Morphometric measurements of systemic atherosclerosis and visceral fat: Evidence from an autopsy study

Autor: Renata Eloah de Lucena Ferretti-Rebustini, Fernanda Marinho Campos, Aline Nishizawa, Renata Elaine Paraizo Leite, Wilson Jacob-Filho, Claudia K. Suemoto, Carlos Augusto Pasqualucci, José Marcelo Farfel, Márcio Sommer Bittencourt, Daniela Souza Farias-Itao, Karen Cristina Souza da Silva, Lea T. Grinberg
Přispěvatelé: Sun, Qinghua
Rok vydání: 2017
Předmět:
Male
Aging
Cerebral arteries
lcsh:Medicine
Adipose tissue
Autopsy
030204 cardiovascular system & hematology
Cardiovascular
Pathology and Laboratory Medicine
Vascular Medicine
Biochemistry
Fats
0302 clinical medicine
80 and over
Medicine and Health Sciences
lcsh:Science
Coronary Arteries
Aorta
Stenosis
Aged
80 and over

Aortic atherosclerosis
Multidisciplinary
Confounding
Arteries
Middle Aged
Lipids
Heart Disease
Carotid Arteries
medicine.anatomical_structure
Cardiology
Female
Anatomy
Research Article
Adult
medicine.medical_specialty
General Science & Technology
Surgical and Invasive Medical Procedures
and over
Intra-Abdominal Fat
03 medical and health sciences
Signs and Symptoms
Diagnostic Medicine
medicine.artery
Internal medicine
medicine
Humans
cardiovascular diseases
Heart Disease - Coronary Heart Disease
Aged
business.industry
lcsh:R
Biology and Life Sciences
Cerebral Arteries
Atherosclerosis
medicine.disease
Coronary arteries
Cardiovascular Anatomy
Blood Vessels
lcsh:Q
business
030217 neurology & neurosurgery
Zdroj: PLoS ONE, Vol 12, Iss 10, p e0186630 (2017)
PLoS ONE
PloS one, vol 12, iss 10
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0186630
Popis: Author(s): Nishizawa, Aline; Suemoto, Claudia K; Farias-Itao, Daniela S; Campos, Fernanda M; Silva, Karen CS; Bittencourt, Marcio S; Grinberg, Lea T; Leite, Renata EP; Ferretti-Rebustini, Renata EL; Farfel, Jose M; Jacob-Filho, Wilson; Pasqualucci, Carlos A | Abstract: BACKGROUND:Morphometric measurements of systemic atherosclerosis and direct quantification of visceral fat are only possible using materials from autopsy studies. However, the few autopsy studies that have investigated the association of visceral fat with atherosclerosis had small sample sizes and focused on coronary arteries of young or middle-aged White subjects. We aimed to investigate the association of pericardial fat (PF) and abdominal visceral fat (AVF) with atherosclerosis in the aorta, coronary, carotid, and cerebral arteries in a large autopsy study. MATERIALS AND METHODS:We evaluated deceased subjects aged 30 years or above. We dissected and weighted the PF and the AVF and evaluated the atherosclerotic burden in the aorta, as well as the carotid, coronary, and cerebral arteries using morphometric measurements. We also investigated the interaction of PF and AVF with age regarding the atherosclerotic burden. RESULTS:The mean age of the 240 included subjects was 64.8±15.3 years, and 63% was male. Greater PF was associated with a higher degree of aortic atherosclerosis after adjusting for confounding variables (coefficient = 4.39, 95% CI = 0.83; 7.94, p = 0.02). Greater AVF was associated with a higher coronary stenosis index (coefficient = 1.49, 95% CI = 0.15; 2.83, p = 0.03) and a greater number of coronary plaques (coefficient = 0.71, 95% CI = 0.24; 1.19, p = 0.003). We did not find an association of PF or AVF with carotid or cerebral atherosclerotic burden. We found a significant interaction of AVF (coefficient = -0.08; 95% CI = -0.14; -0.02, p = 0.009) and PF (coefficient = -0.87, 95% CI = -1.70; -0.04, p = 0.04) with age regarding carotid artery atherosclerotic burden. CONCLUSIONS:Greater AVF was associated with greater atherosclerotic burden and extent in coronary arteries, while greater PF correlated with a higher degree of atherosclerosis in the aorta.
Databáze: OpenAIRE