The relationship between atherogenic index of plasma and epicardial adipose tissue in hemodialysis and peritoneal dialysis patients

Abstract Introduction: Epicardial adipose tissue (EAT) is the true visceral fat depot of the heart. The relationship between coronary artery disease and EAT was shown in end-stage renal disease (ESRD) patients. One of the established risk factor in this population is dyslipidemia. We aimed to determ...

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Veröffentlicht in:Renal failure 2013-10, Vol.35 (9), p.1193-1198
Hauptverfasser: Erdur, Mehmet Fatih, Tonbul, Halil Zeki, Ozbiner, Huseyin, Ozcicek, Adalet, Ozcicek, Fatih, Akbas, Emin Murat, Ozbek, Orhan, Hamur, Hikmet, Turkmen, Kultigin
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container_end_page 1198
container_issue 9
container_start_page 1193
container_title Renal failure
container_volume 35
creator Erdur, Mehmet Fatih
Tonbul, Halil Zeki
Ozbiner, Huseyin
Ozcicek, Adalet
Ozcicek, Fatih
Akbas, Emin Murat
Ozbek, Orhan
Hamur, Hikmet
Turkmen, Kultigin
description Abstract Introduction: Epicardial adipose tissue (EAT) is the true visceral fat depot of the heart. The relationship between coronary artery disease and EAT was shown in end-stage renal disease (ESRD) patients. One of the established risk factor in this population is dyslipidemia. We aimed to determine the relationship between atherogenic index of plasma (AIP) and EAT in ESRD patients. Methods: This was a cross-sectional study involving 76 ESRD patients receiving PD or HD for 6 months and 42 healthy subjects. EAT was measured by using an electrocardiogram-gated 64-multidetector computed tomography (MDCT). Atherogenic index of plasma was calculated as the logarithmically transformed ratio of the serum trigliseride to HDL-cholesterol. Results: The etiology of ESRD patients was diabetic nephropathy (n = 16), chronic glomerulonephritis (n = 10), hypertensive nephropathy (n = 23), polycystic kidney disease (n = 7), nephrolithiasis (n = 5) and unknown (n = 15). There were no differences with respect to the following variables between ESRD patients and healthy subjects: age; sex; BMI; predialysis levels of DBP; serum levels of albumin, HDL-cholesterol and hemoglobin. However, ESRD patients had higher serum levels of trigliseride, hs-CRP and AIP when compared to healthy subjects. There was a statistically significant relationship between EAT, BMI and AIP in ESRD patients (r = 0.42, p 
doi_str_mv 10.3109/0886022X.2013.823826
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The relationship between coronary artery disease and EAT was shown in end-stage renal disease (ESRD) patients. One of the established risk factor in this population is dyslipidemia. We aimed to determine the relationship between atherogenic index of plasma (AIP) and EAT in ESRD patients. Methods: This was a cross-sectional study involving 76 ESRD patients receiving PD or HD for 6 months and 42 healthy subjects. EAT was measured by using an electrocardiogram-gated 64-multidetector computed tomography (MDCT). Atherogenic index of plasma was calculated as the logarithmically transformed ratio of the serum trigliseride to HDL-cholesterol. Results: The etiology of ESRD patients was diabetic nephropathy (n = 16), chronic glomerulonephritis (n = 10), hypertensive nephropathy (n = 23), polycystic kidney disease (n = 7), nephrolithiasis (n = 5) and unknown (n = 15). There were no differences with respect to the following variables between ESRD patients and healthy subjects: age; sex; BMI; predialysis levels of DBP; serum levels of albumin, HDL-cholesterol and hemoglobin. However, ESRD patients had higher serum levels of trigliseride, hs-CRP and AIP when compared to healthy subjects. There was a statistically significant relationship between EAT, BMI and AIP in ESRD patients (r = 0.42, p &lt; 0.001 and r = 0.25, p = 0.028, respectively). The stepwise linear regression analysis revealed that age, as well as BMI were independent predictors of EAT. Conclusion: We found a relationship between EAT as defined by MDCT and AIP in ESRD patients. Further clinical and experimental studies are needed.</description><identifier>ISSN: 0886-022X</identifier><identifier>EISSN: 1525-6049</identifier><identifier>DOI: 10.3109/0886022X.2013.823826</identifier><identifier>PMID: 23924265</identifier><language>eng</language><publisher>England: Informa Healthcare USA, Inc</publisher><subject>Adipose Tissue - diagnostic imaging ; Adiposity ; Adult ; Atherogenic index of plasma ; Case-Control Studies ; Cholesterol, HDL - blood ; Cross-Sectional Studies ; end-stage renal disease ; epicardial adipose tissue ; Female ; high density lipoprotein ; Humans ; Kidney Failure, Chronic - blood ; Kidney Failure, Chronic - diagnostic imaging ; Male ; Middle Aged ; Radiography ; triglyceride ; Triglycerides - blood</subject><ispartof>Renal failure, 2013-10, Vol.35 (9), p.1193-1198</ispartof><rights>2013 Informa Healthcare USA, Inc. All rights reserved: reproduction in whole or part not permitted 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c530t-30cf6a77774304538d837bd0664ee3a3c751208145b84c4fec1e0ee1de299c3e3</citedby><cites>FETCH-LOGICAL-c530t-30cf6a77774304538d837bd0664ee3a3c751208145b84c4fec1e0ee1de299c3e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23924265$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Erdur, Mehmet Fatih</creatorcontrib><creatorcontrib>Tonbul, Halil Zeki</creatorcontrib><creatorcontrib>Ozbiner, Huseyin</creatorcontrib><creatorcontrib>Ozcicek, Adalet</creatorcontrib><creatorcontrib>Ozcicek, Fatih</creatorcontrib><creatorcontrib>Akbas, Emin Murat</creatorcontrib><creatorcontrib>Ozbek, Orhan</creatorcontrib><creatorcontrib>Hamur, Hikmet</creatorcontrib><creatorcontrib>Turkmen, Kultigin</creatorcontrib><title>The relationship between atherogenic index of plasma and epicardial adipose tissue in hemodialysis and peritoneal dialysis patients</title><title>Renal failure</title><addtitle>Ren Fail</addtitle><description>Abstract Introduction: Epicardial adipose tissue (EAT) is the true visceral fat depot of the heart. The relationship between coronary artery disease and EAT was shown in end-stage renal disease (ESRD) patients. One of the established risk factor in this population is dyslipidemia. We aimed to determine the relationship between atherogenic index of plasma (AIP) and EAT in ESRD patients. Methods: This was a cross-sectional study involving 76 ESRD patients receiving PD or HD for 6 months and 42 healthy subjects. EAT was measured by using an electrocardiogram-gated 64-multidetector computed tomography (MDCT). Atherogenic index of plasma was calculated as the logarithmically transformed ratio of the serum trigliseride to HDL-cholesterol. Results: The etiology of ESRD patients was diabetic nephropathy (n = 16), chronic glomerulonephritis (n = 10), hypertensive nephropathy (n = 23), polycystic kidney disease (n = 7), nephrolithiasis (n = 5) and unknown (n = 15). There were no differences with respect to the following variables between ESRD patients and healthy subjects: age; sex; BMI; predialysis levels of DBP; serum levels of albumin, HDL-cholesterol and hemoglobin. However, ESRD patients had higher serum levels of trigliseride, hs-CRP and AIP when compared to healthy subjects. There was a statistically significant relationship between EAT, BMI and AIP in ESRD patients (r = 0.42, p &lt; 0.001 and r = 0.25, p = 0.028, respectively). The stepwise linear regression analysis revealed that age, as well as BMI were independent predictors of EAT. Conclusion: We found a relationship between EAT as defined by MDCT and AIP in ESRD patients. Further clinical and experimental studies are needed.</description><subject>Adipose Tissue - diagnostic imaging</subject><subject>Adiposity</subject><subject>Adult</subject><subject>Atherogenic index of plasma</subject><subject>Case-Control Studies</subject><subject>Cholesterol, HDL - blood</subject><subject>Cross-Sectional Studies</subject><subject>end-stage renal disease</subject><subject>epicardial adipose tissue</subject><subject>Female</subject><subject>high density lipoprotein</subject><subject>Humans</subject><subject>Kidney Failure, Chronic - blood</subject><subject>Kidney Failure, Chronic - diagnostic imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radiography</subject><subject>triglyceride</subject><subject>Triglycerides - blood</subject><issn>0886-022X</issn><issn>1525-6049</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1q3DAURkVJaaZp36AULbPxRH-25U1KCU1bCHSTQndCI13XCrbkSDLJrPvikTNJoJtoI5DO_T5xhNAnSracku6MSNkQxv5sGaF8KxmXrHmDNrRmddUQ0R2hzYpUK3OM3qd0QwitZcveoWPGOyZYU2_Qv-sBcIRRZxd8GtyMd5DvADzWeYAY_oJ3Bjtv4R6HHs-jTpPG2lsMszM6WqdHrK2bQwKcXUoLFBoPMIX1ap9ceqRniC4HD4V-OZ9LKficPqC3vR4TfHzaT9Dvy2_XFz-qq1_ff158vapMzUmuODF9o9uyBCei5tJK3u4saRoBwDU3bU0ZkVTUOymM6MFQIADUAus6w4GfoNND7hzD7QIpq8klA-OoPYQlKSo4I63oWlZQcUBNDClF6NUc3aTjXlGiVv3qWb9a9auD_jL2-alh2U1gX4aefRfgywFwvg9x0nchjlZlvR9D7KP2xqU1_tWK8_8ShqI0D-UnQN2EJfoi8PU3PgBPu6q3</recordid><startdate>201310</startdate><enddate>201310</enddate><creator>Erdur, Mehmet Fatih</creator><creator>Tonbul, Halil Zeki</creator><creator>Ozbiner, Huseyin</creator><creator>Ozcicek, Adalet</creator><creator>Ozcicek, Fatih</creator><creator>Akbas, Emin Murat</creator><creator>Ozbek, Orhan</creator><creator>Hamur, Hikmet</creator><creator>Turkmen, Kultigin</creator><general>Informa Healthcare USA, Inc</general><general>Taylor &amp; 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The relationship between coronary artery disease and EAT was shown in end-stage renal disease (ESRD) patients. One of the established risk factor in this population is dyslipidemia. We aimed to determine the relationship between atherogenic index of plasma (AIP) and EAT in ESRD patients. Methods: This was a cross-sectional study involving 76 ESRD patients receiving PD or HD for 6 months and 42 healthy subjects. EAT was measured by using an electrocardiogram-gated 64-multidetector computed tomography (MDCT). Atherogenic index of plasma was calculated as the logarithmically transformed ratio of the serum trigliseride to HDL-cholesterol. Results: The etiology of ESRD patients was diabetic nephropathy (n = 16), chronic glomerulonephritis (n = 10), hypertensive nephropathy (n = 23), polycystic kidney disease (n = 7), nephrolithiasis (n = 5) and unknown (n = 15). There were no differences with respect to the following variables between ESRD patients and healthy subjects: age; sex; BMI; predialysis levels of DBP; serum levels of albumin, HDL-cholesterol and hemoglobin. However, ESRD patients had higher serum levels of trigliseride, hs-CRP and AIP when compared to healthy subjects. There was a statistically significant relationship between EAT, BMI and AIP in ESRD patients (r = 0.42, p &lt; 0.001 and r = 0.25, p = 0.028, respectively). The stepwise linear regression analysis revealed that age, as well as BMI were independent predictors of EAT. Conclusion: We found a relationship between EAT as defined by MDCT and AIP in ESRD patients. Further clinical and experimental studies are needed.</abstract><cop>England</cop><pub>Informa Healthcare USA, Inc</pub><pmid>23924265</pmid><doi>10.3109/0886022X.2013.823826</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adipose Tissue - diagnostic imaging
Adiposity
Adult
Atherogenic index of plasma
Case-Control Studies
Cholesterol, HDL - blood
Cross-Sectional Studies
end-stage renal disease
epicardial adipose tissue
Female
high density lipoprotein
Humans
Kidney Failure, Chronic - blood
Kidney Failure, Chronic - diagnostic imaging
Male
Middle Aged
Radiography
triglyceride
Triglycerides - blood
title The relationship between atherogenic index of plasma and epicardial adipose tissue in hemodialysis and peritoneal dialysis patients
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