Yalçın Kadihan, Elibol Özlem
Department of Radiology, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Istanbul, Turkey.
Pol J Radiol. 2020 Feb 5;85:e62-e66. doi: 10.5114/pjr.2020.93429. eCollection 2020.
To investigate the relationship between renal sinus lipomatosis (RSL) and abdominal visceral and subcutaneous fat accumulation and metabolic risk factors.
A total 73 subjects were included in the study. The study group consisted of 35 cases with RSL and 38 control cases matched for age and sex. Total, visceral, and subcutaneous abdominal fat areas were measured by abdominal computed tomography (CT). The relationship between RSL and visceral abdominal fat, subcutaneous abdominal fat, total abdominal fat, high total cholesterol level, high low-density lipoprotein (LDL) cholesterol level, high very low-density lipoprotein (VLDL) cholesterol level, high triglyceride level, low high-density lipoprotein (HDL) cholesterol level, impaired fasting glucose level, type 2 diabetes mellitus, hypertension (HT), and metabolic syndrome (MS) were investigated.
RSL existence was observed at significantly higher levels statistically in cases with low HDL cholesterol level, high LDL cholesterol level, high VLDL cholesterol level, high triglyceride level, high total cholesterol level, and high glucose levels. In the presence of MS, DM, and HT, the presence of RSL was at a significantly higher level according to the statistics. Logistic regression analysis was performed to examine the factors affecting RSL presence together. It was observed that the model formed as the result of the evaluation using the backward method is statistically significant. Furthermore, the variables of age, high total cholesterol level, high glucose level, and abdominal subcutaneous fat were included in the obtained model.
Our study demonstrated an association between the presence of RSL and age, high total cholesterol level, high glucose level, and subcutaneous fat.
探讨肾窦脂肪增多症(RSL)与腹部内脏及皮下脂肪堆积以及代谢危险因素之间的关系。
本研究共纳入73名受试者。研究组由35例RSL患者和38例年龄及性别匹配的对照病例组成。通过腹部计算机断层扫描(CT)测量腹部总脂肪、内脏脂肪和皮下脂肪面积。研究RSL与腹部内脏脂肪、腹部皮下脂肪、腹部总脂肪、高总胆固醇水平、高低密度脂蛋白(LDL)胆固醇水平、高极低密度脂蛋白(VLDL)胆固醇水平、高甘油三酯水平、低高密度脂蛋白(HDL)胆固醇水平、空腹血糖受损水平、2型糖尿病、高血压(HT)和代谢综合征(MS)之间的关系。
在低HDL胆固醇水平、高LDL胆固醇水平、高VLDL胆固醇水平、高甘油三酯水平、高总胆固醇水平和高血糖水平的病例中,RSL的存在在统计学上显著更高。在存在MS、DM和HT的情况下,RSL的存在根据统计学显著更高。进行逻辑回归分析以共同检查影响RSL存在的因素。观察到使用向后法评估结果形成的模型具有统计学意义。此外,年龄、高总胆固醇水平、高血糖水平和腹部皮下脂肪变量被纳入所得模型。
我们的研究表明RSL的存在与年龄、高总胆固醇水平、高血糖水平和皮下脂肪之间存在关联。