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The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

Pericardial Fat, Visceral Abdominal Fat, Cardiovascular Disease Risk Factors, and Vascular Calcification in a Community-Based Sample: The Framingham Heart Study

Open access
Rosito, Guido A., Massaro, Joseph M., Hoffmann, Udo, Ruberg, Frederick L., Mahabadi, Amir A., Vasan, Ramachandran S., O’Donnell, Christopher J., Fox, Caroline S.·2008·Circulation

Abstract

Background— Pericardial fat may be an important mediator of metabolic risk. Correlations with cardiovascular disease risk factors and vascular calcification in a community-based sample are lacking. We sought to examine associations between pericardial fat, metabolic risk factors, and vascular calcification. Methods and Results— Participants free of cardiovascular disease from the Framingham Heart Study (n=1155, mean age 63 years, 54.8% women) who were part of a multidetector computed tomography study underwent quantification of intrathoracic fat, pericardial fat, visceral abdominal fat (VAT), coronary artery calcification, and aortic artery calcification. Intrathoracic and pericardial fat volumes were examined in relation to body mass index, waist circumference, VAT, metabolic risk factors, coronary artery calcification, and abdominal aortic calcification. Intrathoracic and pericardial fat were directly correlated with body mass index ( r =0.41 to 0.51, P <0.001), waist circumference ( r =0.43 to 0.53, P <0.001), and VAT ( r =0.62 to 0.76, P <0.001). Both intrathoracic and pericardial fat were associated with higher triglycerides ( P <0.0001), lower high-density lipoprotein ( P <0.0001), hypertension ( P <0.0001 to 0.01), impaired fasting glucose ( P <0.0001 to 0.001), diabetes mellitus ( P =0.0005 to 0.009), and metabolic syndrome ( P <0.0001) after multivariable adjustment. Associations generally persisted after additional adjustment for body mass index and waist circumference but not after adjustment for VAT (all P >0.05). Pericardial fat, but not intrathoracic fat, was associated with coronary artery calcification after multivariable and VAT adjustment (odds ratio 1.21, 95% confidence interval 1.005 to 1.46, P =0.04), whereas intrathoracic fat, but not pericardial fat, was associated with abdominal aortic calcification (odds ratio 1.32, 95% confidence interval 1.03 to 1.67, P =0.03). Conclusions— Pericardial fat is correlated with multiple measures of adiposity and cardiovascular disease risk factors, but VAT is a stronger correlate of most metabolic risk factors. However, intrathoracic and pericardial fat are associated with vascular calcification, which suggests that these fat depots may exert local toxic effects on the vasculature.

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Crossref · 10.1161/circulationaha.107.743062

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Metadata

Authors
Rosito, G. A., Massaro, J. M., Hoffmann, U., Ruberg, F. L., Mahabadi, A. A., Vasan, R. S., O’Donnell, C. J., & Fox, C. S.
Venue
Circulation
Published
2008-02-05
Volume
117
Issue
5
Pages
605-613
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2088118463
Cited by
1,017
References
3
FWCI
34.32
Type
journal article
Language
en
Open access
bronze

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