Epicardial and subcutaneous adipose tissue in Indigenous and non-Indigenous individuals: Implications for cardiometabolic diseases.


Journal

Obesity research & clinical practice
ISSN: 1871-403X
Titre abrégé: Obes Res Clin Pract
Pays: Netherlands
ID NLM: 101303911

Informations de publication

Date de publication:
Historique:
received: 18 11 2019
revised: 07 12 2019
accepted: 07 12 2019
pubmed: 17 12 2019
medline: 23 1 2021
entrez: 17 12 2019
Statut: ppublish

Résumé

Obesity is prevalent in Indigenous populations who exhibit significant differences in body fat composition. While excess regional adiposity can be partially inferred from clinical measurements, noninvasive imaging allows for direct quantification of specific fat depots. Epicardial fat is a visceral adipose tissue that has been strongly associated with cardiometabolic disease in other populations. However, this ectopic fat depot has yet to be characterized in Indigenous populations. We studied 100 individuals matched for ethnicity (Indigenous Australian and Caucasian descent), age, gender, and body mass index. Epicardial and subcutaneous adipose tissue volumes was quantified with computed tomography. Associations of ethnicity and adiposity measures were assessed using linear regression. Indigenous individuals had significantly greater epicardial fat volumes compared to non-Indigenous individuals (95.8±37.5 vs 54.1±27.6cm Indigenous individuals have significantly greater epicardial fat, but similar subcutaneous fat volumes, compared to non-Indigenous individuals. This finding extends previous observations on body fat composition differences in these individuals, and supports the possibility that epicardial fat and other visceral adipose depots may be contributing to the greater burden of cardiovascular disease in Indigenous populations.

Sections du résumé

BACKGROUND
Obesity is prevalent in Indigenous populations who exhibit significant differences in body fat composition. While excess regional adiposity can be partially inferred from clinical measurements, noninvasive imaging allows for direct quantification of specific fat depots. Epicardial fat is a visceral adipose tissue that has been strongly associated with cardiometabolic disease in other populations. However, this ectopic fat depot has yet to be characterized in Indigenous populations.
METHODS
We studied 100 individuals matched for ethnicity (Indigenous Australian and Caucasian descent), age, gender, and body mass index. Epicardial and subcutaneous adipose tissue volumes was quantified with computed tomography. Associations of ethnicity and adiposity measures were assessed using linear regression.
RESULTS
Indigenous individuals had significantly greater epicardial fat volumes compared to non-Indigenous individuals (95.8±37.5 vs 54.1±27.6cm
CONCLUSIONS
Indigenous individuals have significantly greater epicardial fat, but similar subcutaneous fat volumes, compared to non-Indigenous individuals. This finding extends previous observations on body fat composition differences in these individuals, and supports the possibility that epicardial fat and other visceral adipose depots may be contributing to the greater burden of cardiovascular disease in Indigenous populations.

Identifiants

pubmed: 31839475
pii: S1871-403X(19)30698-2
doi: 10.1016/j.orcp.2019.12.001
pii:
doi:

Types de publication

Comparative Study Letter Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

99-102

Informations de copyright

Crown Copyright © 2019. Published by Elsevier Ltd. All rights reserved.

Auteurs

David F Sun (DF)

Centre for Heart Rhythm Disorders, University of Adelaide and the Royal Adelaide Hospital, Adelaide, Australia.

Nadarajah Kangaharan (N)

Department of Cardiology, Alice Springs Hospital, Alice Springs, Australia.

Benedict Costello (B)

Baker IDI Heart & Diabetes Institute and Alfred Hospital, Melbourne, Australia.

Stephen J Nicholls (SJ)

MonashHEART, Monash University, Melbourne, Australia.

Connor A Emdin (CA)

Massachusetts General Hospital, Harvard Medical School, And Broad Institute, Massachusetts Institute of Technology, USA.

Rexson Tse (R)

Department of Anatomical Pathology, Auckland City Hospital, Auckland, New Zealand.

Celine Gallagher (C)

Centre for Heart Rhythm Disorders, University of Adelaide and the Royal Adelaide Hospital, Adelaide, Australia.

Amrina Kaur (A)

Department of Cardiology, Alice Springs Hospital, Alice Springs, Australia.

Kurt C Roberts-Thomson (KC)

Centre for Heart Rhythm Disorders, University of Adelaide and the Royal Adelaide Hospital, Adelaide, Australia.

Rajiv Mahajan (R)

Centre for Heart Rhythm Disorders, University of Adelaide and the Royal Adelaide Hospital, Adelaide, Australia.

Dennis H Lau (DH)

Centre for Heart Rhythm Disorders, University of Adelaide and the Royal Adelaide Hospital, Adelaide, Australia.

Prashanthan Sanders (P)

Centre for Heart Rhythm Disorders, University of Adelaide and the Royal Adelaide Hospital, Adelaide, Australia.

Christopher X Wong (CX)

Centre for Heart Rhythm Disorders, University of Adelaide and the Royal Adelaide Hospital, Adelaide, Australia. Electronic address: c.wong@adelaide.edu.au.

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Classifications MeSH