This study evaluated right ventricular (RV) functional changes using cardiac magnetic resonance (CMR) tissue tracking and the association of these changes with fat distributions in obese adults with no clinical signs or comorbidities. The results showed that CMR tissue tracking can detect subclinical RV dysfunction with preserved RV ejection fraction in obese adults. Central obesity, represented by android fat, trunk fat, and the android/gynoid fat mass ratio, had a deleterious effect on RV subclinical dysfunction, whereas peripheral obesity (gynoid fat) might have had a protective effect. These findings could contribute to more precise obesity management in clinical practice.
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