Increased epicardial adipose tissue in type 1 diabetes is associated with central obesity and metabolic syndrome
Abstract
Aims The present study evaluated the relationship between metabolic syndrome (MS), body fat composition and epicardial adipose tissue (EAT) in type 1 diabetes. Epicardial adipose tissue is a new independent marker of coronary artery disease (CAD).Methods forty-five type 1 diabetic women were evaluated (age 36 ± 9 years; body mass index 24.6 ± 4.4 kg/m(2)). Metabolic syndrome was defined by the World Health Organization criteria. Body fat composition and EAT were analyzed by dual-energy-X-ray absorptiometry and echocardiogram, respectively.Results twenty patients (45%) had MS. Patients with MS had greater android (central) fat deposition than patients without MS (41.9 ± 2.0% vs. 33.7 ± 1.8%, p=0.004). Total body fat and gynoid (peripheric) fat distribution were similar between the groups. Mean EAT was higher in patients with MS (6.15 ± 0.34 mm vs. 4.96 ± 0.25 mm; p=0.006) and EAT was positively correlated with android (central) fat distribution (r=0.44; p=0.002), however no correlation was found with gynoid (peripheric) fat distribution.Conclusions there was a high incidence of MS in type 1 diabetes related to increased central adiposity, despite the absence of obesity. Metabolic syndrome and central obesity were associated with increased EAT. Thus, young non-obese type 1 diabetic women with central adiposity and/or MS may have increased EAT, what may predict CAD risk.
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Diabetic patients often exhibit an abnormally expanded EAT, usually in association with obesity and metabolic syndrome in both T2DM and T1DM.
“On the other hand, diabetic patients often exhibit an abnormally expanded EAT, usually in association with obesity and metabolic syndrome in both T2DM and T1DM [19,20,21,22].”
From Dysregulated epicardial adipose tissue as a risk factor and potential therapeutic target of heart failure with preserved ejection fraction in diabetes (2022) · cites this paper as [22]
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- Authors
- Momesso, D. P., Bussade, I., Epifanio, M. A., Schettino, C. D. S., Russo, L. A. T., & Kupfer, R.
- Affiliations
- Pontifícia Universidade Católica do Rio de Janeiro (BR)
- Corresponding author
- Momesso, Denise Prado
- Venue
- Diabetes Research and Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2011-01
- Volume
- 91
- Issue
- 1
- Pages
- 47-53
- ISSN
- 0168-8227 (ISSN-L)
- OpenAlex
- W2081795288
- Cited by
- 42
- References
- 47
- Citations by year
- 2024: 1 · 2023: 3 · 2022: 2 · 2020: 2 · 2019: 1 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 7 · 2014: 2 · 2013: 10 · 2012: 3
- FWCI
- 3.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Research and Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Funders
- World Health Organization
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- epicardial adipose tissue, type 1 diabetes, metabolic syndrome, abdominal obesity, android fat distribution, body fat content, coronary artery disease risk, non-obese women
- MeSH terms
- Adult, Brazil, Coronary Artery Disease, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Echocardiography, Female, Humans, Hypertension, Middle Aged, Pericardium, Risk Factors, Biomarkers, Absorptiometry, Photon, Body Mass Index, Incidence, Metabolic Syndrome, Intra-Abdominal Fat, Adiposity, Body Fat Distribution, Obesity, Abdominal
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Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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