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腔型瘦削的典型与代谢概括征突发风险的相干

2018-10-09 04:05  来源:未知   字号:T | T

  【摘要】 目的 讨论不一的腔型瘦削典型与代谢概括征(MS)突发风险的相干。方法 选择到微少拥有壹项心血管代谢风险要斋的患者846例,运用CT测腔壁和腔内脂肪面积,同时测腰围、血压、空腔血糖、空腔胰岛斋和血脂谱,依照能否腰围超标注和侵犯内贼脏脂肪型瘦削(VFO)分为四个亚组:匪瘦削组,凹隐性VFO组,假性VFO组和VFO组,比较不一腔型瘦削典型患者的MS风险。 结实 (1)男性凹隐性VFO检出产比值(51例,10.9%)清楚高于女性(18例,4.8%)。(2)男性凹隐性VFO组MS罹患比值(22例,43.1%)清楚高于匪瘦削组(47例,25.0%),低于假性VFO组(37例,78.7%)和VFO组(163例,88.6%)。假性VFO组MS罹患比值清楚高于匪瘦削组和凹隐性VFO组。(3)女性凹隐性VFO组MS罹患比值(6例,33.3%)与匪瘦削组(48例,31.2%)无清楚差异,但清楚低于假性VFO组(74例,78.7%)和VFO组(100例,90.9%)。假性VFO组的MS罹患比值高于匪瘦削组和凹隐性VFO组,与VFO组无清楚差异。(4)腰围添加以和腔内脂肪堆是突发MS的孤立风险要斋(OR 1.13(1.10~1.17),1.01(1.01~1.02),P<0.001)。 定论 不一腔型瘦削典型对MS风险拥有清楚影响,凹隐性VFO和假性VFO患者异样拥有较高的心血管代谢风险。

  [bet36体育在线官网] 代谢概括征; 腔型瘦削; 凹隐性内贼脏脂肪性瘦削; 假性内贼脏脂肪性瘦削

  Relationship between different type of abdominal obesity and risk of metabolic syndrome.

  HE Hong-bo, ZHAO Zhi-gang, PU Yun-fei, CHEN Jing, NI Yin-xing, ZHONG Jian, LIU Hao-yu, LI Ying-sha, YAN Zheng-cheng, LIU Dao-yan, ZHU ZHi-ming. * Department of Hypertension and Endocrinology , Daping Hospital, Third Military Medical University , Chongqing 400042 , China

  Corresponding author: ZHU ZHi-ming Email:Zhuzm@yahoo.com

  [Abstract] Objects To explore relationship between different type of abdominal obesity and risk of metabolic syndrome (MS). Methods Visceral fat area(VA) and substantial fat area(SA) were assessed by CT in 846 cases who were suffered at least one cardiometabolic risk factor and divided into four groups according to their VA and waist circumference(WC): Non-Obesity, Masked visceral fat obesity(VFO), Pseudo VFO and VFO group. Blood pressure, fast blood glucose, fast serum insulin and lipid profile were also measured to assess MS risk. Results Firstly, there was significantly higher prevalence of Masked VFO in male (51cases, 10.9%) than that in female (18cases, 4.8%). Secondly, those male patients in Masked VFO group had higher MS prevalence (22cases, 43.1%) than those in Non-obesity group (47cases, 25.0%), and lower MS prevalence than those in Pseudo VFO (37cases, 78.7%) and VFO group (163 cases, 88.6%), whereas MS prevalence in Pseudo VFO group was significantly higher than that in Non-Obesity and Masked VFO group. On the other hand, those female patients with masked VFO had similar MS prevalence (6 cases, 33.3%) with those in Non-obesity group (48 cases, 31.2%), and lower prevalence than those with Pseudo VFO (74 cases, 78.7%) and VFO (100 cases, 90.9%). The MS prevalence in female Pseudo VFO patients was also observed significantly higher than that in Non-Obesity and Masked VFO group. Moreover, logistic regression analysis showed that WC and VA were independent risk factors for MS(OR(95%CI) was 1.13(1.10-1.17),1.01(1.01-1.02),respectively, P<0.001)。Conclusion There are important impacts of different type of abdominal obesity on the risk of metabolic syndrome. It’s impressing that Masked VFO, even though with normal WC, and Pseudo VFO have considerably higher cardiometabolic risk.

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