胸前脂肪组织和中枢脂肪的减少与心脏功能的改善有关
Yota Tanahashi1, Akira Sasaki2, Akira Umemura2
1Department of Surgery, Iwate Medical University School of Medicine, 2-1-1 Idaidori, Yahaba, Iwate 028-3695, Japan. tanayota@iwate-med.ac.jp.
代谢和减肥手术显著减少心表脂肪组织 (EAT) 和中脂肪 (MF). 这种降低改善了严重肥胖患者的腹功能障碍,这表明EAT积累有助于心脏问题.
科学领域:
- 心脏病学 心脏病学
- 肥胖医学 肥胖医学
- 腹部外科 腹部外科
背景情况:
- 严重的肥胖与心表脂肪组织 (EAT) 和中脂肪 (MF) 的增加有关.
- 由于收缩性心周效应,EAT的积累可能会导致腹功能障碍.
- 多发性肌痛对心脏功能的影响不太清楚,但减少胸部脂肪可能会改善心脏功能.
研究的目的:
- 评估EAT和MF变化对代谢后和腹手术 (MBS) 后心脏功能的影响.
主要方法:
- 对75名接受了腹腔镜袖子胃切除术 (LSG) 的患者进行了回顾性分析.
- 在LSG前和1年后进行的EAT和MF测量和心脏超声波.
- 调查EAT/MF变化与心脏功能之间的关系.
主要成果:
- LSG导致了EAT和MF的显著减少 (p < 0.001).
- 在62.5%的患者中观察到透缩功能障碍的改善.
- 较高的基线EAT和LSG后更大的EAT降低与改善的透缩功能相关 (p=0.041,p=0.034).
- 多变量分析表明基线EAT积累 (OR 1.023) 和EAT减少率 (OR 1.157) 是扩张功能障碍的独立因素.
结论:
- 在严重肥胖症中,EAT的积累可能会通过心周收缩引起腹功能障碍.
- 由LSG诱导的EAT降低显著有助于改善腹功能障碍.
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