Abstract
Context: Regional fat distribution rather than overall obesity has been recognized as important tounderstanding the link between obesity and cardiovascular disease.
Objective:We examined the associations of abdominal visceral adipose tissue (VAT) and abdominalsubcutaneous adipose tissue (SAT) with cardiovascular risk factors in a Caucasian population ofmenand women with normal glucose tolerance, prediabetes, or screen-detected diabetes.
Design, Setting, and Participants: The study was based on cross-sectional analysis of data from 1412adults age 45– 80 years. VAT and SAT were assessed by ultrasound. The associations of VAT and SATwith blood pressure and lipids were examined by linear regression analysis adjusted for age, sex,smoking, alcohol, physical activity, glucose tolerance status (GTS), medication use, and body massindex. Effect modification by GTS and sex was examined, and stratified analyses performed.
Results: Independent of SAT and overall obesity, VAT was associated with higher triglyceride andlower high-density lipoprotein (HDL) cholesterol levels in both men and women and additionallyassociated with higher total cholesterol in men. SAT was independently associated with highertotal cholesterol and low-density lipoprotein cholesterol levels in both sexes, and SAT was additionallyassociated with higher triglyceride and lower HDL cholesterol levels in women andwith higher blood pressure in participants with diabetes.
Conclusion: Both abdominal VAT and SAT are independent of overall obesity associated withcardiovascular risk in a population of men and women at low to high risk of diabetes or withscreen-detected diabetes
Objective:We examined the associations of abdominal visceral adipose tissue (VAT) and abdominalsubcutaneous adipose tissue (SAT) with cardiovascular risk factors in a Caucasian population ofmenand women with normal glucose tolerance, prediabetes, or screen-detected diabetes.
Design, Setting, and Participants: The study was based on cross-sectional analysis of data from 1412adults age 45– 80 years. VAT and SAT were assessed by ultrasound. The associations of VAT and SATwith blood pressure and lipids were examined by linear regression analysis adjusted for age, sex,smoking, alcohol, physical activity, glucose tolerance status (GTS), medication use, and body massindex. Effect modification by GTS and sex was examined, and stratified analyses performed.
Results: Independent of SAT and overall obesity, VAT was associated with higher triglyceride andlower high-density lipoprotein (HDL) cholesterol levels in both men and women and additionallyassociated with higher total cholesterol in men. SAT was independently associated with highertotal cholesterol and low-density lipoprotein cholesterol levels in both sexes, and SAT was additionallyassociated with higher triglyceride and lower HDL cholesterol levels in women andwith higher blood pressure in participants with diabetes.
Conclusion: Both abdominal VAT and SAT are independent of overall obesity associated withcardiovascular risk in a population of men and women at low to high risk of diabetes or withscreen-detected diabetes
| Original language | English |
|---|---|
| Journal | The Journal of Clinical Endocrinology & Metabolism |
| Volume | 100 |
| Issue number | 9 |
| Pages (from-to) | 3340-3347 |
| Number of pages | 8 |
| ISSN | 0021-972X |
| DOIs | |
| Publication status | Published - 1 Sept 2015 |
