Correlation of abdominal fat area and distribution with carotid atherosclerosis progress in middle aged and elderly people

Q4 Nursing 中华临床营养杂志 Pub Date : 2019-06-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2019.03.006

Xuefeng Ni, Wen-bin Mu, L. Jiao, K. Yu

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Abstract

Objective To analyze the relationship between the abdominal fat and the progress of carotid atherosclerosis in the subject ageing 51-100 years. Methods 140 subjects receiving health examination in the department of health of Peking Union Medical College Hospital from 2015 to 2016 were included in the research. The abdominal fat area and distribution were calculated according to abdominal CT, and the progress of atherosclerosis in carotid artery was determined by ultrasound. Results In the population of 51-100 years old, there were no statistically significant difference in abdominal fat area and distribution among carotid artery plaque thickening group, arteriosclerosis non-progressing group and plaque reducing group; In the population of 51-80 years old, the total abdominal fat was significantly higher in carotid artery plaque thickening group than in arteriosclerosis non-progressing group and plaque reducing group (P=0.05, P=0.03), abdominal visceral fat area also increased, but no significant difference was found (P>0.05), and no significant differences in abdominal fat distribution was found (P>0.05. Conclusion The less total area of abdominal fat is, the slower the progress of atherosclerosis in carotid artery is in the population of 51-80 years old. Key words: Carotid atherosclerosis; Visceral fat; Subcutaneous fat; Obesity

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中老年人腹部脂肪面积及分布与颈动脉粥样硬化进展的相关性

目的分析51～100岁人群腹部脂肪与颈动脉粥样硬化进展的关系。方法纳入2015～2016年在北京协和医院卫生科接受健康检查的140名受试者。根据腹部CT计算腹部脂肪面积和分布，并通过超声确定颈动脉动脉粥样硬化的进展。结果在51-100岁人群中，颈动脉斑块增厚组、动脉硬化不进展组和斑块减少组腹部脂肪面积和分布无统计学意义；在51-80岁人群中，颈动脉斑块增厚组的腹部总脂肪显著高于动脉硬化不进展组和斑块减少组（P=0.05，P=0.03），腹部内脏脂肪面积也有所增加，但没有显著差异（P>0.05），腹部脂肪分布也没有显着差异（P>0.05）。结论51～80岁人群腹部脂肪总面积越小，颈动脉粥样硬化进展越慢。关键词：颈动脉粥样硬化；内脏脂肪；皮下脂肪；肥胖

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