Relationship of para- and perirenal fat and epicardial fat with metabolic parameters in overweight and obese subjects.


Journal

Eating and weight disorders : EWD
ISSN: 1590-1262
Titre abrégé: Eat Weight Disord
Pays: Germany
ID NLM: 9707113

Informations de publication

Date de publication:
Feb 2019
Historique:
received: 27 02 2018
accepted: 18 06 2018
pubmed: 30 6 2018
medline: 22 5 2019
entrez: 30 6 2018
Statut: ppublish

Résumé

The accumulation of visceral body fat, has been shown to be associated with higher risk of metabolic and cardiovascular disease. This study was addressed to examine whether para- and perirenal fat thickness and epicardial fat thickness were correlated with anthropometric- and cardiometabolic risk factors. A cohort of 102 uncomplicated overweight and obese patients was examined. BMI, waist circumference, blood pressure, fasting insulin, glucose, triglycerides, total cholesterol, HDL-cholesterol, LDL-cholesterol serum levels, and insulin resistance (assessed by HOMA PUFT was positively correlated with BMI (p < 0.001), waist circumference (p < 0.001), insulin (p < 0.001), HOMA This study shows that accumulation of central fat in apparently healthy overweight and obese subjects is associated to a simultaneous increase of pararenal, perirenal and epicardial fat. Moreover, it shows that only para- and perirenal fat is independently associated to insulin resistance and lower HDL-cholesterol, and only epicardial fat is independently associated to higher LDL cholesterol. Level of evidence Level V, cross-sectional descriptive study.

Sections du résumé

BACKGROUND BACKGROUND
The accumulation of visceral body fat, has been shown to be associated with higher risk of metabolic and cardiovascular disease. This study was addressed to examine whether para- and perirenal fat thickness and epicardial fat thickness were correlated with anthropometric- and cardiometabolic risk factors.
METHODS METHODS
A cohort of 102 uncomplicated overweight and obese patients was examined. BMI, waist circumference, blood pressure, fasting insulin, glucose, triglycerides, total cholesterol, HDL-cholesterol, LDL-cholesterol serum levels, and insulin resistance (assessed by HOMA
RESULTS RESULTS
PUFT was positively correlated with BMI (p < 0.001), waist circumference (p < 0.001), insulin (p < 0.001), HOMA
CONCLUSIONS CONCLUSIONS
This study shows that accumulation of central fat in apparently healthy overweight and obese subjects is associated to a simultaneous increase of pararenal, perirenal and epicardial fat. Moreover, it shows that only para- and perirenal fat is independently associated to insulin resistance and lower HDL-cholesterol, and only epicardial fat is independently associated to higher LDL cholesterol. Level of evidence Level V, cross-sectional descriptive study.

Identifiants

pubmed: 29956099
doi: 10.1007/s40519-018-0532-z
pii: 10.1007/s40519-018-0532-z
doi:

Substances chimiques

Blood Glucose 0
Lipids 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

67-72

Commentaires et corrections

Type : CommentIn

Références

J Clin Endocrinol Metab. 2000 Mar;85(3):1151-8
pubmed: 10720054
Diabetes Care. 2000 Jan;23(1):57-63
pubmed: 10857969
Circulation. 2002 Dec 17;106(25):3143-421
pubmed: 12485966
Obes Res. 2003 Feb;11(2):304-10
pubmed: 12582228
Int J Obes Relat Metab Disord. 2004 Dec;28 Suppl 4:S12-21
pubmed: 15592481
Clin Endocrinol (Oxf). 2007 Aug;67(2):265-9
pubmed: 17547687
Circulation. 2007 Jul 3;116(1):39-48
pubmed: 17576866
Heart. 2008 Mar;94(3):e7
pubmed: 17923467
J Am Soc Echocardiogr. 2009 Dec;22(12):1311-9; quiz 1417-8
pubmed: 19944955
Nephrol Dial Transplant. 2011 Mar;26(3):892-8
pubmed: 20798120
Eur J Cardiovasc Prev Rehabil. 2011 Apr;18(2):240-7
pubmed: 21450671
Circulation. 2011 Jun 14;123(23):2749-69
pubmed: 21555711
Circulation. 2011 Aug 16;124(7):840-50
pubmed: 21844090
Atherosclerosis. 2012 Jan;220(1):139-44
pubmed: 22056214
Circulation. 2011 Dec 13;124(24):e837-41
pubmed: 22156000
Ann N Y Acad Sci. 2012 Aug;1264:20-35
pubmed: 22612409
Circulation. 2012 Sep 4;126(10):1301-13
pubmed: 22949540
Am J Cardiol. 2013 Jan 1;111(1):73-8
pubmed: 23040591
J Obes. 2013;2013:291546
pubmed: 24073332
Obesity (Silver Spring). 2014 Feb;22(2):332-6
pubmed: 24115757
Endocrine. 2014 May;46(1):8-15
pubmed: 24272604
Horm Metab Res. 2014 Jul;46(8):587-90
pubmed: 24557503
Horm Mol Biol Clin Investig. 2015 Apr;22(1):7-18
pubmed: 25816312
Nat Rev Endocrinol. 2015 Jun;11(6):363-71
pubmed: 25850659
Obesity (Silver Spring). 2015 Jun;23(6):1267-78
pubmed: 25959145
BMC Cardiovasc Disord. 2015 Sep 30;15:108
pubmed: 26419359
Angiology. 2016 Nov;67(10):970-971
pubmed: 27178719
J Am Heart Assoc. 2017 Aug 23;6(8):null
pubmed: 28838916
Int J Obes (Lond). 2018 Feb;42(2):163-168
pubmed: 28852208
Int J Obes Relat Metab Disord. 1997 Jul;21(7):527-535
pubmed: 9226481

Auteurs

Carlo Manno (C)

Section of Nephrology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy. carlo.manno@uniba.it.

Nicla Campobasso (N)

Section of Nephrology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

Adele Nardecchia (A)

Clinical Nutrition Unit, Medical Oncology, Department of Biomedical Science and Human Oncology, School of Medicine, University of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

Vincenzo Triggiani (V)

Section of Endocrinology and Metabolic Diseases, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Piazza Giulio Cesare 11, 70124 Bari, Italy.

Roberta Zupo (R)

Clinical Nutrition Unit, Medical Oncology, Department of Biomedical Science and Human Oncology, School of Medicine, University of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

Loreto Gesualdo (L)

Section of Nephrology, Department of Emergency and Organ Transplantation, School of Medicine, University of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

Franco Silvestris (F)

Clinical Nutrition Unit, Medical Oncology, Department of Biomedical Science and Human Oncology, School of Medicine, University of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

Giovanni De Pergola (G)

Clinical Nutrition Unit, Medical Oncology, Department of Biomedical Science and Human Oncology, School of Medicine, University of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

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Classifications MeSH