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Central obesity is known to worsen cardiovascular outcomes, but it is uncertain how it affects the heart in adults born SGA. We aimed to assess whether central obesity makes young adults born SGA more susceptible to cardiac remodelling and dysfunction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>A perinatal cohort from a tertiary university hospital in Spain of young adults (30\u201340 years) randomly selected, 80 born SGA (birth weight below 10th centile) and 75 with normal birth weight (controls) was recruited. We studied the associations between SGA and central obesity (measured via the hip-to-waist ratio and used as a continuous variable) and cardiac regional structure and function, assessed by cardiac magnetic resonance using statistical shape analysis. Both SGA and waist-to-hip were highly associated to cardiac shape (F = 3.94, P &amp;lt; 0.001; F = 5.18, P &amp;lt; 0.001 respectively) with a statistically significant interaction (F = 2.29, P = 0.02). While controls tend to increase left ventricular end-diastolic volumes, mass and stroke volume with increasing waist-to-hip ratio, young adults born SGA showed a unique response with inability to increase cardiac dimensions or mass resulting in reduced stroke volume and exercise capacity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>SGA young adults show a unique cardiac adaptation to central obesity. These results support considering SGA as a risk factor that may benefit from preventive strategies to reduce cardiometabolic risk.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjci\/jeac262","type":"journal-article","created":{"date-parts":[[2023,1,16]],"date-time":"2023-01-16T09:29:15Z","timestamp":1673861355000},"page":"930-937","source":"Crossref","is-referenced-by-count":2,"title":["Association of central obesity with unique cardiac remodelling in young adults born small for gestational age"],"prefix":"10.1093","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8741-2566","authenticated-orcid":false,"given":"Gabriel","family":"Bernardino","sequence":"first","affiliation":[{"name":"CREATIS, UMR 5220, U1294, University Lyon, Universit\u00e9 Claude Bernard Lyon 1, INSA-Lyon, CNRS, Inserm , 21 Av. Jean Capelle O, Villeurbanne 69621 , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3130-6937","authenticated-orcid":false,"given":"\u00c1lvaro","family":"Sep\u00falveda-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"BCNatal\u2014Barcelona Center for Maternal-Fetal and Neonatal Medicine (Hospital Cl\u00ednic and Hospital Sant Joan de D\u00e9u), Institut Cl\u00ednic de Ginecologia Obstetricia i Neonatologia, Centre for Biomedical Research on Rare Diseases (CIBER-ER), Universitat de Barcelona , 1 Sabino Arana, Barcelona 08028 , Spain"},{"name":"Fetal Medicine Unit, Department of Obstetrics and Gynecology, Hospital Cl\u00ednico de la Universidad de Chile , 999 Dr. Carlos Lorca Tobar, Independencia, Regi\u00f3n Metropolitana, Santiago de Chile 13108 , Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8245-0811","authenticated-orcid":false,"given":"M\u00e9rida","family":"Rodr\u00edguez-L\u00f3pez","sequence":"additional","affiliation":[{"name":"BCNatal\u2014Barcelona Center for Maternal-Fetal and Neonatal Medicine (Hospital Cl\u00ednic and Hospital Sant Joan de D\u00e9u), Institut Cl\u00ednic de Ginecologia Obstetricia i Neonatologia, Centre for Biomedical Research on Rare Diseases (CIBER-ER), Universitat de Barcelona , 1 Sabino Arana, Barcelona 08028 , Spain"},{"name":"Public Health and Epidemiology Department & Clinical Specialties Department, Pontificia Universidad Javeriana Seccional Cali , Cl. 18 #118-250, Barrio Pance, Cali, Valle del Cauca 760031 , Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanna","family":"Prat-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Institut Cl\u00ednic Cardiovascular, Hospital Cl\u00ednic, Centre for Biomedical Research on CardioVascular Diseases (CIBERCV), Universitat de Barcelona , 170 Villarroel, Barcelona 08036 , Spain"},{"name":"Institut d'Investigacions Biom\u00e8diques August Pi i Sunyer , 149 Rosell\u00f3, Barcelona 08036 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Pajuelo","sequence":"additional","affiliation":[{"name":"Centre de Diagn\u00f2stic per la Imatge, Hospital Cl\u00ednic, Universitat de Barcelona , 170 Villarroel, Barcelona 08036 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosario J","family":"Perea","sequence":"additional","affiliation":[{"name":"Institut d'Investigacions Biom\u00e8diques August Pi i Sunyer , 149 Rosell\u00f3, Barcelona 08036 , Spain"},{"name":"Centre de Diagn\u00f2stic per la Imatge, Hospital Cl\u00ednic, Universitat de Barcelona , 170 Villarroel, Barcelona 08036 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria T","family":"Caralt","sequence":"additional","affiliation":[{"name":"Institut d'Investigacions Biom\u00e8diques August Pi i Sunyer , 149 Rosell\u00f3, Barcelona 08036 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Crovetto","sequence":"additional","affiliation":[{"name":"BCNatal\u2014Barcelona Center for Maternal-Fetal and Neonatal Medicine (Hospital Cl\u00ednic and Hospital Sant Joan de D\u00e9u), Institut Cl\u00ednic de Ginecologia Obstetricia i Neonatologia, Centre for Biomedical Research on Rare Diseases (CIBER-ER), Universitat de Barcelona , 1 Sabino Arana, Barcelona 08028 , Spain"},{"name":"Institut d'Investigacions Biom\u00e8diques August Pi i Sunyer , 149 Rosell\u00f3, Barcelona 08036 , Spain"},{"name":"Public Health and Epidemiology Department & Clinical Specialties Department, Pontificia Universidad Javeriana Seccional Cali , Cl. 18 #118-250, Barrio Pance, Cali, Valle del Cauca 760031 , Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9227-6826","authenticated-orcid":false,"given":"Miguel A","family":"Gonz\u00e1lez Ballester","sequence":"additional","affiliation":[{"name":"BCN Medtech, Department of Information and Communication Technologies, Universitat Pompeu Fabra , 122 T\u00e0nger, Barcelona 08018 , Spain"},{"name":"ICREA , 23 Passeig de Llu\u00eds Companys, Barcelona 08010 , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1300-4732","authenticated-orcid":false,"given":"Marta","family":"Sitges","sequence":"additional","affiliation":[{"name":"Institut Cl\u00ednic Cardiovascular, Hospital Cl\u00ednic, Centre for Biomedical Research on CardioVascular Diseases (CIBERCV), Universitat de Barcelona , 170 Villarroel, Barcelona 08036 , Spain"},{"name":"Institut d'Investigacions Biom\u00e8diques August Pi i Sunyer , 149 Rosell\u00f3, Barcelona 08036 , 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