Epicardial fat thickness among neonates of diabetic mothers attending the neonatal intensive care unit at Fayoum University Hospital: a case control study
Abstract Background Using conventional echocardiography, this study aimed to evaluate the epicardial fat thickness (EFT) and its role in discriminating infants of diabetic mothers (IDMs) from those of non-diabetic mothers (INDMs) and to assess its prognostic role in IDMs. This case control study was...
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| Materiálatiipa: | Artihkal |
| Giella: | English |
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SpringerOpen
2024-03-01
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| Ráidu: | Egyptian Pediatric Association Gazette |
| Fáttát: | |
| Liŋkkat: | https://doi.org/10.1186/s43054-024-00254-6 |
| _version_ | 1827316162330886144 |
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| author | Ahmed M. Abd El Moktader Remon M. Yousef Ahmed Safwat Heba A. Borayek |
| author_facet | Ahmed M. Abd El Moktader Remon M. Yousef Ahmed Safwat Heba A. Borayek |
| author_sort | Ahmed M. Abd El Moktader |
| collection | DOAJ |
| description | Abstract Background Using conventional echocardiography, this study aimed to evaluate the epicardial fat thickness (EFT) and its role in discriminating infants of diabetic mothers (IDMs) from those of non-diabetic mothers (INDMs) and to assess its prognostic role in IDMs. This case control study was conducted at the Neonatology and Cardiology Units of Pediatric Department, Fayoum University Hospital, Egypt, between February and September 2023. A total of 54 neonates were enrolled into three groups: 18 IDMs with well-controlled diabetes mellitus (DM), 18 IDMs with poorly controlled DM, and 18 INDMs. Results The sensitivity, specificity, and cutoff of EFT were 100%, 100%, and 3.950 mm for detecting cases of IDMs and were 66.7%, 72.2%, and 5.100 mm for differentiating controlled from uncontrolled diabetic mothers, respectively. The interventricular septum in diastole (IVSd), interventricular septum in systole (IVSs), estimated pulmonary artery pressure (PAP), left ventricle (LV) Tei index, and isovolumetric relaxation time (IVRT) of LV all showed a positive correlation with EFT (r = 0.35, 0.31, 0.41, 0.34, and 0.39; P = 0.009, 0.025, 0.002, 0.01, and 0.003; respectively). There was a significant negative correlation between EFT and left ventricular internal dimensions in diastole (LVIDd) and left ventricular internal dimensions in systole (LVIDs) (r = − 0.44 and 0.42, P = 0.001 and 0.001). Regarding tissue Doppler, there was a significantly higher Tei index in group I cases compared to control (0.59 ± 0.10 vs. 0.49 ± 0.09, P < 0.001). Conclusions The EFT is higher in IDMs than in INDMs, with a positive correlation with birth weight, IVSd, IVSs, Tei index of mitral, IVRT, and ESPAP and a negative correlation with LVIDd and LVIDs. Neonatal EFT can be used as one of the helpful parameters to detect IDMs. Also, it may be used as one of the prognostic factors in IDMs as it is positively correlated with the diastolic function of the LV. |
| first_indexed | 2024-04-24T23:08:58Z |
| format | Article |
| id | doaj.art-26929b1703cd4fd092aa900ae4fe97d4 |
| institution | Directory Open Access Journal |
| issn | 2090-9942 |
| language | English |
| last_indexed | 2024-04-24T23:08:58Z |
| publishDate | 2024-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Pediatric Association Gazette |
| spelling | doaj.art-26929b1703cd4fd092aa900ae4fe97d42024-03-17T12:18:26ZengSpringerOpenEgyptian Pediatric Association Gazette2090-99422024-03-0172111010.1186/s43054-024-00254-6Epicardial fat thickness among neonates of diabetic mothers attending the neonatal intensive care unit at Fayoum University Hospital: a case control studyAhmed M. Abd El Moktader0Remon M. Yousef1Ahmed Safwat2Heba A. Borayek3Department of Pediatrics, Faculty of Medicine, Fayoum UniversityDepartment of Pediatrics, Faculty of Medicine, Fayoum UniversityDepartment of Pediatrics, Faculty of Medicine, Fayoum UniversityDepartment of Pediatrics, Faculty of Medicine, Fayoum UniversityAbstract Background Using conventional echocardiography, this study aimed to evaluate the epicardial fat thickness (EFT) and its role in discriminating infants of diabetic mothers (IDMs) from those of non-diabetic mothers (INDMs) and to assess its prognostic role in IDMs. This case control study was conducted at the Neonatology and Cardiology Units of Pediatric Department, Fayoum University Hospital, Egypt, between February and September 2023. A total of 54 neonates were enrolled into three groups: 18 IDMs with well-controlled diabetes mellitus (DM), 18 IDMs with poorly controlled DM, and 18 INDMs. Results The sensitivity, specificity, and cutoff of EFT were 100%, 100%, and 3.950 mm for detecting cases of IDMs and were 66.7%, 72.2%, and 5.100 mm for differentiating controlled from uncontrolled diabetic mothers, respectively. The interventricular septum in diastole (IVSd), interventricular septum in systole (IVSs), estimated pulmonary artery pressure (PAP), left ventricle (LV) Tei index, and isovolumetric relaxation time (IVRT) of LV all showed a positive correlation with EFT (r = 0.35, 0.31, 0.41, 0.34, and 0.39; P = 0.009, 0.025, 0.002, 0.01, and 0.003; respectively). There was a significant negative correlation between EFT and left ventricular internal dimensions in diastole (LVIDd) and left ventricular internal dimensions in systole (LVIDs) (r = − 0.44 and 0.42, P = 0.001 and 0.001). Regarding tissue Doppler, there was a significantly higher Tei index in group I cases compared to control (0.59 ± 0.10 vs. 0.49 ± 0.09, P < 0.001). Conclusions The EFT is higher in IDMs than in INDMs, with a positive correlation with birth weight, IVSd, IVSs, Tei index of mitral, IVRT, and ESPAP and a negative correlation with LVIDd and LVIDs. Neonatal EFT can be used as one of the helpful parameters to detect IDMs. Also, it may be used as one of the prognostic factors in IDMs as it is positively correlated with the diastolic function of the LV.https://doi.org/10.1186/s43054-024-00254-6Infant of diabetic motherEpicardial fat thicknessTissue Doppler imaging |
| spellingShingle | Ahmed M. Abd El Moktader Remon M. Yousef Ahmed Safwat Heba A. Borayek Epicardial fat thickness among neonates of diabetic mothers attending the neonatal intensive care unit at Fayoum University Hospital: a case control study Egyptian Pediatric Association Gazette Infant of diabetic mother Epicardial fat thickness Tissue Doppler imaging |
| title | Epicardial fat thickness among neonates of diabetic mothers attending the neonatal intensive care unit at Fayoum University Hospital: a case control study |
| title_full | Epicardial fat thickness among neonates of diabetic mothers attending the neonatal intensive care unit at Fayoum University Hospital: a case control study |
| title_fullStr | Epicardial fat thickness among neonates of diabetic mothers attending the neonatal intensive care unit at Fayoum University Hospital: a case control study |
| title_full_unstemmed | Epicardial fat thickness among neonates of diabetic mothers attending the neonatal intensive care unit at Fayoum University Hospital: a case control study |
| title_short | Epicardial fat thickness among neonates of diabetic mothers attending the neonatal intensive care unit at Fayoum University Hospital: a case control study |
| title_sort | epicardial fat thickness among neonates of diabetic mothers attending the neonatal intensive care unit at fayoum university hospital a case control study |
| topic | Infant of diabetic mother Epicardial fat thickness Tissue Doppler imaging |
| url | https://doi.org/10.1186/s43054-024-00254-6 |
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