Double product reserve is associated with waist circumference but not body mass index in overweight or obese individuals

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dc.authorid0000-0003-4815-3674
dc.contributor.authorYiğit, Şafak
dc.contributor.authorAkıncı, B.
dc.contributor.authorÇalıkoğlu, F.
dc.contributor.authorSatman, I.
dc.date.accessioned2026-11-05T12:34:21Z
dc.date.available2026-11-05T12:34:21Z
dc.date.issued2024
dc.departmentMeslek Yüksekokulları, Meslek Yüksekokulu, Fizyoterapi Programı
dc.description.abstractBackground Obesity is an independent risk factor for cardiovascular disease (CVD). Excessive accumulation of adipose tissue in the myocardium leads to structural and functional changes. Body mass index (BMI) is a parameter used to classify overweight and obesity, but it does not distinguish fat-free mass from fat mass and cannot be used to assess body fat distribution. Recent research suggests that abdominal obesity, as measured by waist circumference, is a risk factor for CVD independent of BMI. Purpose In this study, we aimed to investigate the relationship between double product (DP) reserve as a marker of cardiac workload and body composition in overweight and obese individuals. Methods One hundred and forty-one overweight or obese individuals aged 35-65 years (F:105, M:36, mean age=51.48±7.41/years) were included. Body composition (BMI, (mean±SD=35.61±23.31 kg/m2), waist circumference, body fat percentage, waist/hip ratio) was measured. DP was calculated according to the 6-minute walk test (6MWT), which is a submaximal exercise test to estimate myocardial work. It was calculated by multiplying heart rate (HR) by systolic blood pressure (SBP) at rest and after completion of the 6 MWT. DP reserve was calculated as the difference before and after 6MWT. Results DP reserve was not significantly different according to obesity classification (p=0.210, eta-squared=0.032, 95% CI=0.00-0.09) (Table1). DP reserve showed a weakly correlation with waist circumference (r=0.188, p=0.026). No significant relationship was observed between DP reserve and BMI, waist-to-hip ratio and body fat percentage (p>0.05). Conclusion The results of this study showed that cardiac workload estimated with DP reserve was associated with abdominal obesity but not with other body composition parameters. This finding can be interpreted as increased cardiac stress after submaximal exercise in subjects with increased waist circumference regardless of BMI or body fat percentage in overweight or obese subjects.
dc.identifier.citationYiğit, S., Akıncı, B., Eksi, B., Çalıkoğlu, F., & Satman, İ. (2024). Çift ürün rezervi, aşırı kilolu veya obez bireylerde bel çevresiyle ilişkilidir, ancak vücut kitle indeksiyle ilişkili değildir. European Journal of Preventive Cardiology, 31(Supplement_1), zwae175.049.
dc.identifier.doi10.1093/eurjpc/zwae175.049
dc.identifier.urihttps://hdl.handle.net/20.500.12941/480
dc.identifier.volume31
dc.institutionauthorŞafak, Yiğit
dc.institutionauthorid0000-0003-4815-3674
dc.language.isoen
dc.relation.ispartofCardiovascular Nursing and Allied Professions – Allied Professions in Cardiovascular Care
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectMyocardium
dc.subjectObesity
dc.subjectBody Mass İndex Procedure
dc.subjectWaist-Hip Ratio
dc.subjectCardiovascular Diseases
dc.subjectHeart Disease Risk Factors
dc.subjectHeart Rate
dc.subjectSystolic Blood Pressure
dc.subjectExercise Stress Test
dc.subjectExercise
dc.subjectBody Composition
dc.subjectWorkload
dc.subjectAdipose Tissue
dc.subjectHeart
dc.subjectStress
dc.subjectBody Fat Distribution
dc.subjectFat-Free Mass
dc.subjectBody Fat
dc.subjectWaist Circumference
dc.subjectOverweight
dc.subject6-Minute Walk Test
dc.subjectAbdominal
dc.subjectMultiple Wake Test
dc.subjectDouble Product
dc.subjectChronic Venous Disease
dc.titleDouble product reserve is associated with waist circumference but not body mass index in overweight or obese individuals

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