Android to gynoid fat ratio and its association with functional capacity in male patients with heart failure

Aims We studied the association between android (A) to gynoid (G) fat ratio and functional capacity (peak VO2) in male patients with heart failure with reduced ejection fraction (HFrEF). Methods and results We enrolled 118 male patients with HFrEF with left ventricular ejection fraction (LVEF) <4...

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Published in:	ESC Heart Failure Vol. 7; no. 3; pp. 1101 - 1108
Main Authors:	Dos Santos, Marcelo Rodrigues, Fonseca, Guilherme Wesley Peixoto, Sherveninas, Letícia Pironato, Souza, Francis Ribeiro, Battaglia Filho, Antônio Carlos, Novaes, Caio Eduardo, Pereira, Rosa Maria Rodrigues, Negrão, Carlos Eduardo, Barretto, Antônio Carlos Pereira, Alves, Maria‐Janieire de Nazaré Nunes
Format:	Journal Article
Language:	English
Published:	England John Wiley & Sons, Inc 01-06-2020 John Wiley and Sons Inc Wiley
Subjects:	Blood pressure Body composition Body mass index Cholesterol Creatinine Diabetes Ejection fraction Enzymes Fat distribution Heart failure Hemoglobin Laboratories Obesity Original Original s Overweight Oxygen consumption Potassium Sarcopenia Testosterone Thyroid gland Workloads New York Heart failure Oxygen consumption Fat distribution Body composition
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Abstract	Aims We studied the association between android (A) to gynoid (G) fat ratio and functional capacity (peak VO2) in male patients with heart failure with reduced ejection fraction (HFrEF). Methods and results We enrolled 118 male patients with HFrEF with left ventricular ejection fraction (LVEF) <40%. Body composition (by using dual x‐ray absorptiometry) and peak VO2 (by cardiopulmonary exercise testing) were measured. Sarcopenic obesity was defined according to the Foundation for the National Institutes of Health criteria (FNIH). Blood sample for metabolic and hormonal parameters were measured. Fifteen patients (12.7%) showed sarcopenic obesity (body mass index > 25 kg/m2 with FNIH index < 0.789). The median A/G ratio was 0.55. A/G ratio > 0.55 was detected in 60 patients. Relative peak VO2 was lower in patients with A/G ratio > 0.55 than in patients with A/G ratio <0.55 (18.7 ± 5.3 vs. 22.5 ± 6.1 mL/kg/min, P < 0.001). Logistic regression analysis showed A/G ratio >0.55 to be independently associated with reduced peak VO2 adjusted for age, body mass index, LVEF, presence of sarcopenia, anabolic hormones, and haemoglobin (odds ratio 3.895, 95% confidence interval 1.030–14.730, P = 0.045). Conclusions Body fat distribution, particularly android and gynoid fat composition, together with other cofactors, might have an important adverse role on functional capacity in male patients with HFrEF. Future studies are needed to address possible mechanisms involved in this relationship.
AbstractList	Abstract Aims We studied the association between android (A) to gynoid (G) fat ratio and functional capacity (peak VO2) in male patients with heart failure with reduced ejection fraction (HFrEF). Methods and results We enrolled 118 male patients with HFrEF with left ventricular ejection fraction (LVEF) <40%. Body composition (by using dual x‐ray absorptiometry) and peak VO2 (by cardiopulmonary exercise testing) were measured. Sarcopenic obesity was defined according to the Foundation for the National Institutes of Health criteria (FNIH). Blood sample for metabolic and hormonal parameters were measured. Fifteen patients (12.7%) showed sarcopenic obesity (body mass index > 25 kg/m2 with FNIH index < 0.789). The median A/G ratio was 0.55. A/G ratio > 0.55 was detected in 60 patients. Relative peak VO2 was lower in patients with A/G ratio > 0.55 than in patients with A/G ratio <0.55 (18.7 ± 5.3 vs. 22.5 ± 6.1 mL/kg/min, P < 0.001). Logistic regression analysis showed A/G ratio >0.55 to be independently associated with reduced peak VO2 adjusted for age, body mass index, LVEF, presence of sarcopenia, anabolic hormones, and haemoglobin (odds ratio 3.895, 95% confidence interval 1.030–14.730, P = 0.045). Conclusions Body fat distribution, particularly android and gynoid fat composition, together with other cofactors, might have an important adverse role on functional capacity in male patients with HFrEF. Future studies are needed to address possible mechanisms involved in this relationship. AimsWe studied the association between android (A) to gynoid (G) fat ratio and functional capacity (peak VO2) in male patients with heart failure with reduced ejection fraction (HFrEF).Methods and resultsWe enrolled 118 male patients with HFrEF with left ventricular ejection fraction (LVEF) <40%. Body composition (by using dual x‐ray absorptiometry) and peak VO2 (by cardiopulmonary exercise testing) were measured. Sarcopenic obesity was defined according to the Foundation for the National Institutes of Health criteria (FNIH). Blood sample for metabolic and hormonal parameters were measured. Fifteen patients (12.7%) showed sarcopenic obesity (body mass index > 25 kg/m2 with FNIH index < 0.789). The median A/G ratio was 0.55. A/G ratio > 0.55 was detected in 60 patients. Relative peak VO2 was lower in patients with A/G ratio > 0.55 than in patients with A/G ratio <0.55 (18.7 ± 5.3 vs. 22.5 ± 6.1 mL/kg/min, P < 0.001). Logistic regression analysis showed A/G ratio >0.55 to be independently associated with reduced peak VO2 adjusted for age, body mass index, LVEF, presence of sarcopenia, anabolic hormones, and haemoglobin (odds ratio 3.895, 95% confidence interval 1.030–14.730, P = 0.045).ConclusionsBody fat distribution, particularly android and gynoid fat composition, together with other cofactors, might have an important adverse role on functional capacity in male patients with HFrEF. Future studies are needed to address possible mechanisms involved in this relationship. We studied the association between android (A) to gynoid (G) fat ratio and functional capacity (peak VO ) in male patients with heart failure with reduced ejection fraction (HFrEF). We enrolled 118 male patients with HFrEF with left ventricular ejection fraction (LVEF) <40%. Body composition (by using dual x-ray absorptiometry) and peak VO (by cardiopulmonary exercise testing) were measured. Sarcopenic obesity was defined according to the Foundation for the National Institutes of Health criteria (FNIH). Blood sample for metabolic and hormonal parameters were measured. Fifteen patients (12.7%) showed sarcopenic obesity (body mass index > 25 kg/m with FNIH index < 0.789). The median A/G ratio was 0.55. A/G ratio > 0.55 was detected in 60 patients. Relative peak VO was lower in patients with A/G ratio > 0.55 than in patients with A/G ratio <0.55 (18.7 ± 5.3 vs. 22.5 ± 6.1 mL/kg/min, P < 0.001). Logistic regression analysis showed A/G ratio >0.55 to be independently associated with reduced peak VO adjusted for age, body mass index, LVEF, presence of sarcopenia, anabolic hormones, and haemoglobin (odds ratio 3.895, 95% confidence interval 1.030-14.730, P = 0.045). Body fat distribution, particularly android and gynoid fat composition, together with other cofactors, might have an important adverse role on functional capacity in male patients with HFrEF. Future studies are needed to address possible mechanisms involved in this relationship. Aims We studied the association between android (A) to gynoid (G) fat ratio and functional capacity (peak VO2) in male patients with heart failure with reduced ejection fraction (HFrEF). Methods and results We enrolled 118 male patients with HFrEF with left ventricular ejection fraction (LVEF) <40%. Body composition (by using dual x‐ray absorptiometry) and peak VO2 (by cardiopulmonary exercise testing) were measured. Sarcopenic obesity was defined according to the Foundation for the National Institutes of Health criteria (FNIH). Blood sample for metabolic and hormonal parameters were measured. Fifteen patients (12.7%) showed sarcopenic obesity (body mass index > 25 kg/m2 with FNIH index < 0.789). The median A/G ratio was 0.55. A/G ratio > 0.55 was detected in 60 patients. Relative peak VO2 was lower in patients with A/G ratio > 0.55 than in patients with A/G ratio <0.55 (18.7 ± 5.3 vs. 22.5 ± 6.1 mL/kg/min, P < 0.001). Logistic regression analysis showed A/G ratio >0.55 to be independently associated with reduced peak VO2 adjusted for age, body mass index, LVEF, presence of sarcopenia, anabolic hormones, and haemoglobin (odds ratio 3.895, 95% confidence interval 1.030–14.730, P = 0.045). Conclusions Body fat distribution, particularly android and gynoid fat composition, together with other cofactors, might have an important adverse role on functional capacity in male patients with HFrEF. Future studies are needed to address possible mechanisms involved in this relationship.
Author	Souza, Francis Ribeiro Battaglia Filho, Antônio Carlos Fonseca, Guilherme Wesley Peixoto Novaes, Caio Eduardo Sherveninas, Letícia Pironato Pereira, Rosa Maria Rodrigues Dos Santos, Marcelo Rodrigues Barretto, Antônio Carlos Pereira Negrão, Carlos Eduardo Alves, Maria‐Janieire de Nazaré Nunes
AuthorAffiliation	1 Instituto do Coração (InCor), Hospital das Clínicas HCFMUSP, Faculdade de Medicina Universidade de São Paulo São Paulo Brazil 2 Laboratório de Reumatologia e Metabolismo Ósseo da Faculdade de Medicina Universidade de São Paulo São Paulo Brazil 3 School of Physical Education and Sport University of São Paulo São Paulo Brazil
AuthorAffiliation_xml	– name: 2 Laboratório de Reumatologia e Metabolismo Ósseo da Faculdade de Medicina Universidade de São Paulo São Paulo Brazil – name: 1 Instituto do Coração (InCor), Hospital das Clínicas HCFMUSP, Faculdade de Medicina Universidade de São Paulo São Paulo Brazil – name: 3 School of Physical Education and Sport University of São Paulo São Paulo Brazil
Author_xml	– sequence: 1 givenname: Marcelo Rodrigues surname: Dos Santos fullname: Dos Santos, Marcelo Rodrigues email: marcelo.rs@usp.br organization: Universidade de São Paulo – sequence: 2 givenname: Guilherme Wesley Peixoto surname: Fonseca fullname: Fonseca, Guilherme Wesley Peixoto organization: Universidade de São Paulo – sequence: 3 givenname: Letícia Pironato surname: Sherveninas fullname: Sherveninas, Letícia Pironato organization: Universidade de São Paulo – sequence: 4 givenname: Francis Ribeiro surname: Souza fullname: Souza, Francis Ribeiro organization: Universidade de São Paulo – sequence: 5 givenname: Antônio Carlos surname: Battaglia Filho fullname: Battaglia Filho, Antônio Carlos organization: Universidade de São Paulo – sequence: 6 givenname: Caio Eduardo surname: Novaes fullname: Novaes, Caio Eduardo organization: Universidade de São Paulo – sequence: 7 givenname: Rosa Maria Rodrigues surname: Pereira fullname: Pereira, Rosa Maria Rodrigues organization: Universidade de São Paulo – sequence: 8 givenname: Carlos Eduardo surname: Negrão fullname: Negrão, Carlos Eduardo organization: University of São Paulo – sequence: 9 givenname: Antônio Carlos Pereira surname: Barretto fullname: Barretto, Antônio Carlos Pereira organization: Universidade de São Paulo – sequence: 10 givenname: Maria‐Janieire de Nazaré Nunes surname: Alves fullname: Alves, Maria‐Janieire de Nazaré Nunes organization: Universidade de São Paulo
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/32220062$$D View this record in MEDLINE/PubMed
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CitedBy_id	crossref_primary_10_1186_s12902_022_01087_3 crossref_primary_10_3390_nu15112440 crossref_primary_10_3389_fcvm_2023_1055223 crossref_primary_10_3389_fendo_2022_1032323 crossref_primary_10_1016_j_exger_2024_112462
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Copyright	2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology. 2020. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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Snippet	Aims We studied the association between android (A) to gynoid (G) fat ratio and functional capacity (peak VO2) in male patients with heart failure with reduced... We studied the association between android (A) to gynoid (G) fat ratio and functional capacity (peak VO ) in male patients with heart failure with reduced... AimsWe studied the association between android (A) to gynoid (G) fat ratio and functional capacity (peak VO2) in male patients with heart failure with reduced... AIMSWe studied the association between android (A) to gynoid (G) fat ratio and functional capacity (peak VO2 ) in male patients with heart failure with reduced... Abstract Aims We studied the association between android (A) to gynoid (G) fat ratio and functional capacity (peak VO2) in male patients with heart failure...
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SubjectTerms	Blood pressure Body composition Body mass index Cholesterol Creatinine Diabetes Ejection fraction Enzymes Fat distribution Heart failure Hemoglobin Laboratories Obesity Original Original s Overweight Oxygen consumption Potassium Sarcopenia Testosterone Thyroid gland Workloads
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Title	Android to gynoid fat ratio and its association with functional capacity in male patients with heart failure
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