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RESEARCH ARTICLE

SA JOURNAL OF DIABETES & VASCULAR DISEASE

28

VOLUME 15 NUMBER 1 • JULY 2018

7. Tadic M, Cuspidi C. The influence of type 2 diabetes on left atrial remodeling.

Clin Cardiol

2015;

38

: 48–55.

8. Atas H, Kepez A, Atas DB,

et al

. Effects of diabetes mellitus on left atrial volume

and functions in normotensive patients without sypmto- matic cardiovascular

disease.

J Diabetes Complicat

2014;

28

: 858–862.

9. To ACY, Flamm SD, Marwick TH, Klein AL. Clinical utility of multi- modality

LA imaging: assessment of size, function, and structure.

J Am Coll Cardiol

Cardiovasc Imag

2011;

4

: 788–798.

10. Vaziri SM, Larson MG, Benjamin EJ, Levy D. Echocardiographic predictors of

nonrheumatic atrial fibrillation: the Framingham Heart Study.

Circulation

1994;

89

: 724–730.

11. Benjamin EJ, D’Agostino RB, Belanger AJ, Wolf PA, Levy D. Left atrial size and

the risk of stroke and death: the Framingham Heart Study.

Circulation

1995;

92

: 835–841.

12. Modena MG, Muia N, Sgura FA, Molinari R, Castella A, Pessi R. Left atrial size

is the major predictor of cardiac death and overall clinical outcome in patients

with dilated cardiomyopathy: a long-term follow up study.

Clin Cardiol

1997;

20

: 553–560.

13. Simek CL, Feldman MD, Haber HL, Wu CC, Jayaweera AR, Kaul S. Relationship

between left ventricular wall thickness and left atrial size: comparison with

other measures of diastolic function.

J Am Soc Echocardiogr

1995;

8

: 37–47.

14. Zoppini G, Bonapace S, Bergamini C,

et al

. Evidence of left atrial remodelling

and left ventricular diastolic dysfunction in type 2 diabetes mellitus with

preserved systolic function.

Nutr Met CV Dis

2016;

26

: 1026–1032.

15. American Diabetes Association. Diagnosis and classification of diabetes mellitus.

Diabetes Care

2013;

36

(Suppl 1): S67–74.

16. Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L,

et al

.

Recommendations for cardiac chamber quantification by echocardiography in

adults: An update from the American Society of Echocardiography and

European Association of Cardiovascular Imaging.

J Am Soc Echocardiogr

2015;

28

: 1–39.

17. Ommen SR, Nishimura RA, Appleton CP,

et al

. Clinical utility of Doppler

echocardiography and tissue Doppler imaging in the estimation of left ventricular

filling pressures: a comparative simultaneous Doppler-catheterization study.

Circulation

2000;

102

: 1788–1794.

18. Anwar AM, Soliman OII, Geleijnse ML, Nemes A, Vletter WB, ten Cate FJ.

Assessment of left atrial volume and function by real-time three-dimensional

echocardiography.

Int J Cardiol

2008;

123

: 155–161.

19. Armstrong AC, Gidding SS, Colengelo LA,

et al

. Association of early adult

modifiable cardiovascular risk factors with left atrial size over 20-year follow

up period: the CARDIA Study.

Br Med J

open 2014; 4: e004001.doi:10.1136/

bmjopen-2013-004001.

20. TODAY Study Group. Alterations in left ventricular, left atrial, and right ventricular

structure and function to cardiovascular risk factors in adolescent with type 2

diabetes participating in the TODAY clinical trial. (published online ahead of print

January 22, 2014).

Pediatr Diabetes

2014. Doi:10.1111/pedi.12119.

21. Poulsen MK, Dahl JS, Henriksen JE,

et al

. Left atrial volume index.

J Am Coll

Cardiol

2013;

62

: 2416–2421.

22. Russo C, Jin Z, Homma S,

et al

. Left atrial minimum volume and reser- voir

function as correlates of left ventricular diastolic function: impact of left

ventricular systolic function.

Heart

2012;

98

: 813–820.

23. Graca B, Ferreira MJ, Donato P,

et al

. Left atrial dysfunction in type 2

diabetes mellitus: insights from cardiac MRI (published online ahead of print

July 17,2014).

Eur Radiol

2014;

24

: 2669–2676. Doi:10.1007/ s00330-014-

3299-2.

24. Mondillo S, Cameli M, Caputo ML,

et al

. Early detection of left atrial strain

abnormalities by speckle-tracking in hypertensive and diabetic patients with

normal left atrial size.

J Am Soc Echocardiogr

2011;

24

: 898–908.

Daily fasting helps control weight and lower blood pressure

D

aily fasting is an effective tool to

reduce weight and lower blood

pressure, according to a study published

by University of Illinois at Chicago

researchers. The study is the first to

examine the effect of time-restricted

eating – a form of fasting that limits food

consumption to select hours each day –

on weight loss in obese individuals.

To study the effect of this type of

diet, researchers worked with 23 obese

volunteers who had an average age of

45 years and average body mass index, or

BMI, of 35 kg/m

2

. Between the hours of

10 am and 6 pm the dieters could eat any

type and quantity of food they desired,

but for the remaining 16 hours they could

only drink water or calorie-free beverages.

The study followed the participants for 12

weeks.

When compared to a matched

historical control group from a previous

weight loss trial on a different type of

fasting, the researchers found that those

who followed the time-restricted eating

diet consumed fewer calories, lost weight

and had improvements in blood pressure.

On average, participants consumed about

350 fewer calories, lost about 3% of their

body weight and saw their systolic blood

pressure decreased by about 7 mmHg. All

other measures, including fat mass, insulin

resistance and cholesterol, were similar to

the control group.

‘The take-home message from this

study is that there are options for weight

loss that do not include calorie counting

or eliminating certain foods,’ said Krista

Varady, associate professor of kinesiology

and nutrition in the UIC College of Applied

Health Sciences and corresponding author

on the study.

While this is the first study to look at

the 16:8 diet, named for its 16 hours of

fasting and its 8 hours of ‘feasting,’ Varady

says that the results align with previous

research on other types of intermittent

fasting diets.

‘The results we saw in this study are

similar to the results we’ve seen in other

studies on alternate day fasting, another

type of diet,’ Varady said, ‘but one of the

benefits of the 16:8 diet may be that it is

easier for people to maintain. We observed

that fewer participants dropped out of this

study when compared to studies on other

fasting diets.’

Varady says that while the research

indicates daily fasting works for weight

loss, there have not yet been studies to

determine if it works better than other

diets, although the researchers observed

the weight loss to be slightly less than what

has been observed in other intermittent

fasting diet studies.

‘These preliminary data offer promise

for the use of time-restricted feeding as

a weight loss technique in obese adults,

but longer-term, large-scale randomized

controlled trials (are required),’ Varady and

her colleagues write.

‘The 16:8 diet is another tool for weight

loss that we now have preliminary scientific

evidence to support,’ Varady said. ‘When

it comes to weight loss, people need to

find what works for them because even

small amounts of success can lead to

improvements in metabolic health.’

The Centres for Disease Control and

Prevention estimates that more than

one-third of adults in the USA have

obesity, which greatly increases the risk

of metabolic diseases such as coronary

heart disease and type 2 diabetes, and

that obesity is most prevalent among non-

Hispanic black individuals and middle-

aged adults.