中国内脏脂肪指数及其与异常左心室重塑的关系,通过相对壁厚和左心室质量指数来评估
Sung Keun Park1, Chang-Mo Oh2, Jae-Hong Ryoo3
1Center for Cohort Studies, Total Healthcare Center, Samsung Kangbuk Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea.
概括
中国内脏脂肪指数 (CVAI) 有效地预测左心室 (LV) 改造,特别是在女性中. 这种肥胖指数与心脏结构变化的关联比其他常见措施更强.
科学领域:
- 心脏病学 心脏病学
- 肥胖问题研究研究
- 医学诊断 医学诊断 医学诊断
背景情况:
- 中国内脏脂肪指数 (CVAI) 与心脏代谢风险有关.
- 肥胖指数对于评估心血管健康至关重要.
- 左心室 (LV) 改造是心脏功能障碍的关键指标.
研究的目的:
- 为了调查CVAI和LV改造之间的关联.
- 为了比较CVAI与其他肥胖指数的预测能力,用于LV重塑.
主要方法:
- 分析了来自75,132名韩国人的心声回声数据.
- 根据CVAI,BMI,WC和VAI将参与者分为四分之一的分类.
- 多变量逻辑回归和ROC曲线分析,以评估异常相对壁厚 (ARWT) 和LV超 (LVH) 的关系和预测能力.
主要成果:
- 在男性和女性中,ARWT与较高的CVAI四分位数相称增加.
- 在女性中,LVH与较高的CVAI四分位数显著相关.
- 与其他指数相比,CVAI显示男性ARWT和女性ARWT和LVH的预测能力优于其他指数.
结论:
- CVAI作为一个有价值的替代标记,用于检测LV重塑.
- 对于LV重塑的CVAI的预测效用在女性中尤为明显.
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