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Published on: September 27, 2024
Abdominal obesity is associated with arterial stiffness in middle-aged adults
B Strasser1, M Arvandi2, E P Pasha3
1Department of Kinesiology and Health Education, University of Texas at Austin, Austin, TX, USA; Institute for Nutritional Sciences and Physiology, University for Health Sciences, Medical Informatics and Technology, Hall in Tyrol, Austria.
Insights
Abdominal obesity and visceral fat are key indicators of arterial stiffness in middle-aged adults. These findings highlight the importance of specific adiposity measures for predicting arterial stiffening.
Area of Science:
- Cardiovascular Health
- Obesity Research
- Vascular Physiology
Background:
- The relationship between general adiposity and arterial stiffness is debated.
- Investigating specific fat distribution patterns is crucial for understanding cardiovascular risk.
Purpose of the Study:
- To determine if abdominal and visceral adipose tissue are superior predictors of arterial stiffness compared to general obesity.
- To assess arterial stiffness in middle-aged adults.
Main Methods:
- 146 middle-aged adults (50 years) were studied.
- Arterial stiffness measured by pulse wave velocity (PWV) using the Omron VP-1000plus.
- Obesity indicators (BMI, waist circumference, visceral fat mass via DXA) analyzed against PWV using multiple linear regressions.
Main Results:
- Body Mass Index (BMI) showed a significant association with PWV, but not body fat percentage.
- Abdominal obesity measures (waist circumference, visceral fat mass) strongly correlated with PWV.
- Visceral fat mass and PWV were independently associated with arterial stiffness after adjusting for age and gender.
Conclusions:
- Abdominal obesity and visceral fat accumulation are significantly linked to large artery stiffness.
- These adiposity measures are important risk factors for arterial stiffening in middle-aged populations.
Background And Aims:
The relation between adiposity and arterial stiffness remains controversial. We determined whether abdominal and visceral adipose tissue may be a better predictor of arterial stiffness than general obesity in middle-aged adults.
Methods And Results:
A total of 146 participants (76 men, 70 women; 50 years) were studied. The automatic vascular screening device (Omron VP-1000plus) was used to measure blood pressure simultaneously in the arms and ankles and to determine arterial stiffness by pulse wave velocity (PWV). Using multiple linear regressions, the relations between indicators of obesity and arterial stiffness were examined after adjustment for confounders. Both carotid-femoral PWV and brachial-ankle PWV were significantly associated with BMI (both P < 0.05) but not with body fat percentage. Measures of abdominal obesity, including waist circumference and visceral fat mass (via DXA), were strongly associated with PWV and remained positively associated with arterial stiffness after adjustment for age and gender. Cardiovascular fitness as assessed by maximal oxygen consumption was related to body fat percentage but not with visceral fat. More favorable cardiovascular health profile was associated with both lower visceral fat mass and PWV (both P < 0.001).
Conclusion:
Abdominal obesity and visceral fat are associated with large artery stiffness. These findings support the importance of adiposity measures as a risk factor for arterial stiffening in middle-aged adults.
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