Association of adipose tissue infiltration with cardiac function: scoping review

Mansour M Alotaibi1,2, Naif Z Alrashdi3,4, Marzouq K Almutairi Pt5

  • 1Department of Rehabilitation, Faculty of Applied Medical Sciences, Northern Border University, Arar, Saudi Arabia.

Adipocyte
|April 10, 2025
PubMed

Insights

Skeletal muscle adipose tissue (AT) infiltration is linked to poorer cardiac function, including reduced exercise capacity and heart failure risk. Further research is needed to confirm AT infiltration as a reliable biomarker for cardiac health.

Area of Science:

  • Cardiology
  • Metabolic Health
  • Biomarker Research

Background:

  • Adipose tissue (AT) infiltration in skeletal muscles is increasingly recognized for its potential impact on systemic health.
  • The specific role of skeletal muscle AT infiltration as a biomarker for cardiac dysfunction remains largely unexplored in adult populations.

Purpose of the Study:

  • To conduct a scoping review examining the relationship between skeletal muscle adipose tissue infiltration and cardiac function in adults.
  • To assess the potential of adipose tissue infiltration as a biomarker for cardiovascular health.

Main Methods:

  • Systematic literature search of PubMed, CINAHL, and SCOPUS databases.
  • Inclusion of peer-reviewed studies reporting skeletal muscle AT infiltration and cardiac function measures in adults.
  • Quality assessment using the Study Quality Assessment Tool (SQAT); three good-quality studies were included.

Main Results:

  • A negative association was found between skeletal muscle AT infiltration and cardiac function parameters.
  • Impaired cardiac function included reduced exercise capacity, lower left ventricular ejection fraction (LVEF), and increased heart failure events.
  • These associations were observed in both cancer survivors and healthy individuals, independent of general obesity.

Conclusions:

  • Evidence supports an association between increased skeletal muscle AT infiltration and impaired cardiac function.
  • Skeletal muscle AT infiltration may represent a distinct indicator of cardiac dysfunction.
  • Further research is warranted to validate AT infiltration as a potential clinical biomarker for cardiovascular health.

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