关键词: Abdominal fat Cardiovascular diseases Obesity Subcutaneous fat Visceral fat Visceral to subcutaneous fat ratio

Mesh : Humans Cardiovascular Diseases / epidemiology Intra-Abdominal Fat Subcutaneous Fat, Abdominal Risk Factors

来  源:   DOI:10.1186/s12889-024-19358-0   PDF(Pubmed)

Abstract:
BACKGROUND: Cardiovascular diseases (CVDs) are the primary cause of mortality globally. The prevalence of obesity is rising worldwide; there seems to be a significant positive association between obesity and CVDs. The distribution of fat in the abdominal area in the form of visceral (VAT) or subcutaneous adipose tissue (SAT) affects the risk of CVDs. The aim of the present study was to conduct a systematic review of the available literature regarding the association between the VAT-to-SAT ratio and CVDs.
METHODS: A comprehensive search strategy was used to retrieve all human observational studies indexed in PubMed, Scopus and Google Scholar databases/search engines (from Jan 2000 up to Oct 2023). The VAT-to-SAT or SAT-to-VAT ratio was an independent variable and various cardiovascular diseases, including hypertension, atherosclerosis, coronary heart disease, cerebrovascular disease and heart failure, were considered as outcomes of interest.
RESULTS: Out of 1173 initial studies, 910 papers were screened. Based on the inclusion criteria, 883 papers were excluded. Finally, 27 papers (18 cross-sectional and 9 cohort studies) published between 2010 and 2023 which met the inclusion criteria were reviewed.
CONCLUSIONS: The distribution of abdominal fat seems to be associated with the risk of CVDs; the majority of the evidence suggests that a higher abdominal VAT-to-SAT ratio is associated with the development of CVDs. Therefore, this ratio can be used as a prognostic indicator for CVDs.
BACKGROUND: Not applicable.
摘要:
背景:心血管疾病(CVDs)是全球死亡的主要原因。肥胖的患病率在全球范围内呈上升趋势;肥胖与心血管疾病之间似乎存在显著的正相关。腹部脂肪以内脏(VAT)或皮下脂肪组织(SAT)的形式分布会影响CVD的风险。本研究的目的是对有关增值税与SAT比率与CVD之间关联的现有文献进行系统回顾。
方法:使用综合搜索策略来检索PubMed索引的所有人类观察研究,Scopus和GoogleScholar数据库/搜索引擎(从2000年1月至2023年10月)。增值税与SAT或SAT与增值税的比率是一个独立变量,各种心血管疾病,包括高血压,动脉粥样硬化,冠心病,脑血管疾病和心力衰竭,被认为是感兴趣的结果。
结果:在1173项初步研究中,共筛选了910篇论文。根据纳入标准,883篇论文被排除在外。最后,审查了2010年至2023年之间发表的符合纳入标准的27篇论文(18篇横断面研究和9篇队列研究)。
结论:腹部脂肪的分布似乎与心血管疾病的风险有关;大多数证据表明,较高的腹部增值税与SAT比率与心血管疾病的发展有关。因此,该比值可作为心血管疾病的预后指标.
背景:不适用。
公众号