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计算机断层扫描上内脏脂肪面积与皮下脂肪面积之比和脂质蓄积产物作为心血管风险指标的相关性

The Correlation between the Ratio of Visceral Fat Area to Subcutaneous Fat Area on Computed Tomography and Lipid Accumulation Product as Indexes of Cardiovascular Risk.

作者信息

Kwon SoHee, Han A Lum

机构信息

Professional Graduate School of Oriental Medicine, Wonkwang University, Iksan, Korea.

Department of Family Medicine, Wonkwang University Hospital, Iksan, Korea.

出版信息

J Obes Metab Syndr. 2019 Sep;28(3):186-193. doi: 10.7570/jomes.2019.28.3.186. Epub 2019 Mar 30.

Abstract

BACKGROUND

Visceral obesity and cardiovascular disease are closely related. Research on relevant indexes of cardiovascular disease is particularly important. One of these indexes is lipid accumulation product (LAP). However, the relationship between LAP and the ratio of visceral fat area to subcutaneous fat area (V/S ratio) remains unclear.

METHODS

Individuals who visited the university hospital health promotion center and underwent abdominal computed tomography (CT) were included in the study. We analyzed the V/S ratio obtained using CT with cardiovascular factors and indexes. Standardized coefficients were used to obtain uniform units of all independent variables, and the relationship between LAP and V/S ratio was determined using multiple logistic regression analysis.

RESULTS

A positive correlation between the V/S ratio and LAP was observed even after adjustment for age, smoking history, alcohol drinking history, and exercise (<0.001). The highest quartile of LAP was independently associated with abdominal obesity (odds ratio [OR], 1.160; 95% confidence interval [CI], 1.093-1.232) and visceral fat ≥100 cm (OR, 1.018; 95% CI, 1.010-1.026), but not with hypertension or diabetes.

CONCLUSION

LAP is closely related to the V/S ratio and can be used to predict the condition of visceral fat tissue.

摘要

背景

内脏肥胖与心血管疾病密切相关。对心血管疾病相关指标的研究尤为重要。其中一个指标是脂质堆积产物(LAP)。然而,LAP与内脏脂肪面积与皮下脂肪面积之比(V/S比)之间的关系仍不清楚。

方法

本研究纳入了到大学医院健康促进中心就诊并接受腹部计算机断层扫描(CT)的个体。我们分析了通过CT获得的V/S比与心血管因素和指标之间的关系。使用标准化系数来获得所有自变量的统一单位,并使用多元逻辑回归分析确定LAP与V/S比之间的关系。

结果

即使在调整年龄、吸烟史、饮酒史和运动因素后,仍观察到V/S比与LAP之间存在正相关(<0.001)。LAP最高四分位数与腹部肥胖(优势比[OR],1.160;95%置信区间[CI],1.093 - 1.232)和内脏脂肪≥100 cm²(OR,1.018;95%CI,1.010 - 1.026)独立相关,但与高血压或糖尿病无关。

结论

LAP与V/S比密切相关,可用于预测内脏脂肪组织状况。

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