身体成分参数与冠状动脉疾病的相关性。
Body composition parameters as correlates of coronary artery disease.
作者信息
Singh Rohit, Prakash M, Dubey Radhika, Roy Kaushik, Kotwal Atul, Mahen Ajoy
机构信息
Department of Community Medicine, Armed Forces Medical College, Pune, India.
出版信息
Indian J Med Res. 2013 Dec;138(6):1016-9.
BACKGROUND & OBJECTIVES: Obesity is a major risk factor for cardiovascular disease (CAD). This study was aimed to assess the risk for CAD determined by certain new and conventional body composition parameters such as visceral fat area (VFA), body mass index (BMI), waist to hip ratio (WHR), etc.
METHODS
We did an age and sex matched case-control study of acute myocardial infarction with 100 participants in a tertiary care hospital (50 cases and 50 controls) representing the serving army personnel. The relation between VFA, per cent body fat (PBF), BMI, waist and hip circumferences, and WHR to CAD was assessed.
RESULTS
The study showed that there was a significantly increased risk for CAD associated with VFA (OR: 5.67; 95% CI: 1.96, 16.95), WHR (7.07; 2.19, 24.27), waist circumference (WC) (2.63; 1.05, 6.66) and BMI (2.53; 1.03, 6.26).
INTERPRETATION & CONCLUSIONS: In conclusion, increased VFA, BMI, WHR and WC showed an association with CAD. VFA is a good index for assessing not only visceral fat accumulation but also cardiovascular risk factors.
背景与目的
肥胖是心血管疾病（CAD）的主要危险因素。本研究旨在评估由某些新的和传统的身体成分参数，如内脏脂肪面积（VFA）、体重指数（BMI）、腰臀比（WHR）等所确定的CAD风险。
方法
我们在一家三级护理医院对100名参与者进行了年龄和性别匹配的急性心肌梗死病例对照研究（50例病例和50例对照），这些参与者均为在职军人。评估了VFA、体脂百分比（PBF）、BMI、腰围和臀围以及WHR与CAD之间的关系。
结果
研究表明，与VFA（比值比：5.67；95%置信区间：1.96，16.95）、WHR（7.07；2.19，24.27）、腰围（WC）（2.63；1.05，6.66）和BMI（2.53；1.03，6.26）相关的CAD风险显著增加。
解读与结论
总之，VFA、BMI、WHR和WC的增加与CAD有关。VFA不仅是评估内脏脂肪堆积的良好指标，也是评估心血管危险因素的良好指标。
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