Abdominal Visceral Fat Thickness Measured by Ultrasonography Predicts the Presence and Severity of Coronary Artery Disease
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- 作者：Kosuke Hamagawa ; Yoshihisa Matsumura ; Toru Kubo ; Kayo Hayato ; Makoto Okawa ; Katsutoshi Tanioka ; Naohito Yamasaki ; Hiroaki Kitaoka ; Toshikazu Yabe ; Masanori Nishinaga ; Yoshinori L. Doi
- 关键词：Abdominal visceral fat ; Ultrasonography ; Coronary artery disease
- 刊名：Ultrasound in Medicine and Biology
- 出版年：2010
- 出版时间：November 2010
- 年：2010
- 卷：36
- 期：11
- 页码：1769-1775
- 全文大小：481 K
文摘
Abdominal visceral fat plays a critical role in the pathogenesis of metabolic syndrome, which is a risk factor for coronary artery disease (CAD). Ultrasonography (US) distinctively quantifies visceral fat and subcutaneous fat. We measured the maximum preperitoneal visceral fat thickness (Vmax) and the minimum subcutaneous fat thickness (Smin) by US in 185 patients who underwent coronary angiography. Although the 144 patients with CAD had larger Vmax (8.8 ± 3.6 vs. 6.4 ± 2.8 mm; p < 0.001) than those without, there was no difference in Smin. Vmax of 6.9 mm or higher was an independent predictor of CAD (odds ratio, 3.710, p = 0.008) by multiple logistic regression analysis. Vmax significantly correlated with the number of diseased vessels. Assessment of abdominal visceral fat by US gives us incremental information beyond conventional risk factors for predicting CAD in routine clinical practice. (E-mail: matsumur@kochi-u.ac.jp)