摘要
目的:探讨中青年男性腹部各部位脂肪厚度与ASCVD危险分层之间的相关性.方法:以 2022 年 1 月—6 月于重庆医科大学第二附属医院进行体检的190名中青年男性体检者为研究对象,所有研究对象按照ASCVD危险分层分为四组(低危组、中危组、高危组和极高危组),利用超声测量各组人群不同部位脂肪厚度,分析各部位脂肪厚度与危险分层之间的相关性.结果:(1)肝前内脏脂肪(VAT)剑下、肝前VAT最大、脐上VAT、脐下皮下脂肪(SAT)、脐下VAT、右肾VAT、左肾VAT以及平均VAT(mVAT)的组间差异有统计学意义(P＜0.05).(2)脐上VAT、脐下VAT、左肾VAT、右肾VAT、mVAT与危险分层之间呈低度正相关(rs分别为 0.28、0.23、0.23、0.19、0.28,P＜0.05).(3)mVAT是影响危险分层的独立危险因素(P＜0.05).结论:脐上VAT、脐下VAT、左肾VAT、右肾VAT、mVAT增加,危险分层增高的风险性增高.超声检测腹部脂肪厚度可为心血管疾病防控提供一项辅助手段.
Abstract
Objective To investigate the correlation between abdominal fat thickness and atherosclerotic cardiovascular disease(ASCVD)risk stratification in young and middle-aged men.Methods 190 middle-aged and young male examinees who underwent physical examinations at the Second Affiliated Hospital of Chongqing Medical University from January to June 2022 were selected as the research subjects.All subjects were divided into four groups according to ASCVD risk stratification(low-risk,medium-risk,high-risk and extremely high-risk groups).Ultrasound was used to measure the fat thickness in different parts of the man in each group,and the correlation between fat thickness in each part and risk stratification was analyzed.Results(1)Pre-liver visceral adipose tissue(VAT)lower the sword,the largest pre-liver VAT,VAT above the umbilicus,subcutaneous adipose tissue(SAT)lower the umbilicus,VAT lower the umbilicus,VAT of the left kidney,VAT of the right kidney,mean VAT(mVAT)of the two groups were statistically significant(P＜0.05).(2)There was a low degree positive correlation between VAT above the umbilicus,VAT below the umbilicus,VAT of the right kidney,VAT of the left kidney and mVAT(rs were 0.28,0.23,0.23,0.19,0.28,P＜0.05).(3)mVAT was an independent risk factor that affects risk stratification(P＜0.05).Conclusion VAT above the umbilicus,VAT below the umbilicus,VAT of the left kidney,VAT of the right kidney and mVAT increase the risk of increased risk stratification.Ultrasound detection of abdominal fat thickness can provide an auxiliary means for the prevention and control of cardiovascular diseases.
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