A preliminary study of the correlation between ultrasound detection of multi site visceral fat and cerebral ischemic stroke
Objective To evaluate the association between visceral fat in multi sites and cerebral ischemic stroke(CIS)by applying ultrasound detection,identify relevant risk factors,and provide a new perspective for the early diagnosis and prevention of CIS.Methods Eighty-nine patients diagnosed with CIS in the neurology department of Yijishan Hospital,Wannan Medical College as well as 90 healthy volunteers from September 2022 to September 2023 were included,as stroke group and control group respectively.Ultrasound technology was used to measure visceral fat parameters in multi sites,and compared between groups.Results The differences of Chinese visceral adiposity index,intima-media thickness(IMT),epicardial adipose tissue(EAT),preperitoneal fat thickness,posterior right periphery fat thickness,visceral adipose tissue and left or right renal fat sac thickness between the two groups were statistically significant(P<0.05).The OR value of EAT was 2.258(1.805-2.834),which was significantly higher than other indicators.After adjusting for multiple variables,multivariate Logistic regression analysis showed that IMT(OR=1.004,P=0.013)and EAT(OR=4.040,P<0.001)had a statistically significant impact on CIS.ROC curve analysis determined that the AUC values of IMT and EAT were 0.708,0.882,respectively,which had high sensitivity,and the critical values were 1275 μm and 17.54 mm,respectively.Conclusion Ultrasound measurement of multi sites visceral fat parameters is related to CIS,and IMT and EAT are independent influencing factors of CIS.The higher the IMT and EAT values,the higher the risk of developing CIS,with EAT having higher diagnostic efficacy.