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Body Composition and Abdominal Obesity in Patients With and Without Coronary Heart Disease
Aasghar Rahmani1, Mohammadreza Hafezi Ahmadi2, Samira Misgavam1
1Department of Cardiology, Faculty of Medicine, Ilam University of Medical Sciences, Iran.
Insights
Abdominal obesity, indicated by higher waist circumference and fat mass, is linked to coronary heart disease (CHD). Body composition analysis can identify individuals at increased risk for CHD.
Area of Science:
- Cardiology
- Body Composition Analysis
- Risk Factor Assessment
Background:
- Body fat and its distribution are critical risk factors for coronary artery diseases (CAD).
- Abdominal obesity is a significant concern in cardiovascular health.
- Stable angina patients require careful risk stratification.
Purpose of the Study:
- To evaluate the relationship between body composition and abdominal obesity.
- To compare these metrics in patients with and without coronary heart disease (CHD).
- To identify potential markers for CHD risk in stable angina patients.
Main Methods:
- 161 stable angina patients undergoing coronary angiography were studied.
- Patients were categorized into groups with or without diagnosed coronary heart disease (CHD).
- Bioimpedance analysis was used to measure adipose tissue and lean body mass.
Main Results:
- No significant differences in Body Mass Index (BMI) or weight were observed between groups.
- Patients with CHD exhibited significantly higher waist circumference, waist-to-hip ratio, and fat mass.
- Conversely, the non-CHD group showed significantly higher fat-free mass.
Conclusions:
- Body composition analysis, including fat distribution, can aid in identifying individuals at higher risk for CHD.
- Screening for adiposity through body composition measurements is a valuable tool.
- These findings support proactive risk assessment in patients with stable angina.
Background:
The body fat and its distribution is an important risk factor for coronary artery diseases. The aim of this study was to evaluate the relationship between body composition and abdominal obesity in patients with and without coronary involvement in stable angina.
Methods:
One hundred and sixty-one patients who underwent coronary angiography for stable angina were divided into two groups: patients with or without coronary heart disease (CHD). Participants underwent bioimpedance analysis for measurement of adipose tissues and lean body mass.
Results:
No significant difference in body mass index and weight was found between two groups. Mean levels of waist circumference, waist to hip ratio and fat mass were significantly higher in CHD group (P = 0.02, P = 0.04 and P = 0.01). Fat-free mass was also significantly higher in non-CHD group (P = 0.02).
Conclusions:
Screening for adiposity in subjects by body composition measurement method and determining fat distribution could better identify those at higher risk for CHD.