x
Volume 47 Issue 3
Mar.  2024
Turn off MathJax
Article Contents
Article Navigation >  Journal of Molecular Imaging  > 2024  >  47(3): 256-263
TANG Min, YAN Tianhui, YANG Qian, SUN Hui, ZHANG Xia. A preliminary study of the correlation between ultrasound detection of multi site visceral fat and cerebral ischemic stroke[J]. Journal of Molecular Imaging, 2024, 47(3): 256-263. doi: 10.12122/j.issn.1674-4500.2024.03.06
Citation: TANG Min, YAN Tianhui, YANG Qian, SUN Hui, ZHANG Xia. A preliminary study of the correlation between ultrasound detection of multi site visceral fat and cerebral ischemic stroke[J]. Journal of Molecular Imaging, 2024, 47(3): 256-263. doi: 10.12122/j.issn.1674-4500.2024.03.06
shu

A preliminary study of the correlation between ultrasound detection of multi site visceral fat and cerebral ischemic stroke

doi: 10.12122/j.issn.1674-4500.2024.03.06

  • Department of Ultasound Medicine, The First Affiliated Hospital of Wannan Medical College, Wuhu 241001, China

  • Received Date: 2024-01-08
    Available Online: 2024-04-17
  • Publish Date: 2024-03-20
    Abstract
  •   Objective  To evaluate the association between visceral fat in multi sites and cerebral ischemic stroke (CIS) by applying ultrasound detection, identify relevant risk factors, and provide a new perspective for the early diagnosis and prevention of CIS.  Methods  Eighty-nine patients diagnosed with CIS in the neurology department of Yijishan Hospital, Wannan Medical College as well as 90 healthy volunteers from September 2022 to September 2023 were included, as stroke group and control group respectively. Ultrasound technology was used to measure visceral fat parameters in multi sites, and compared between groups.  Results  The differences of Chinese visceral adiposity index, intima- media thickness (IMT), epicardial adipose tissue (EAT), preperitoneal fat thickness, posterior right periphery fat thickness, visceral adipose tissue and left or right renal fat sac thickness between the two groups were statistically significant (P < 0.05). The OR value of EAT was 2.258 (1.805-2.834), which was significantly higher than other indicators. After adjusting for multiple variables, multivariate Logistic regression analysis showed that IMT (OR=1.004, P=0.013) and EAT (OR=4.040, P < 0.001) had a statistically significant impact on CIS. ROC curve analysis determined that the AUC values of IMT and EAT were 0.708, 0.882, respectively, which had high sensitivity, and the critical values were 1275 μm and 17.54 mm, respectively.  Conclusion  Ultrasound measurement of multi sites visceral fat parameters is related to CIS, and IMT and EAT are independent influencing factors of CIS. The higher the IMT and EAT values, the higher the risk of developing CIS, with EAT having higher diagnostic efficacy.

     

    • FullText(HTML)
  • loading
    • References(31)
  • [1]
    王陇德, 彭斌, 张鸿祺, 等. 《中国脑卒中防治报告2020》概要[J]. 中国脑血管病杂志, 2022, 19(2): 136-44. doi: 10.3969/j.issn.1672-5921.2022.02.011
    [2]
    Feske SK. Ischemic stroke[J]. Am J Med, 2021, 134(12): 1457-64. doi: 10.1016/j.amjmed.2021.07.027
    [3]
    Potter TBH, Tannous J, Vahidy FS. A contemporary review of epidemiology, risk factors, etiology, and outcomes of premature stroke[J]. Curr Atheroscler Rep, 2022, 24(12): 939-48. doi: 10.1007/s11883-022-01067-x
    [4]
    Yamashiro K, Tanaka R, Tanaka Y, et al. Visceral fat accumulation is associated with cerebral small vessel disease[J]. Eur J Neurol, 2014, 21(4): 667-73. doi: 10.1111/ene.12374
    [5]
    Koenen M, Hill MA, Cohen P, et al. Obesity, adipose tissue and vascular dysfunction[J]. Circ Res, 2021, 128(7): 951-68. doi: 10.1161/CIRCRESAHA.121.318093
    [6]
    Kim JH, Choi KH, Kang KW, et al. Impact of visceral adipose tissue on clinical outcomes after acute ischemic stroke[J]. Stroke, 2019, 50(2): 448-54. doi: 10.1161/STROKEAHA.118.023421
    [7]
    Jung CH, Kim BY, Kim KJ, et al. Contribution of subcutaneous abdominal fat on ultrasonography to carotid atherosclerosis in patients with type 2 diabetes mellitus[J]. Cardiovasc Diabetol, 2014, 13: 67. doi: 10.1186/1475-2840-13-67
    [8]
    Haberka M, Kubicius A, Starzak M, et al. Adiposity, fat depots and the prediction of stroke[J]. Cardiol J, 2023, 30(5): 810-6. doi: 10.5603/CJ.a2021.0134
    [9]
    中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2014[J]. 中华神经科杂志, 2015, 48(4): 246-57. doi: 10.3760/cma.j.issn.1006-7876.2015.04.002
    [10]
    Xia MF, Chen Y, Lin HD, et al. A indicator of visceral adipose dysfunction to evaluate metabolic health in adult Chinese[J]. Sci Rep, 2016, 6: 38214. doi: 10.1038/srep38214
    [11]
    Rallidis LS, Baroutsi K, Zolindaki M, et al. Visceral adipose tissue is a better predictor of subclinical carotid atherosclerosis compared with waist circumference[J]. Ultrasound Med Biol, 2014, 40(6): 1083-8. doi: 10.1016/j.ultrasmedbio.2013.12.017
    [12]
    Roever LS, Resende ES, Diniz ALD, et al. Abdominal obesity and association with atherosclerosis risk factors: the uberlândia heart study[J]. Medicine, 2016, 95(11): e1357. doi: 10.1097/MD.0000000000001357
    [13]
    Hirooka M, Kumagi T, Kurose K, et al. A technique for the measurement of visceral fat by ultrasonography: comparison of measurements by ultrasonography and computed tomography[J]. Intern Med Tokyo Jpn, 2005, 44(8): 794-9. doi: 10.2169/internalmedicine.44.794
    [14]
    Parisi V, Petraglia L, Formisano R, et al. Validation of the echocardiographic assessment of epicardial adipose tissue thickness at the Rindfleisch fold for the prediction of coronary artery disease[J]. Nutr Metab Cardiovasc Dis, 2020, 30(1): 99-105. doi: 10.1016/j.numecd.2019.08.007
    [15]
    Haberka M, Gąsior Z. A carotid extra- media thickness, PATIMA combined index and coronary artery disease: comparison with well-established indexes of carotid artery and fat depots[J]. Atherosclerosis, 2015, 243(1): 307-13. doi: 10.1016/j.atherosclerosis.2015.09.022
    [16]
    Li CR, Spallanzani RG, Mathis D. Visceral adipose tissue Tregs and the cells that nurture them[J]. Immunol Rev, 2020, 295(1): 114-25. doi: 10.1111/imr.12850
    [17]
    Kawai T, Autieri MV, Scalia R. Adipose tissue inflammation and metabolic dysfunction in obesity[J]. Am J Physiol Cell Physiol, 2021, 320(3): C375-91. doi: 10.1152/ajpcell.00379.2020
    [18]
    Cui CC, He CY, Sun QC, et al. Association between visceral adiposity index and incident stroke: data from the China Health and Retirement Longitudinal Study[J]. Nutr Metab Cardiovasc Dis, 2022, 32(5): 1202-9. doi: 10.1016/j.numecd.2022.01.031
    [19]
    Wang FH, Meng LY, Yu TY, et al. Associations of abdominal visceral fat content and plasma adiponectin level with intracranial atherosclerotic stenosis: a cross- sectional study[J]. Front Neurol, 2022, 13: 893401. doi: 10.3389/fneur.2022.893401
    [20]
    Cosansu K, Yilmaz S. Is epicardial fat thickness associated with acute ischemic stroke in patients with atrial fibrillation?[J]. J Stroke Cerebrovasc Dis, 2020, 29(7): 104900. doi: 10.1016/j.jstrokecerebrovasdis.2020.104900
    [21]
    Holm PH, Hindsø L, Olsen KB, et al. Stereological estimation of myocardial fat and its associations with obesity, epicardial, and visceral adipose tissue[J]. Cells, 2022, 11(19): 3160. doi: 10.3390/cells11193160
    [22]
    West HW, Siddique M, Williams MC, et al. Deep- learning for epicardial adipose tissue assessment with computed tomography: implications for cardiovascular risk prediction[J]. JACC Cardiovasc Imaging, 2023, 16(6): 800-16. doi: 10.1016/j.jcmg.2022.11.018
    [23]
    Jin SQ, Zhang C, Zhang Y, et al. Differential value of intima thickness in ischaemic stroke due to large- artery atherosclerosis and small-vessel occlusion[J]. J Cell Mol Med, 2021, 25(19): 9427-33. doi: 10.1111/jcmm.16884
    [24]
    Koeder C, Hahn A, Englert H. Effect of a 6-month controlled lifestyle intervention on common carotid intima- media thickness [J]. J Nutr Health Aging, 2021, 25(7): 869-77. doi: 10.1007/s12603-021-1628-0
    [25]
    Liu KH, Kong APS, Chan JCN, et al. Sonographic measurement of mesenteric fat thickness is a better predictor of aortic stiffness compared with conventional obesity indexes[J]. Ultrasound Med Biol, 2023, 49(2): 599-606. doi: 10.1016/j.ultrasmedbio.2022.10.016
    [26]
    Liu ZY, Huang Q, Deng B, et al. Elevated Chinese visceral adiposity index increases the risk of stroke in Chinese patients with metabolic syndrome[J]. Front Endocrinol, 2023, 14: 1218905. doi: 10.3389/fendo.2023.1218905
    [27]
    Liu BX, Sun W, Kong XQ. Perirenal fat: a unique fat pad and potential target for cardiovascular disease[J]. Angiology, 2019, 70 (7): 584-93. doi: 10.1177/0003319718799967
    [28]
    Hazem M, Ezzat M, Elsamman M, et al. Non-invasive prediction of coronary artery disease by multiple abdominal fat and anthropometric indices: revisit[J]. Int J Gen Med, 2021, 14: 387-98. doi: 10.2147/IJGM.S294331
    [29]
    Zhao WH, Ma XT, Ju JC, et al. Association of visceral adiposity index with asymptomatic intracranial arterial stenosis: a population-based study in Shandong, China[J]. Lipids Health Dis, 2023, 22 (1): 64. doi: 10.1186/s12944-023-01831-1
    [30]
    Chang YH, Zhang LL, Li YD, et al. Derivation and validation of a new visceral adiposity index for predicting short-term mortality of patients with acute ischemic stroke in a Chinese populationv[J]. Brain Sci, 2023, 13(2): 297. doi: 10.3390/brainsci13020297
    [31]
    Hazem M, Elsamman M, Bazeed S, et al. Noninvasive prediction of carotid artery atherosclerosis by multiple abdominal fat indices measured via ultrasonography[J]. Ultrasonography, 2021, 40(3): 366-77. doi: 10.14366/usg.20109
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(9)  / Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (24) PDF downloads(2) Cited by()
    Proportional views
    Related
    • Copyright © 2013《Journal of Molecular Imaging》 Editorial Office ICP备00000000号
    • Key tip: Adobe Reader6 The full text may be displayed abnormally，Please upgrade to Adobe Reader7Or higher .
    • Address: 1838 North Guangzhou Dadao, Guangzhou City, Guangdong Province, China Tel: 020-61648176 E-mail: 

    Supported by: Beijing Renhe Information Technology Co. Ltd  support: info@rhhz.net

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return