Visceral, general, abdominal adiposity and atherogenic index of plasma in relatively lean hemodialysis patients

被引:11
|
作者
Zhou, Chaomin [1 ]
Peng, Hongying [2 ]
Yuan, Jing [1 ]
Lin, Xin [1 ]
Zha, Yan [1 ]
Chen, Hui [3 ]
机构
[1] Guizhou Prov Peoples Hosp, Guizhou Prov Inst Nephrit & Urinary Dis, Dept Med, Renal Div, Guiyang 550002, Guizhou, Peoples R China
[2] Guizhou Med Univ, Baiyun Hosp, Dept Med, Renal Div, Guiyang 550002, Guizhou, Peoples R China
[3] Guizhou Prov Peoples Hosp, Minist Sci & Educ, Guiyang 550002, Guizhou, Peoples R China
关键词
Visceral adiposity; Hemodialysis; Atherogenic index of plasma; HYPERTRIGLYCERIDEMIC-WAIST PHENOTYPE; LIPID-ACCUMULATION PRODUCT; HEALTHY KOREAN ADULTS; BODY-MASS INDEX; SUBCLINICAL ATHEROSCLEROSIS; CARDIOVASCULAR EVENTS; METABOLIC SYNDROME; RISK; ASSOCIATION; OBESITY;
D O I
10.1186/s12882-018-0996-0
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background: Obesity is a well-established risk factor for atherosclerosis. However, it is unknown which measure of adiposity best relates to atherosclerosis in relatively lean maintenance hemodialysis (MHD) patients. We aimed to explore and compare the associations between different adiposity indices reflecting general, abdominal, visceral adiposity and arteriosclerosis risk with atherogenic index of plasma(AIP) in relatively lean MHD patients. Methods: We conducted a multicenter, cross-sectional study in Guizhou Province, Southwest China. General/abdominal adiposity indices like body mass index (BMI), waist circumference(WC), waist-height ratio(WHtR), conicity index (Ci) and visceral obesity indices including visceral adiposity index (VAI), lipid accumulation product (LAP) and the hypertriglyceridemic waist phenotype (HW phenotype) were recorded. Univariate and multivariate linear regression models were used. Results: All adiposity indices correlated positively with AIP in univariate analysis both in men and women except for Ci. After adjustment for age and traditional atherosclerosis risk factors, BMI, WC, WHtR, VAI and LAP still had associations with AIP both in men (beta = 0265, 0.153, 0.16, 0.788 and 0.74, respectively, all P < 0.001) and women (3= 0.34,0.199, 0.21, 0.83 and 0.74, respectively, all P < 0.001). After further adjustment for BMI, associations between AIP and VAI, LAP remained significant, but associations between WC, WHtR and AIP disappeared. Conclusions: The HW phenotype, VAI, and LAP, validated and convenient markers of visceral obesity, were superior to classical anthropometric general/ abdominal adiposity indices for atherosclerosis risk assessment, especially in relatively lean MHD patients aged 40 years or older.
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页数:7
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