scholarly journals Visceral adipose tissue influences on coronary artery calcification at young and middle-age groups using computed tomography angiography

2015 ◽  
Vol 5 (3) ◽  
pp. 83 ◽  
Author(s):  
RamiM Abazid ◽  
MObadah Kattea ◽  
Sawsan Sayed ◽  
Hanaa Saqqah ◽  
Mohammed Qintar ◽  
...  
2020 ◽  
Vol 103 (5) ◽  
pp. 434-441

Objective: To determine the relationship among body mass index (BMI), waist circumference (WC), abdominal fat area of visceral (VFA), and subcutaneous fat (SFA) on coronary artery calcium (CAC) using a multidetector computed tomography (MDCT) in asymptomatic Thai patients, and describe the prevalence of CAC in Thai patients. Materials and Methods: Participants (n=1,900, mean age 61 years, 64% women) who were moderate to high risk for coronary artery disease (CAD) according to the RAMA-EGAT score, underwent a MDCT for CAD screening between January and December 2012. BMI, WC, CAC score, abdominal fat area, and cardiovascular risk factors were determined for all patients. Results: The prevalence of CAC in all patients was 56.7% (67.9% men, 50.3% women). Using multivariate logistic regression analysis adjusting for traditional cardiovascular risk factors and abdominal fat measurement, VFA as visceral to total fat ratio represented an independent risk factor of the presence of CAC (OR 1.55, 95% CI 1.12 to 2.00, p=0.001). Similar relationships were observed across gender, age, WC, history hypertension, and serum fasting blood sugar (FBS). Conclusion: The authors found that visceral adiposity measured by MDCT is significantly associated with the presence of CAC as a marker of subclinical atherosclerosis in Thai patients. Keywords: Visceral adipose tissue, Coronary artery calcification, Computed tomography


Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2494
Author(s):  
Małgorzata Kałużna ◽  
Magdalena Czlapka-Matyasik ◽  
Aleksandra Bykowska-Derda ◽  
Jerzy Moczko ◽  
Marek Ruchala ◽  
...  

Visceral adipose tissue (VAT) accumulation, is a part of a polycystic ovary syndrome (PCOS) phenotype. Dual-energy x-ray absorptiometry (DXA) provides a gold standard measurement of VAT. This study aimed to compare ten different indirect methods of VAT estimation in PCOS women. The study included 154 PCOS and 68 age- and BMI-matched control women. Subjects were divided into age groups: 18–30 y.o. and 30–40 y.o. Analysis included: body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), waist/height 0.5 (WHT.5R), visceral adipose index (VAI), lipid accumulation product (LAP), and fat mass index (FMI). VAT accumulation, android-to-gynoid ratio (A/G), and total body fat (TBF) was measured by DXA. ROC analysis revealed that WHtR, WHT.5R, WC, BMI, and LAP demonstrated the highest predictive value in identifying VAT in the PCOS group. Lower cut-off values of BMI (23.43 kg/m2) and WHtR (0.45) were determined in the younger PCOS group and higher thresholds of WHtR (0.52) in the older PCOS group than commonly used. Measuring either: WHtR, WHT.5R, WC, BMI, or LAP, could help identify a subgroup of PCOS patients at high cardiometabolic risk. The current observations reinforce the importance of using special cut-offs to identify VAT, dependent on age and PCOS presence.


Data in Brief ◽  
2016 ◽  
Vol 7 ◽  
pp. 1658-1664
Author(s):  
Yoko Murakami ◽  
Yukihiro Nagatani ◽  
Masashi Takahashi ◽  
Mitsuru Ikeda ◽  
Itsuko Miyazawa ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Masayoshi Oikawa ◽  
Takashi Owada ◽  
Hiroyuki Yamauchi ◽  
Tomofumi Misaka ◽  
Hirofumi Machii ◽  
...  

Accumulation of visceral adipose tissue is associated with a risk of coronary artery disease (CAD). The aim of this study was to examine whether different types of adipose tissue depot may play differential roles in the progression of CAD. Consecutive 174 patients who underwent both computed tomography (CT) and echocardiography were analyzed. Cardiac and abdominal CT scans were performed to measure epicardial and abdominal visceral adipose tissue (EAT and abdominal VAT, resp.). Out of 174 patients, 109 and 113 patients, respectively, presented coronary calcification (CC) and coronary atheromatous plaque (CP). The EAT and abdominal VAT areas were larger in patients with CP compared to those without it. Interestingly, the EAT area was larger in patients with CC compared to those without CC, whereas no difference was observed in the abdominal VAT area between patients with CC and those without. Multivariable logistic regression analysis revealed that the presence of echocardiographic EAT was an independent predictor of CP and CC, but the abdominal VAT area was not. These results suggest that EAT and abdominal VAT may play differential pathological roles in CAD. Given the importance of CC and CP, we should consider the precise assessment of CAD when echocardiographic EAT is detected.


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