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@article{1453596,
author = {Hruskova, Jana and Maugeri, Andrea and Podroužková, Helena and Štípalová, Tatiana and Jakubík, Juraj and Barchitta, Martina and MedinaandInojosa, Jose R. and Homolka, Martin and Agodi, Antonella and Kunzová, Šárka and Sochor, Ondřej and LopezandJimenez, Francisco and Vinciguerra, Manlio},
article_location = {BASEL},
article_number = {5},
doi = {http://dx.doi.org/10.3390/jcm7050113},
keywords = {cardiovascular risk; epicardial adipose tissue; intima media thickness},
language = {eng},
issn = {2077-0383},
journal = {JOURNAL OF CLINICAL MEDICINE},
title = {Association of Cardiovascular Health with Epicardial Adipose Tissue and Intima Media Thickness: The Kardiovize Study},
volume = {7},
year = {2018}
}
TY - JOUR
ID - 1453596
AU - Hruskova, Jana - Maugeri, Andrea - Podroužková, Helena - Štípalová, Tatiana - Jakubík, Juraj - Barchitta, Martina - Medina-Inojosa, Jose R. - Homolka, Martin - Agodi, Antonella - Kunzová, Šárka - Sochor, Ondřej - Lopez-Jimenez, Francisco - Vinciguerra, Manlio
PY - 2018
TI - Association of Cardiovascular Health with Epicardial Adipose Tissue and Intima Media Thickness: The Kardiovize Study
JF - JOURNAL OF CLINICAL MEDICINE
VL - 7
IS - 5
SP - 1-13
EP - 1-13
PB - MDPI
SN - 20770383
KW - cardiovascular risk
KW - epicardial adipose tissue
KW - intima media thickness
N2 - Background: Intima-media thickness (IMT) has been proposed as a measurement of subclinical atherosclerosis and has been associated with cardiovascular disease (CVD). Epicardial adipose tissue (EAT) is a fat depot between the pericardium and myocardium and has been associated with coronary atherosclerosis. The relationship between IMT and EAT thickness has not been reported before. We investigated the relationship between EAT thickness, IMT, CVD risk factors, and ideal cardiovascular health (CVH) metrics using subjects from the Kardiovize Brno 2030 cohort study, a random urban sample population in Central Europe. Methods: We studied 102 individuals (65 males) aged 25-64 years (median = 37 years) with no current or past CVD history. We measured IMT using a vascular ultrasound and EAT thickness using transthoracic echocardiography, and collected data on anthropometric factors, CVD risk factors, and CVH score. Correlation tests and multiple linear regression models were applied. Results: In the age- and gender-adjusted model, we demonstrated that, among CVD risk factors, only BMI was significantly and positively associated with EAT thickness ( = 0.182, SE = 0.082, p = 0.030), while no significant associations with IMT were evident. Although both EAT thickness and IMT were negatively correlated with CVH score (r = -0.45, p < 0.001, and r = -0.38, p < 0.001, respectively), we demonstrated that overall CVH score (beta = -0.262; SE = 0.077; p = 0.001), as well as BMI (beta = -1.305; SE = 0.194; p < 0.001) and blood pressure CVH metrics (beta = -0.607; SE = 0.206; p = 0.004) were significantly associated with EAT thickness but not with IMT. Conclusions: Our study is important as it demonstrated for the first time that CVH is associated with EAT thickness. Interestingly, this relationship seems to be dependent on BMI and blood pressure rather than on the other CVH metrics. However, outcome-driven studies are required to confirm these findings.
ER -
HRUSKOVA, Jana, Andrea MAUGERI, Helena PODROUŽKOVÁ, Tatiana ŠTÍPALOVÁ, Juraj JAKUBÍK, Martina BARCHITTA, Jose R. MEDINA-INOJOSA, Martin HOMOLKA, Antonella AGODI, Šárka KUNZOVÁ, Ondřej SOCHOR, Francisco LOPEZ-JIMENEZ a Manlio VINCIGUERRA. Association of Cardiovascular Health with Epicardial Adipose Tissue and Intima Media Thickness: The Kardiovize Study. \textit{JOURNAL OF CLINICAL MEDICINE}. BASEL: MDPI, 2018, roč.~7, č.~5, s.~1-13. ISSN~2077-0383. Dostupné z: https://dx.doi.org/10.3390/jcm7050113.
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