3 173

Visceral fat thickness is associated with carotid atherosclerosis in peritoneal dialysis patients

Authors
 Mi Jung Lee  ;  Dong Ho Shin  ;  Seung Jun Kim  ;  Hyung Jung Oh  ;  Dong Eun Yoo  ;  Jwa-Kyung Kim  ;  Jung Tak Park  ;  Seung Hyeok Han  ;  Shin-Wook Kang  ;  Kyu Hun Choi  ;  Tae-Hyun Yoo 
Citation
 Obesity, Vol.20(6) : 1301-1307, 2012 
Journal Title
 Obesity 
ISSN
 1930-7381 
Issue Date
2012
Abstract
Visceral fat has been known to associate with atherosclerosis, inflammation, and insulin resistance. However, the influence of visceral fat on cardiovascular disease (CVD) in peritoneal dialysis (PD) patients has never been elucidated. We investigated whether visceral fat thickness (VFT) has a predictive role in carotid atherosclerosis determined by carotid intima-media thickness (cIMT) in PD patients. A cross-sectional study was undertaken in 88 prevalent PD patients. BMI and waist circumference (WC) were measured as anthropometric indexes of obesity. VFT and subcutaneous fat thickness (SFT) were determined by sonographic measurement of abdominal fat. Carotid atherosclerosis was defined as increased cIMT (>1.0 mm) or presence of plaque. Thirty-two (36.3%) patients had carotid atherosclerosis. Patients with carotid atherosclerosis showed significantly higher VFT, BMI, and WC. In univariate logistic analysis, BMI, WC, and VFT except SFT were significant risk factors of carotid atherosclerosis. However, multivariate analysis revealed VFT was an independent factor associated with carotid atherosclerosis after adjusting for demographic, biochemical parameters, and anthropometric indexes (per 1 mm increase, odds ratio (OR) = 2.294, 95% confidence interval: 1.048-5.021, P = 0.038). When the patients were divided into three groups according to VFT, log high sensitivity C-reactive protein (hs-CRP), and homeostasis model assessment-insulin resistance (HOMA(IR)) were both higher in the third tertile compared to other tertiles. In conclusion, VFT, not SFT, is independently associated with carotid atherosclerosis in PD patients. Therefore sonographic measurement of VFT could be useful to stratify the risk of cardiovascular disease in PD patients.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91580
Full Text
http://onlinelibrary.wiley.com/doi/10.1038/oby.2011.245/abstract
DOI
10.1038/oby.2011.245
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
강신욱(Kang, Shin Wook) ORCID logo https://orcid.org/0000-0002-5677-4756
김승준(Kim, Seung Jun)
김좌경(Kim, Jwa Kyung)
박정탁(Park, Jung Tak)
신동호(Shin, Dong Ho)
오형중(Oh, Hyung Jung)
유동은(Yoo, Dong Eun)
유태현(Yoo, Tae Hyun)
이미정(Lee, Mi Jung)
최규헌(Choi, Kyu Hun)
한승혁(Han, Seung Hyeok)
Export
RIS (EndNote)
XLS (Excel)
XML
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse