Лечащий Врач (Jun 2021)

Visceral obesity in patients with various body mass index

  • S. V. Miklisanskaya,
  • E. A. Zolozova,
  • A. A. Safiullina,
  • N. A. Mazur

DOI
https://doi.org/10.26295/OS.2020.19.39.011
Journal volume & issue
Vol. 0, no. 8
pp. 66 – 70

Abstract

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The relationship between body mass index (BMI), visceral adipose tissue, and TG, glucose, and HDL-C was estimated. A total of 150 patients were examined.According to BMI, in individuals with various degrees of obesity, there were no significant differences in the number of visceral adipose tissue and in the effect on the level of TG, glucose and HDL-C. An increase in the content of visceral adipose tissue leads to a significant increase in the level of triglycerides, glucose and a decrease in the content of HDL-C. In patients with a visceral adipose tissue content less than 10%, the median TG was 1.13 [0.76; 1.46] mmol / l; glucose 5.52 [4.99; 5.71] mmol / l; HDL-C 1.24 [1.06; 1.42] mmol / l. In patients with a visceral adipose tissue content 11% or more, the median TG was 1.585 [1.12; 2.12] mmol / l; glucose 5.97 [5.46; 6.93] mmol / l; HDL-C 1.02 [0.86; 1.31] mmol / l. All differences are highly significant p < 0.004. The level of visceral adipose tissue 16% or more is combined with an increase in the median of triglycerides and glucose above normal values: more than 1.7 mmol / l and 6.5 mmol / l, respectively.The degree of obesity does not reflect the severity of metabolic disorders, which play an important role, as factors in the development of cardiovascular diseases. The accumulation of visceral adipose tissue is clearly associated with an increase in the level of TG and glucose and a decrease in the level of HDL-C. Thus, the current classification of obesity by degrees does not take into account the accumulation of visceral adipose tissue, which has the most adverse effect on metabolic disorders and, accordingly, on the risk of CVD.

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