Relationship Between Measures of Adiposity, Arterial Inflammation, and Subsequent Cardiovascular Events

The objective of this study was to evaluate how different measures of adiposity are related to both arterial inflammation and the risk of subsequent cardiovascular events. We included individuals who underwent (18)F-fluorodeoxyglucose positron emission tomography/computed tomography imaging for onco...

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Veröffentlicht in:Circulation. Cardiovascular imaging 2016-04, Vol.9 (4), p.e004043-e004043
Hauptverfasser: Figueroa, Amparo L, Takx, Richard A P, MacNabb, Megan H, Abdelbaky, Amr, Lavender, Zachary R, Kaplan, Rebecca S, Truong, Quynh A, Lo, Janet, Ghoshhajra, Brian B, Grinspoon, Steven K, Hoffmann, Udo, Tawakol, Ahmed
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container_issue 4
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container_title Circulation. Cardiovascular imaging
container_volume 9
creator Figueroa, Amparo L
Takx, Richard A P
MacNabb, Megan H
Abdelbaky, Amr
Lavender, Zachary R
Kaplan, Rebecca S
Truong, Quynh A
Lo, Janet
Ghoshhajra, Brian B
Grinspoon, Steven K
Hoffmann, Udo
Tawakol, Ahmed
description The objective of this study was to evaluate how different measures of adiposity are related to both arterial inflammation and the risk of subsequent cardiovascular events. We included individuals who underwent (18)F-fluorodeoxyglucose positron emission tomography/computed tomography imaging for oncological evaluation. Subcutaneous adipose tissue (SAT) volume, visceral adipose tissue (VAT) volume, and VAT/SAT ratio were determined. Additionally, body mass index, metabolic syndrome, and aortic (18)F-fluorodeoxyglucose uptake (a measure of arterial inflammation) were determined. Subsequent development of cardiovascular disease (CVD) events was adjudicated. The analysis included 415 patients with a median age of 55 (P25-P75: 45-65) and a median body mass index of 26.4 (P25-P75: 23.4-30.9) kg/m(2). VAT and SAT volume were significantly higher in obese individuals. VAT volume (r=0.290; P
doi_str_mv 10.1161/CIRCIMAGING.115.004043
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We included individuals who underwent (18)F-fluorodeoxyglucose positron emission tomography/computed tomography imaging for oncological evaluation. Subcutaneous adipose tissue (SAT) volume, visceral adipose tissue (VAT) volume, and VAT/SAT ratio were determined. Additionally, body mass index, metabolic syndrome, and aortic (18)F-fluorodeoxyglucose uptake (a measure of arterial inflammation) were determined. Subsequent development of cardiovascular disease (CVD) events was adjudicated. The analysis included 415 patients with a median age of 55 (P25-P75: 45-65) and a median body mass index of 26.4 (P25-P75: 23.4-30.9) kg/m(2). VAT and SAT volume were significantly higher in obese individuals. VAT volume (r=0.290; P&lt;0.001) and VAT/SAT ratio (r=0.208; P&lt;0.001) were positively correlated with arterial inflammation. Thirty-two subjects experienced a CVD event during a median follow-up of 4 years. Cox proportional hazard models showed that VAT volume and VAT/SAT ratio were associated with CVD events (hazard ratio [95% confidence interval]: 1.15 [1.06-1.25]; P&lt;0.001; 3.60 [1.88-6.92]; P&lt;0.001, respectively). Body mass index, metabolic syndrome, and SAT were not predictive of CVD events. Measures of visceral fat are positively related to arterial inflammation and are independent predictors of subsequent CVD events. Individuals with higher measures of visceral fat as well as elevated arterial inflammation are at highest risk for subsequent CVD events. 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Cardiovascular imaging, 2016-04, Vol.9 (4), p.e004043-e004043</ispartof><rights>2016 American Heart Association, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-cc2f4ac77283bfbee26bda1f6c868536a317b3c204ceac698b01f11aef4bf1113</citedby><cites>FETCH-LOGICAL-c414t-cc2f4ac77283bfbee26bda1f6c868536a317b3c204ceac698b01f11aef4bf1113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,3674,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27072302$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Figueroa, Amparo L</creatorcontrib><creatorcontrib>Takx, Richard A P</creatorcontrib><creatorcontrib>MacNabb, Megan H</creatorcontrib><creatorcontrib>Abdelbaky, Amr</creatorcontrib><creatorcontrib>Lavender, Zachary R</creatorcontrib><creatorcontrib>Kaplan, Rebecca S</creatorcontrib><creatorcontrib>Truong, Quynh A</creatorcontrib><creatorcontrib>Lo, Janet</creatorcontrib><creatorcontrib>Ghoshhajra, Brian B</creatorcontrib><creatorcontrib>Grinspoon, Steven K</creatorcontrib><creatorcontrib>Hoffmann, Udo</creatorcontrib><creatorcontrib>Tawakol, Ahmed</creatorcontrib><title>Relationship Between Measures of Adiposity, Arterial Inflammation, and Subsequent Cardiovascular Events</title><title>Circulation. Cardiovascular imaging</title><addtitle>Circ Cardiovasc Imaging</addtitle><description>The objective of this study was to evaluate how different measures of adiposity are related to both arterial inflammation and the risk of subsequent cardiovascular events. We included individuals who underwent (18)F-fluorodeoxyglucose positron emission tomography/computed tomography imaging for oncological evaluation. Subcutaneous adipose tissue (SAT) volume, visceral adipose tissue (VAT) volume, and VAT/SAT ratio were determined. Additionally, body mass index, metabolic syndrome, and aortic (18)F-fluorodeoxyglucose uptake (a measure of arterial inflammation) were determined. Subsequent development of cardiovascular disease (CVD) events was adjudicated. The analysis included 415 patients with a median age of 55 (P25-P75: 45-65) and a median body mass index of 26.4 (P25-P75: 23.4-30.9) kg/m(2). VAT and SAT volume were significantly higher in obese individuals. 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Cardiovascular imaging</jtitle><addtitle>Circ Cardiovasc Imaging</addtitle><date>2016-04</date><risdate>2016</risdate><volume>9</volume><issue>4</issue><spage>e004043</spage><epage>e004043</epage><pages>e004043-e004043</pages><issn>1941-9651</issn><eissn>1942-0080</eissn><abstract>The objective of this study was to evaluate how different measures of adiposity are related to both arterial inflammation and the risk of subsequent cardiovascular events. We included individuals who underwent (18)F-fluorodeoxyglucose positron emission tomography/computed tomography imaging for oncological evaluation. Subcutaneous adipose tissue (SAT) volume, visceral adipose tissue (VAT) volume, and VAT/SAT ratio were determined. Additionally, body mass index, metabolic syndrome, and aortic (18)F-fluorodeoxyglucose uptake (a measure of arterial inflammation) were determined. Subsequent development of cardiovascular disease (CVD) events was adjudicated. The analysis included 415 patients with a median age of 55 (P25-P75: 45-65) and a median body mass index of 26.4 (P25-P75: 23.4-30.9) kg/m(2). VAT and SAT volume were significantly higher in obese individuals. VAT volume (r=0.290; P&lt;0.001) and VAT/SAT ratio (r=0.208; P&lt;0.001) were positively correlated with arterial inflammation. Thirty-two subjects experienced a CVD event during a median follow-up of 4 years. Cox proportional hazard models showed that VAT volume and VAT/SAT ratio were associated with CVD events (hazard ratio [95% confidence interval]: 1.15 [1.06-1.25]; P&lt;0.001; 3.60 [1.88-6.92]; P&lt;0.001, respectively). Body mass index, metabolic syndrome, and SAT were not predictive of CVD events. Measures of visceral fat are positively related to arterial inflammation and are independent predictors of subsequent CVD events. Individuals with higher measures of visceral fat as well as elevated arterial inflammation are at highest risk for subsequent CVD events. The findings suggest that arterial inflammation may explain some of the CVD risk associated with adiposity.</abstract><cop>United States</cop><pmid>27072302</pmid><doi>10.1161/CIRCIMAGING.115.004043</doi><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adiposity
Aged
Arteritis - diagnostic imaging
Body Mass Index
Cardiovascular Diseases - diagnostic imaging
Female
Fluorodeoxyglucose F18
Humans
Male
Metabolic Syndrome - complications
Middle Aged
Multimodal Imaging
Positron-Emission Tomography
Predictive Value of Tests
Radiopharmaceuticals
Retrospective Studies
Risk Factors
Tomography, X-Ray Computed
title Relationship Between Measures of Adiposity, Arterial Inflammation, and Subsequent Cardiovascular Events
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