Síndrome metabólico y grasa visceral en mujeres con un factor de riesgo cardiovascular

Rodríguez, Anxela Soto; Soidán, José Luis García; Gómez, María Jesús Arias; Leirós‐Rodríguez, Raquel; Alonso, Alberto J del Álamo; Fernández, María Reyes Pérez

doi:10.20960/nh.1085

Cited by 13 publications

(7 citation statements)

References 15 publications

(23 reference statements)

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“…Participants were not randomly assigned to the programmes, only the location of the flats were randomly assigned. Menopausal women showed more visceral fat [ 44 ], however we do not have this data. Manufacturers of BIA technology recommend to avoid testing women when they perceive to be retaining water during the menstrual cycle.…”

Section: Discussionmentioning

confidence: 98%

Effects of weight loss intervention on body composition and blood pressure among overweight and obese women: findings from the MyBFF@home study

et al. 2018

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BackgroundObesity is related to the increased incidence of hypertension and in healthy individuals, blood pressure changes with age and body mass. The aims of this paper were to evaluate the effectiveness of the weight loss intervention on body composition and blood pressure, and to evaluate the relationship between these factors among housewives in the MyBFF@home study.MethodsMyBFF@home intervention was a quasi-experimental study which involved 328 overweight and obese housewives aged 18–59 years old (Control group: 159, Intervention group: 169). Data of the control and intervention group (pre and post intervention who completed the body composition and blood pressure measurements were analysed. Body compositions were measured using the Body Impedance Analyser (InBody 720) and blood pressure (Systolic and Diastolic) was taken using the blood pressure monitoring device (Omron HEM 907) at baseline, 6 month and 12 month. Data analyses (Pearson’s correlation test and ANOVA) were performed and analysed using SPSS Statistics for Windows, version 22.0.ResultsVisceral fat area, fat mass and body fat percentage, were all significantly decreased in the intervention group compared to the control group after 6 month intervention (p < 0.05). Systolic blood pressure was reduced significantly by − 6.81 mmHg (95% CI: -9.72,-3.90; p < 0.01) in the intervention and by − 7.95 mmHg (95% CI: -11.69,-4.20; p < 0.01) in the control group after 6 month intervention. Diastolic blood pressure was significantly correlated with BMI (r = 0.19), waist circumference (r = 0.23), body fat mass (r = 0.22), body fat percentage (r = 0.18) visceral fat area (r = 0.22) and skeletal muscle mass (r = 0.14) with p < 0.05. At 12-month follow-up, no significant changes of blood pressure were detected in both groups.ConclusionThere were significant changes in the body fat and systolic blood pressure over 6 month among the participants in the intervention group compared to the control group. However, both groups were unable to sustain the positive changes in the body fats during the maintenance phase. There was a relationship between the body composition and blood pressure during the weight loss intervention and weight loss maintenance phase. Participation among obese housewives in a community-based intervention programme led to the improvements in blood pressure and body composition.

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Section: Discussionmentioning

confidence: 98%

Effects of weight loss intervention on body composition and blood pressure among overweight and obese women: findings from the MyBFF@home study

et al. 2018

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“…называемые отрезные точки: их превышение свидетельствует о наличии у обследуемого метаболических нарушений [14][15]. По данным японского общества по проблемам ожирения под висцеральным ожирением понимают содержание висцеральной жировой ткани ≥ 10%.…”

Section: актуальная темаunclassified

Justification of the need to create a new classification of obesity

Миклишанская¹,

Золозова²,

Orlovskii³

et al. 2021

Лечащий Врач

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Результаты многочисленных исследований, проведенных в последние десятилетия, показали, что наибольшее значение в определении риска развития заболеваний и смерти на индивидуальном уровне имеет накопление висцеральной жировой ткани, сопряженное с развитием метаболических нарушений и местным влиянием при ее накоплении во внутренних органах. Биоимпедансный анализ служит простым и доступным в широкой клинической практике способом определения избыточного содержания висцеральной жировой ткани, позволяя тем самым выявлять пациентов с ожирением и высоким риском развития сердечно-сосудистых осложнений даже в рамках первой встречи с врачом. Результаты определения висцеральной жировой ткани с помощью биоимпедансного анализа сопоставимы с данными, полученными при КТ и МРТ. По нашим наблюдениям, проведенным на 154 больных с различными сердечно-сосудистыми заболеваниями, содержание висцеральной жировой ткани, составляющее 14% и более по данным биоимпедансного анализа, сочеталось с нарушениями, характерными для метаболического синдрома. При этом нарастание индекса массы тела от 1-й до 3-й степени никак не отражало степень тяжести метаболических нарушений. Достоверных отличий по содержанию висцеральной жировой ткани и уровням содержания в крови триглицеридов, глюкозы и липопротеинов высокой плотности у больных с разными степенями ожирения также выявлено не было. На сегодняшний день очевидно, что ожирение, определяемое с помощью индекса массы тела, является очень гетерогенным и его отрицательная роль в развитии заболеваний выявляется только при наблюдении за очень большими группами населения. Данные исследований о значении висцеральной жировой ткани и ее связи с факторами риска развития сердечно-сосудистых заболеваний свидетельствуют о необходимости создания новой классификации ожирения. Проект для ее обсуждения приводится в нашей статье. The results of numerous studies conducted over the past decades have shown that the greatest importance in determining the risk of disease and death at the individual level is the accumulation of visceral adipose tissue, associated with the development of metabolic disorders and local influence when it accumulates in the internal organs. Bioimpedance analysis is a simple and widely available clinical method for determining the excess content of visceral adipose tissue, thereby allowing you to identify patients with obesity and a high risk of developing cardiovascular complications, even in the first meeting with a doctor. The results of the determination of visceral adipose tissue by bioimpedance analysis are comparable with the data obtained by CT and MRI. According to our observations conducted on 154 patients with various cardiovascular diseases, the content of visceral adipose tissue , which is 14% or more according to bioimpedance analysis, was combined with disorders characteristic of the metabolic syndrome. At the same time, the increase in BMI from the 1st to the 3rd degree did not reflect the severity of metabolic disorders. There were no significant differences in the content of visceral adipose tissue and blood levels of triglycerides, glucose, and HDL-C in patients with different degrees of obesity. To date, it is obvious that obesity, determined by BMI, is very heterogeneous and its negative role in the development of diseases is revealed only when observing very large groups of the population. Research data on the importance of visceral adipose tissue and its association with risk factors for cardiovascular disease suggest the need for a new classification of obesity. We present a draft for discussing the new classification of obesity in our article.

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“…8,9 Excessive visceral fat area is associated with adipocyte dysfunction, increased inflammatory cytokine secretion, and impaired insulin sensitivity, which can increase the risk of atherosclerosis and lead to cardiac and endothelial dysfunction. 10 A few studies reported visceral fat was associated with cardiometabolic risk in the general population, 11,12 in hypertensive patients, 13 in psoriasis patients, 14 in women after menopause 15 and in patients with coronary atherosclerosis. 16 However, the relationship between VFA and cardiac hemodynamics has not been adequately evaluated in comparison with other clinical factors such as blood pressure, age or waist/hip ratio in T2DM.…”

Section: Introductionmentioning

confidence: 99%

<p>Visceral Fat Area, Not Subcutaneous Fat Area, is Associated with Cardiac Hemodynamics in Type 2 Diabetes</p>

Qiu¹,

Deng²,

Sha³

et al. 2020

DMSO

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Síndrome metabólico y grasa visceral en mujeres con un factor de riesgo cardiovascular

Cited by 13 publications

References 15 publications

Effects of weight loss intervention on body composition and blood pressure among overweight and obese women: findings from the MyBFF@home study

Effects of weight loss intervention on body composition and blood pressure among overweight and obese women: findings from the MyBFF@home study

Justification of the need to create a new classification of obesity

<p>Visceral Fat Area, Not Subcutaneous Fat Area, is Associated with Cardiac Hemodynamics in Type 2 Diabetes</p>

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