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Visceral adiposity and incident coronary heart disease in Japanese-American men. The 10-year follow-up results of the Seattle Japanese-American Community Diabetes Study.
Abstract
OBJECTIVE: To identify risk factors for incident coronary heart disease (CHD). RESEARCH DESIGN AND METHODS: A total of 175 Japanese-American men without CHD were followed for up to 10 years. Baseline variables were blood pressure, weight, BMI, fat areas by computed tomography, skinfold thicknesses, abdominal circumference, plasma insulin, C-peptide, cholesterol, LDL cholesterol, HDL cholesterol, HDL2 cholesterol, and HDL3 cholesterol, triglycerides, apoproteins A1 and B, and diagnosis of diabetes and hypertension. CHD was diagnosed by electrocardiogram and clinical events. Logistic regression was used to estimate odds ratio. RESULTS: There were 50 incident cases of CHD. Using univariate logistic regression analysis, significant risk factors were intra-abdominal fat (P = 0.0090), fasting glucose (P = 0.0002), 2-h glucose (P = 0.0008), fasting HDL cholesterol (P = 0.0086), fasting HDL2 cholesterol (P = 0.030), fasting HDL3 cholesterol (P = 0.018), fasting triglycerides (P = 0.013), systolic (P = 0.0007) and diastolic blood pressure (P = 0.0002), and presence of diabetes (P = 0.0023). Multiple logistic regression models adjusted for BMI and age showed that intra-abdominal fat accounted for the effects of HDL cholesterol or triglycerides. In a multiple logistic regression model that included intra-abdominal fat, all systolic blood pressure and fasting glucose were significant. Substituting diastolic blood pressure for systolic blood pressure and 2-h glucose or diabetes status for fasting glucose produced similar results. CONCLUSIONS: Visceral adiposity, blood pressure, and plasma glucose are important independent risk factors for incident CHD in this population of diabetic and nondiabetic Japanese-American men.
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“The fat distribution in CAD patients revealed that approximately half of the patients had excess visceral fat accumulation321).”
From Japan Atherosclerosis Society (JAS) guidelines for prevention of atherosclerotic cardiovascular diseases 2017 (2018) · cites this paper as [321]
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Association of Visceral and Subcutaneous Adiposity with Kidney Function
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Estimating Visceral Fat Area by Multifrequency Bioelectrical Impedance
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“Tabaquismo actual 113 (16) 16 (22) 97 (15) 0,151”
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“Similarly, there are two studies in participants of Japanese ancestry (4, 8) and, to our knowledge, none from a Hispanic cohort.”
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“Fujimoto [21] conducted a prospective study in Seattle of 175 Japanese-American men without CHD who were followed for up to 10 years.”
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Self-citationGestational Diabetes or Lesser Degrees of Glucose Intolerance and Risk of Preeclampsia
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“development of type 2 diabetes mellitus (35) and coronary heart disease (36).”
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Metadata
- Authors
- Fujimoto, W. Y., Bergstrom, R. W., Boyko, E. J., Chen, K. W., Leonetti, D. L., Newell-Morris, L., Shofer, J. B., & Wahl, P. W.
- Affiliations
- University of Washington (US)
- Department of Medicine, University of Washington, Seattle 98195, USA. wilfuji@u.washington.edu
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 1999-11-01
- Volume
- 22
- Issue
- 11
- Pages
- 1808-1812
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2105023507
- Cited by
- 296
- References
- 0
- Citations by year
- 2025: 2 · 2024: 8 · 2023: 5 · 2022: 6 · 2021: 7 · 2020: 7 · 2019: 11 · 2018: 16 · 2017: 12 · 2016: 17 · 2015: 8 · 2014: 11 · 2013: 14 · 2012: 17
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL 49293, R01HL049293)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 31170)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Keywords
- visceral fat, coronary artery disease, Japanese-American men, intra-abdominal fat, HDL cholesterol, HDL2, HDL3 cholesterol, triglycerides, fasting blood glucose, blood pressure, diabetes mellitus, cardiovascular risk factors
- MeSH terms
- Adipose Tissue, Coronary Disease, Follow-Up Studies, Humans, Japan, Male, Middle Aged, Viscera, Washington, Odds Ratio, Asian People
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