ISSN: 1300-7777 E-ISSN: 1308-5263
Anemia and Its Effect on Cardiovascular Findings in Obese Adolescents [Turk J Hematol]
Turk J Hematol. Ahead of Print: TJH-04657 | DOI: 10.4274/tjh.2018.0103  

Anemia and Its Effect on Cardiovascular Findings in Obese Adolescents

Öner Yıldırım1, Tülay Demircan2, Özlem Tüfekçi3, Özgür Kızılca2, Pınar Kuyum4, Mustafa Kır2, Ayhan Abacı5, Nurettin Ünal2, Nur Arslan4, Ece Böber5, Şebnem Yılmaz3, Hale Ören3
1Dokuz Eylül University Faculty of Medicine, Department of Pediatrics, Balçova, İzmir, Turkey
2Dokuz Eylül University Faculty of Medicine, Department of Pediatric Cardiology, Balçova, İzmir, Turkey
3Dokuz Eylül University Faculty of Medicine, Department of Pediatric Hematology, Balçova, İzmir, Turkey
4Dokuz Eylül University Faculty of Medicine, Department of Pediatric Gastroenterology and Metabolism, Balçova, İzmir, Turkey
5Dokuz Eylül University Faculty of Medicine, Department of Pediatric Endocrinology, Balçova, İzmir, Turkey

Objective: We assessed the effect of anemia on cardiovascular findings in obese adolescents.
Materials and Methods: We studied 29 anemic, 33 nonanemic obese adolescents, and 33 nonobese healthy adolescents. These three groups were investigated for clinical and laboratory features of anemia and obesity. Echocardiography was used to examine cardiac functions.
Results: The anemia was mild (mean hemoglobin 11.67±0.79g/dL), ferritin level was significantly low, and CRP and fibrinogen levels were significantly high in anemic obese patients. Increased cardiac pulse and echocardiographic findings which may be indicative of early left ventricular diastolic dysfunction were present in these patients.
Conclusion: Anemia may develop due to iron deficiency and chronic inflammation in obese adolescents. Even mild anemia may cause increased heart rate and affect left ventricular diastolic functions. So diet programmes of obese children should be carefully planned to avoid iron deficiency anemia, which may worsen the cardiac events in long term follow-up.

Keywords: Anemia, Cardiac function, Inflammation, Iron deficiency, Obesity




Corresponding Author: Hale Ören, Türkiye


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