Abstract
Objective: To define an echocardiographically-assessed cut-off point for epicardial adipose tissue (EAT) thickness associated to metabolic syndrome (MS) components in Venezuelan subjects. Methods: Fifty-two subjects aged 20-65. years diagnosed with MS according to International Diabetes Federation criteria and 45. sex- and age-matched controls were selected. Blood glucose and plasma lipids were tested; EAT thickness and left ventricular mass were measured by echocardiography. Results: No significant age and sex differences were found between the two groups. Body weight, body mass index, waist circumference, and systolic and diastolic blood pressure were significantly higher (P = .0001) in the MS group. This group showed significantly higher levels of fasting blood glucose (P = .0001), total cholesterol (P = .002), LDL-C (P = .007), non-HDL-C (P = .0001), triglycerides (P = .0001), Tg-HDL-C ratio (P = .0001), and lower HDL-C levels (P = .0001) as compared to the control group. EAT thickness (P = .0001) and left ventricular mass (P = .017) were significantly higher in the MS group. The ROC curve showed an AUC of 0.852 (P = .0001) with a power of the test of 0.99. A 5-mm EAT thickness showed a sensitivity of 84.62% (95%. CI: 71.9-93.1) and a specificity of 71.11% (95%. CI: 55.7-83.6) for predicting MS. The odds ratio of this population for experiencing MS due to an EAT ≥ 5 mm was 8.25 (95%. CI: 3.15-21.56; P = .0001). Conclusion: An EAT value ≥ 5 mm has good sensitivity and specificity for predicting MS in the Venezuelan population.
| Original language | Spanish |
|---|---|
| Pages (from-to) | 570-576 |
| Number of pages | 7 |
| Journal | Endocrinologia y Nutricion |
| Volume | 60 |
| Issue number | 10 |
| DOIs | |
| State | Published - Dec 1 2013 |
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Keywords
- Epicardial adipose tissue
- Epicardial fat
- Hispanics
- Metabolic syndrome
ASJC Scopus subject areas
- Endocrinology
- Endocrinology, Diabetes and Metabolism
Cite this
Punto de corte de espesor de tejido adiposo epicárdico para predecir síndrome metabólico en población venezolana. / Lima-Martínez, Marcos M.; Paoli, Mariela; Donis, José H.; Odreman, Rodolfo; Torres, Christopher; Iacobellis, Gianluca.
In: Endocrinologia y Nutricion, Vol. 60, No. 10, 01.12.2013, p. 570-576.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Punto de corte de espesor de tejido adiposo epicárdico para predecir síndrome metabólico en población venezolana
AU - Lima-Martínez, Marcos M.
AU - Paoli, Mariela
AU - Donis, José H.
AU - Odreman, Rodolfo
AU - Torres, Christopher
AU - Iacobellis, Gianluca
PY - 2013/12/1
Y1 - 2013/12/1
N2 - Objective: To define an echocardiographically-assessed cut-off point for epicardial adipose tissue (EAT) thickness associated to metabolic syndrome (MS) components in Venezuelan subjects. Methods: Fifty-two subjects aged 20-65. years diagnosed with MS according to International Diabetes Federation criteria and 45. sex- and age-matched controls were selected. Blood glucose and plasma lipids were tested; EAT thickness and left ventricular mass were measured by echocardiography. Results: No significant age and sex differences were found between the two groups. Body weight, body mass index, waist circumference, and systolic and diastolic blood pressure were significantly higher (P = .0001) in the MS group. This group showed significantly higher levels of fasting blood glucose (P = .0001), total cholesterol (P = .002), LDL-C (P = .007), non-HDL-C (P = .0001), triglycerides (P = .0001), Tg-HDL-C ratio (P = .0001), and lower HDL-C levels (P = .0001) as compared to the control group. EAT thickness (P = .0001) and left ventricular mass (P = .017) were significantly higher in the MS group. The ROC curve showed an AUC of 0.852 (P = .0001) with a power of the test of 0.99. A 5-mm EAT thickness showed a sensitivity of 84.62% (95%. CI: 71.9-93.1) and a specificity of 71.11% (95%. CI: 55.7-83.6) for predicting MS. The odds ratio of this population for experiencing MS due to an EAT ≥ 5 mm was 8.25 (95%. CI: 3.15-21.56; P = .0001). Conclusion: An EAT value ≥ 5 mm has good sensitivity and specificity for predicting MS in the Venezuelan population.
AB - Objective: To define an echocardiographically-assessed cut-off point for epicardial adipose tissue (EAT) thickness associated to metabolic syndrome (MS) components in Venezuelan subjects. Methods: Fifty-two subjects aged 20-65. years diagnosed with MS according to International Diabetes Federation criteria and 45. sex- and age-matched controls were selected. Blood glucose and plasma lipids were tested; EAT thickness and left ventricular mass were measured by echocardiography. Results: No significant age and sex differences were found between the two groups. Body weight, body mass index, waist circumference, and systolic and diastolic blood pressure were significantly higher (P = .0001) in the MS group. This group showed significantly higher levels of fasting blood glucose (P = .0001), total cholesterol (P = .002), LDL-C (P = .007), non-HDL-C (P = .0001), triglycerides (P = .0001), Tg-HDL-C ratio (P = .0001), and lower HDL-C levels (P = .0001) as compared to the control group. EAT thickness (P = .0001) and left ventricular mass (P = .017) were significantly higher in the MS group. The ROC curve showed an AUC of 0.852 (P = .0001) with a power of the test of 0.99. A 5-mm EAT thickness showed a sensitivity of 84.62% (95%. CI: 71.9-93.1) and a specificity of 71.11% (95%. CI: 55.7-83.6) for predicting MS. The odds ratio of this population for experiencing MS due to an EAT ≥ 5 mm was 8.25 (95%. CI: 3.15-21.56; P = .0001). Conclusion: An EAT value ≥ 5 mm has good sensitivity and specificity for predicting MS in the Venezuelan population.
KW - Epicardial adipose tissue
KW - Epicardial fat
KW - Hispanics
KW - Metabolic syndrome
UR - http://www.scopus.com/inward/record.url?scp=84889089852&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84889089852&partnerID=8YFLogxK
U2 - 10.1016/j.endonu.2013.03.004
DO - 10.1016/j.endonu.2013.03.004
M3 - Article
C2 - 23791773
AN - SCOPUS:84889089852
VL - 60
SP - 570
EP - 576
JO - Endocrinologia, Diabetes y Nutricion
JF - Endocrinologia, Diabetes y Nutricion
SN - 2530-0164
IS - 10
ER -