The Effect of Exercise and Diet on Epicardial Fat in Weight Loss
In recent years,the anatomical and functional connectivity of epicardial adipose tissue(EAT)to myocardium and coronary arteries has received increasing attention due to its potential pathogenic role in obesity related heart diseases.In addition to the known and attributed biochemical cardioprotective properties of epicardial adipose tissue,it is increasingly evident that in metabolic disease states,the bioactive adipokines secreted by EAT may play an important role in the pathogenesis of coronary artery disease and arrhythmia.Previous studies have shown that EAT is a significant factor associated with cardiovascular and metabolic diseases,with a good correlation(P<0.01)between EAT thickness and BMI,WC,etc.Obese patients have significantly higher EAT thickness than normal individuals.Different weight loss interventions may not only achieve the desired amount of weight loss,but also reduce the amount of EAT.This article reviews the effects of exercise and dietary weight loss on epicardial fat content.