Visceral adiposity index in patients with coronary artery disease, obesity and type 2 diabetes

Aim. To assess visceral adiposity index (VAI) in patients with coronary artery disease (CAD) and overweight or obesity, as well as to determine its relationship with lipid and carbohydrate metabolism parameters and inflammatory markers, depending on the presence of carbohydrate metabolism disorders...

Full description

Bibliographic Details
Main Authors: A. A. Khorlampenko, V. N. Karetnikova, A. M. Kochergina, Yu. S. Ignatova, E. V. Belik, O. V. Gruzdeva, N. K. Brel, A. N. Kokov, O. L. Barbarash
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2020-07-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/2311
_version_ 1827063796159479808
author A. A. Khorlampenko
V. N. Karetnikova
A. M. Kochergina
Yu. S. Ignatova
E. V. Belik
O. V. Gruzdeva
N. K. Brel
A. N. Kokov
O. L. Barbarash
author_facet A. A. Khorlampenko
V. N. Karetnikova
A. M. Kochergina
Yu. S. Ignatova
E. V. Belik
O. V. Gruzdeva
N. K. Brel
A. N. Kokov
O. L. Barbarash
author_sort A. A. Khorlampenko
collection DOAJ
description Aim. To assess visceral adiposity index (VAI) in patients with coronary artery disease (CAD) and overweight or obesity, as well as to determine its relationship with lipid and carbohydrate metabolism parameters and inflammatory markers, depending on the presence of carbohydrate metabolism disorders (CMD).Material and methods. The study included 95 patients with CAD and overweight (body mass index (BMI) >25 kg/m2) or obesity (BMI >30 kg/m2), of which 59 patients had type 2 diabetes (T2D) and 36 were without CMD. All patients were assessed for obesity; VAI was calculated. Following laboratory parameters were evaluated: glucose, glycated hemoglobin, C-reactive protein, adiponectin, lipid panel. In patients without history of CMD, an oral glucose tolerance test was performed.Results. Compared with patients without CMD, subjects with T2D had significantly higher values of BMI, waist circumference, as well as the body fat percentage, area and volume of visceral adipose tissue estimated by computed tomography. Analysis of lipid profile, C-reactive protein and adiponectin levels did not reveal significant differences between the groups. VAI also did not significantly differ in both groups. VAI had the most correlations with clinical and metabolic parameters in both patients with T2D and without CMD. Other methods for assessing obesity were less correlated with laboratory parameters in both groups. Only VAI significantly correlated with adiponectin in both groups.Conclusion. The obtained correlations between VAI and clinical and metabolic parameters confirm the practicability of using it to determine adipose tissue dysfunction in patients with/without CMD. The effect of increased VAI on the cardiovascular risk in high-risk patients requires further study.
first_indexed 2024-04-10T03:34:32Z
format Article
id doaj.art-d7e5dd1a25e5421ca1f8a04355e1384a
institution Directory Open Access Journal
issn 1728-8800
2619-0125
language Russian
last_indexed 2025-03-19T22:36:56Z
publishDate 2020-07-01
publisher «SILICEA-POLIGRAF» LLC
record_format Article
series Кардиоваскулярная терапия и профилактика
spelling doaj.art-d7e5dd1a25e5421ca1f8a04355e1384a2024-10-17T12:21:39Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252020-07-0119310.15829/1728-8800-2020-23112095Visceral adiposity index in patients with coronary artery disease, obesity and type 2 diabetesA. A. Khorlampenko0V. N. Karetnikova1A. M. Kochergina2Yu. S. Ignatova3E. V. Belik4O. V. Gruzdeva5N. K. Brel6A. N. Kokov7O. L. Barbarash8Kemerovo State Medical UniversityKemerovo State Medical University; Research Institute for Complex Issues of Cardiovascular DiseasesKemerovo State Medical University; Research Institute for Complex Issues of Cardiovascular DiseasesKemerovo State Medical UniversityResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesKemerovo State Medical University; Research Institute for Complex Issues of Cardiovascular DiseasesAim. To assess visceral adiposity index (VAI) in patients with coronary artery disease (CAD) and overweight or obesity, as well as to determine its relationship with lipid and carbohydrate metabolism parameters and inflammatory markers, depending on the presence of carbohydrate metabolism disorders (CMD).Material and methods. The study included 95 patients with CAD and overweight (body mass index (BMI) >25 kg/m2) or obesity (BMI >30 kg/m2), of which 59 patients had type 2 diabetes (T2D) and 36 were without CMD. All patients were assessed for obesity; VAI was calculated. Following laboratory parameters were evaluated: glucose, glycated hemoglobin, C-reactive protein, adiponectin, lipid panel. In patients without history of CMD, an oral glucose tolerance test was performed.Results. Compared with patients without CMD, subjects with T2D had significantly higher values of BMI, waist circumference, as well as the body fat percentage, area and volume of visceral adipose tissue estimated by computed tomography. Analysis of lipid profile, C-reactive protein and adiponectin levels did not reveal significant differences between the groups. VAI also did not significantly differ in both groups. VAI had the most correlations with clinical and metabolic parameters in both patients with T2D and without CMD. Other methods for assessing obesity were less correlated with laboratory parameters in both groups. Only VAI significantly correlated with adiponectin in both groups.Conclusion. The obtained correlations between VAI and clinical and metabolic parameters confirm the practicability of using it to determine adipose tissue dysfunction in patients with/without CMD. The effect of increased VAI on the cardiovascular risk in high-risk patients requires further study.https://cardiovascular.elpub.ru/jour/article/view/2311visceral obesity indexdiabetesadiponectincoronary artery disease
spellingShingle A. A. Khorlampenko
V. N. Karetnikova
A. M. Kochergina
Yu. S. Ignatova
E. V. Belik
O. V. Gruzdeva
N. K. Brel
A. N. Kokov
O. L. Barbarash
Visceral adiposity index in patients with coronary artery disease, obesity and type 2 diabetes
Кардиоваскулярная терапия и профилактика
visceral obesity index
diabetes
adiponectin
coronary artery disease
title Visceral adiposity index in patients with coronary artery disease, obesity and type 2 diabetes
title_full Visceral adiposity index in patients with coronary artery disease, obesity and type 2 diabetes
title_fullStr Visceral adiposity index in patients with coronary artery disease, obesity and type 2 diabetes
title_full_unstemmed Visceral adiposity index in patients with coronary artery disease, obesity and type 2 diabetes
title_short Visceral adiposity index in patients with coronary artery disease, obesity and type 2 diabetes
title_sort visceral adiposity index in patients with coronary artery disease obesity and type 2 diabetes
topic visceral obesity index
diabetes
adiponectin
coronary artery disease
url https://cardiovascular.elpub.ru/jour/article/view/2311
work_keys_str_mv AT aakhorlampenko visceraladiposityindexinpatientswithcoronaryarterydiseaseobesityandtype2diabetes
AT vnkaretnikova visceraladiposityindexinpatientswithcoronaryarterydiseaseobesityandtype2diabetes
AT amkochergina visceraladiposityindexinpatientswithcoronaryarterydiseaseobesityandtype2diabetes
AT yusignatova visceraladiposityindexinpatientswithcoronaryarterydiseaseobesityandtype2diabetes
AT evbelik visceraladiposityindexinpatientswithcoronaryarterydiseaseobesityandtype2diabetes
AT ovgruzdeva visceraladiposityindexinpatientswithcoronaryarterydiseaseobesityandtype2diabetes
AT nkbrel visceraladiposityindexinpatientswithcoronaryarterydiseaseobesityandtype2diabetes
AT ankokov visceraladiposityindexinpatientswithcoronaryarterydiseaseobesityandtype2diabetes
AT olbarbarash visceraladiposityindexinpatientswithcoronaryarterydiseaseobesityandtype2diabetes