Obesity and diabetes mellitus and left ventricular hypertrophy in patients with arterial hypertension

Agnieszka Sędkowska, Magdalena Gawron-Kiszka, Maciej Tomaszewski, Jacek Kowalczyk, Witold Streb, Ewa Markowicz-Pawlus, Jadwiga Obrębska, Zbigniew Kalarus, Ewa Żukowska-Szczechowska
Arterial Hypertension 2011;15(2):93-101.

open access

Vol 15, No 2 (2011)
Prace oryginalne
Published online: 2011-05-26


Background The aim of this study was to assess the influence of obesity and diabetes mellitus on left ventricular hypertrophy in patients with arterial hypertension.
Material and methods Study population consisted of 554 patients with hypertension (62% men, 38% women), and 97 patients with hypertension and concomitant diabetes mellitus (DM) (61% men, 39% women). The mean age in these two groups was 53 ± 13 years v. 58 ± 8 years respectively. We performed echocardiography as well as blood pressure (twice) and waist and hip circumference measurements. Body mass index (BMI) was assessed.
Results Left ventricular mass (LVM) and left ventricular mass index (LVMI) were significantly higher in the group with hypertension and concomitant DM than in the group without DM, LVM — 280.6 ± 67.4 g v. 247.3 ± 74.8 g, p < 0.0001, LVMI — 145.2 ± 33 g/m2 v. 129.9 ± 36 g/m2, p < 0.0001. In patients with hypertension without DM, BMI positively correlated with LVMI (r = 0.17, p < 0,0001) in men and in women. Waist/hip ratio positively correlated with LVMI in women (r = 0.26, p < 0.0001). In the group of patients with concomitant DM, BMI and waist/hip ratio didn’t correlate with left ventricular hypertrophy.
Conclusions Higher body mass index and abdominal obesity in women are risk factors for left ventricular hypertrophy. Left ventricular hypertrophy is more prevalent in the group with concomitant DM.
Arterial Hypertension 2011, vol. 15, no 2, pages 93–101.


arterial hypertension; diabetes mellitus; left ventricular hypertrophy

About this article

Obesity and diabetes mellitus and left ventricular hypertrophy in patients with arterial hypertension


Arterial Hypertension


Vol 15, No 2 (2011)



Published online


Bibliographic record

Arterial Hypertension 2011;15(2):93-101.


arterial hypertension
diabetes mellitus
left ventricular hypertrophy


Agnieszka Sędkowska
Magdalena Gawron-Kiszka
Maciej Tomaszewski
Jacek Kowalczyk
Witold Streb
Ewa Markowicz-Pawlus
Jadwiga Obrębska
Zbigniew Kalarus
Ewa Żukowska-Szczechowska

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