Tunc Suygun Emine, Vardar Yagli Naciye, Suygun Hakan
Vocational School of Health Services, Department of Therapy and Rehabilitation, Karamanoğlu Mehmetbey University, Karaman, Turkey.
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, 06100, Samanpazari, Ankara, Turkey.
J Hum Hypertens. 2025 Apr;39(4):274-278. doi: 10.1038/s41371-025-01002-y. Epub 2025 Mar 11.
Epicardial adipose tissue is associated with the development of cardiovascular disease and its increase is positively correlated with blood pressure elevation in hypertensive individuals. In the literature, being physically active has been shown to be effective in the treatment of hypertension and reduction of epicardial adipose tissue thickness. The aim of this study was to evaluate the relationship between epicardial adipose tissue thickness and sedentary time, physical activity level and physical performance in patients with hypertension. The physical and demographic characteristics of the 40 patients with hypertension were collected with sociodemographic form. Waist/hip circumference was measured with tape measure and epicardial adipose tissue thickness with echocardiography device. Physical activity levels and sedentary time were recorded via IPAQ-7. Physical performance was determined using the 30-s sit-and-stand test. There was a moderate negative correlation between epicardial adipose tissue thickness and IPAQ-7 score (rho: -0.568 p < 0.001) and a high negative correlation between epicardial adipose tissue thickness and sit-and-stand test score (rho: -0.794 p < 0.001). There was no relationship between epicardial adipose tissue thickness and daily sitting time, BMI, or hip circumference. There was moderate positive correlation between epicardial adipose tissue thickness and age (rho: 0.504 p: 0.001) and low positive correlation between waist circumference (rho: 0.322 p < 0.05).This study demonstrated that the epicardial adipose tissue thickness was negatively associated with activity and performance in hypertensive patients, but not with daily sitting time. These results underscore the importance of physical activity in the management and prevention of chronic diseases.
心外膜脂肪组织与心血管疾病的发生有关，其增加与高血压患者的血压升高呈正相关。在文献中，体育活动已被证明对治疗高血压和减少心外膜脂肪组织厚度有效。本研究的目的是评估高血压患者的心外膜脂肪组织厚度与久坐时间、身体活动水平和身体机能之间的关系。通过社会人口学表格收集了40例高血压患者的身体和人口统计学特征。用卷尺测量腰围/臀围，用超声心动图设备测量心外膜脂肪组织厚度。通过国际体力活动问卷简表（IPAQ-7）记录身体活动水平和久坐时间。使用30秒坐立试验测定身体机能。心外膜脂肪组织厚度与IPAQ-7评分之间存在中度负相关（rho值：-0.568，p<0.001），与坐立试验评分之间存在高度负相关（rho值：-0.794，p<0.001）。心外膜脂肪组织厚度与每日久坐时间、体重指数或臀围之间没有关系。心外膜脂肪组织厚度与年龄之间存在中度正相关（rho值：0.504，p：0.001），与腰围之间存在低度正相关（rho值：0.322，p<0.05）。本研究表明，高血压患者的心外膜脂肪组织厚度与活动及机能呈负相关，但与每日久坐时间无关。这些结果强调了体育活动在慢性病管理和预防中的重要性。
