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Med."],"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>This study was aimed to investigate the association of cardiometabolic and ECG markers with left ventricular diastolic dysfunction (LVDD) in physically active Asian young adults, which has not been clarified in prior studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>A total of 2,019 men aged 18\u201343 years were included from the military in Taiwan. All the subjects underwent anthropometric, hemodynamic, and blood metabolic marker measurements. Physical fitness was investigated by time for a 3,000-m run. LVDD was defined by presence of either one of the three echocardiographic criteria: (1) mitral inflow E\/A ratio &amp;lt; 0.8 with a peak E velocity of &amp;gt; 50 cm\/s, (2) tissue Doppler lateral mitral annulus e\u2032 &amp;lt;10 cm\/s, and (3) E\/e\u2032 ratio &amp;gt; 14. Multiple logistic regressions with adjustments for age, physical fitness, and pulse rate were conducted to determine the association of cardiometabolic and ECG markers with LVDD. The prevalence of LVDD was estimated to be 4.16% (<jats:italic>N<\/jats:italic> = 84). Of the cardiometabolic markers, central obesity, defined as waist circumference \u2265 90 cm, was the only independent marker of LVDD [odds ratio (OR) and 95% confidence interval: 2.97 (1.63\u20135.41)]. There were no association for hypertension, prediabetes, and dyslipidemia. Of the ECG markers, left atrial enlargement and incomplete right bundle branch block\/intraventricular conduction delay were the independent ECG markers of LVDD [OR: 2.98 (1.28\u20136.94) and 1.94 (1.09\u20133.47), respectively]. There was borderline association for Cornell-based left ventricular hypertrophy and inferior T wave inversion [OR: 1.94 (0.97\u20133.63) and 2.44 (0.98\u20136.08), respectively].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In the physically active Asian young male adults, central obesity and some ECG markers for left heart abnormalities were useful to identify LVDD.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fcvm.2022.941912","type":"journal-article","created":{"date-parts":[[2022,7,27]],"date-time":"2022-07-27T05:13:58Z","timestamp":1658898838000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Electrocardiographic and cardiometabolic risk markers of left ventricular diastolic dysfunction in physically active adults: CHIEF heart study"],"prefix":"10.3389","volume":"9","author":[{"given":"Pang-Yen","family":"Liu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kun-Zhe","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei-Chun","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl J.","family":"Lavie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gen-Min","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,7,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1033","DOI":"10.1007\/s00125-010-1682-3","article-title":"Diastolic dysfunction in diabetes and the metabolic syndrome: promising potential for diagnosis and prognosis","volume":"53","author":"von Bibra","year":"2010","journal-title":"Diabetologia"},{"key":"B2","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1016\/j.jchf.2017.08.005","article-title":"Wedge pressure rather than left ventricular end-diastolic pressure predicts outcome in heart failure with preserved ejection fraction","volume":"5","author":"Mascherbauer","year":"2017","journal-title":"JACC Heart Fail."},{"key":"B3","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1136\/hrt.2008.159020","article-title":"Evolution and outcome of diastolic dysfunction","volume":"95","author":"Achong","year":"2009","journal-title":"Heart."},{"key":"B4","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1001\/jama.289.2.194","article-title":"Burden of systolic and diastolic ventricular dysfunction in the community: appreciating the scope of the heart failure epidemic","volume":"289","author":"Redfield","year":"2003","journal-title":"JAMA."},{"key":"B5","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1016\/S0195-668X(02)00428-1","article-title":"Prevalence of left ventricular diastolic dysfunction in the community. 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