_uacct = “UA-1399567-1”;
Accumulation of epicardial (EAT) adipose tissue is associated with the development of an unfavorable metabolic risk profile. Gold standard methods used to assess this fat depot are not routinely applicable in the clinic. Anthropometric measures, including the sagittal abdominal diameter (SAD), have emerged as surrogate markers of visceral obesity. We determined the relationship between EAT measurement and cardiometabolic risk parameters and the potential use of the SAD, compared with other anthropometric parameters, as a practical estimation of EAT.
The accumulation of EAT was correlated with impaired insulin sensitivity and decreased adiponectin. All of the anthropometric measurements were correlated with EAT. Interestingly, EAT was most significantly correlated with the SAD. From the ROC analysis, we found that the SAD measurements were very accurate, presenting the highest area under the curve for EAT (0.81; p < 0.01) when compared with the other measurements. In the multiple linear regression analysis, EAT was moderately predicted by the SAD (R2 = 0.25; p < 0.001). . . Conclusion
SAD, a simple anthropometric measure, accurately estimated EAT and thus represents a clinically useful non-invasive marker that can identify patients with EAT accumulation.
A medida da gordura epicárdica ao ecocardiograma é muito fácil de ser realizada em um exame convencional. Como quase todos os pacientes hoje realizam um ecocardiograma a cada 4 anos, no mínimo, escrever os resultados no laudo poderia ser uma medida de saúde pública. Ainda mais podendo se correlacionar com a medida sagital do abdome.