肥胖成人腹部容积指数与氧化低密度脂蛋白升高、高血压和高密度脂蛋白降低有关。

IF 2.8 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM
Mansuor Ahmed Alanazi, Khaled Alshehri, Faisal H Alerwy, Tariq Alrasheed, Hassan Fareed M Lahza, Nisreen Khalid Aref Albezrah, Yazeed Ibrahim Alghabban, Mahfoudh Almusali Mohammed Abdulghani
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引用次数: 0

摘要

目的:中心性肥胖是许多疾病众所周知的危险因素。中心性肥胖的测量有很多指标,其中腹部容积指数(AVI),反映了腹部的总容积,准确地估计了内脏脂肪的体积。作为一种相对较新的健康指标和代谢紊乱的有效预后标志物,目前尚无研究调查其在肥胖年轻人心脏代谢健康和氧化LDL中的作用。在当前的研究中,我们旨在评估腹部体积指数(AVI)与心脏代谢特征之间的关系,包括血脂、血清葡萄糖的血糖指标、血红蛋白(Hb) A1C、胰岛素、氧化低密度脂蛋白和血压。方法:目前的研究纳入了220名年龄在18至25岁之间超重或肥胖的年轻人。进行了人体测量并计算了AVI。生化指标包括血清总胆固醇(TC)、低密度脂蛋白胆固醇(LDL)、高密度脂蛋白胆固醇(HDL)、甘油三酯(TG)、血糖指标包括空腹血清葡萄糖(FBS)、胰岛素、血红蛋白(Hb) A1C和血压。结果:AVI三分位数的参与者有较高的身体质量指数(BMI)、腰围(WC)、腰臀比(WHR)和腰高比(WHtR) (p)。结论:在本研究中,我们全面研究了AVI与年轻肥胖成年人心脏代谢健康的关系,因此,AVI与肥胖成年人的代谢健康不利。需要进一步的研究来阐明潜在的机制。临床试验号:不适用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Abdominal volume index is associated with higher oxidized LDL, high blood pressure and lower HDL among obese adults.

Objectives: Central obesity is a well-known risk factor of numerous disease. Numerous indicators are developed for central obesity measurement, among them, abdominal volume index (AVI), reflecting total volume of the abdomen, precisely estimates the visceral fat volume. As a relatively new health measure and potent prognostic marker of metabolic disturbances, no study is available to investigate its role in cardio-metabolic health and oxidized LDL among obese young adults. In the current study we aimed to evaluate the association between abdominal volume index (AVI) with cardio-metabolic profile including serum lipids, glycemic markers of serum glucose, hemoglobin (Hb) A1C, insulin, oxidized LDL and blood pressure among young obese adults.

Methods: Two hundred twenty young adults aged 18 to 25 years old with overweight or obesity were enrolled in the current study. Anthropometric measurements were done and AVI were calculated. Biochemical variables including serum total cholesterol (TC), low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL), triglyceride (TG), glycemic markers, including fasting serum glucose (FBS), insulin, hemoglobin (Hb) A1C and blood pressure were also measured with an automatic analyzer.

Results: Participants in the third tertiles of AVI had higher body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) (p < 0.001 for all). Among biochemical variables, oxidized LDL, TG and HDL demonstrated significant associations across AVI tertiles in the first and second models, with higher oxidized LDL and TG and lower HDL levels observed in higher AVI tertiles (p < 0.05). Moreover, those at the highest AVI tertiles showed significantly higher odds ratios for elevated cardio-metabolic index and systolic and diastolic blood pressures compared to the first tertiles (p < 0.05).

Conclusions: In the current study, we comprehensively investigated the association between AVI with cardio-metabolic health in young obese adults and accordingly, AVI was unfavorably associated with metabolic health among obese adults. Further studies are needed to elaborate the underlying mechanisms.

Clinical trial number: Not applicable.

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来源期刊
BMC Endocrine Disorders
BMC Endocrine Disorders ENDOCRINOLOGY & METABOLISM-
CiteScore
4.40
自引率
0.00%
发文量
280
审稿时长
>12 weeks
期刊介绍: BMC Endocrine Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of endocrine disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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