced global longitudinal strain (GLS). Compared to post-famine exposure, participants had independently increased risk of LVH in the famine exposure group (OR: 2.02, 95% CI: 1.60-2.56) and pre-famine exposure (OR: 1.36, 95% CI: 1.06-1.76). Compared to post-famine exposure, the risk of LVDD remarkably increased in the famine exposure group (OR: 3.04, 95% CI: 2.49-3.71) and pre-famine exposure group (OR: 1.87, 95% CI: 1.52-2.31). Famine exposure had no significant impact on GLS but was associated with a significant increase in LV ejection fraction (LVEF) and LV end-diastolic diameter (LVEDD). Significant interactions were observed between the effects of famine exposure and other clinical/sociodemographic variables (gender, systolic blood pressure [SBP] >= 140 mm Hg or not, high school or above or not, and annual income <50,000 RMB or not) on these outcomes. Conclusion: Exposure to famine, particularly during fetal and infant stages, increases the risk of LVH and LVDD in adults. However, the LV systolic function remains preserved. These impacts are more pronounced in females, individuals with SBP >= 140 mm Hg, those with low income, or those with high educational status.

Famine exposure Malnutrition Left ventricular remodeling Diastolic function Systolic function

SCI

英语

其他

Key Area R&D Program of Guangdong Province[2019B020227005] ; Climbing Plan of Guangdong Provincial People's Hospital[DFJH2020022] ; Guangdong Provincial Clinical Research Center for Cardiovascular Disease[2020B1111170011] ; Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention[2017B030314041]

Endocrinology & Metabolism ; Nutrition & Dietetics

Endocrinology & Metabolism ; Nutrition & Dietetics

WOS:001198947400002

KARGER

CLINICAL MEDICINE

Web of Science

1.Southern Med Univ, Guangdong Prov Peoples Hosp, Guangdong Cardiovasc Inst, Guangdong Acad Med Sci,Guangdong Prov Key Lab Coro, Guangzhou, Peoples R China
2.Southern Univ Sci & Technol, Jinan Univ, Affiliated Hosp 1, Dept Internal Med,Shenzhen Peoples Hosp,Clin Med C, Shenzhen, Peoples R China
3.Guangdong Acad Med Sci, Guangdong Prov Peoples Hosp, Global Hlth Res Ctr, Guangzhou, Peoples R China

Zhou, Dan,Feng, Xiaoxuan,Wu, Shiping,et al. Early Famine Exposure Results in Left Ventricular Remodeled, Diastolic Dysfunction and Systolic Function Preserved in Adults[J]. ANNALS OF NUTRITION AND METABOLISM,2024,80(2).

Zhou, Dan.,Feng, Xiaoxuan.,Wu, Shiping.,Yan, Mengqi.,Wang, Jiabin.,...&Feng, Yingqing.(2024).Early Famine Exposure Results in Left Ventricular Remodeled, Diastolic Dysfunction and Systolic Function Preserved in Adults.ANNALS OF NUTRITION AND METABOLISM,80(2).

Zhou, Dan,et al."Early Famine Exposure Results in Left Ventricular Remodeled, Diastolic Dysfunction and Systolic Function Preserved in Adults".ANNALS OF NUTRITION AND METABOLISM 80.2(2024).