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Heterogeneity of abdominal obesity in patients with cardiovascular diseases

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Aim: To assess the content of visceral adipose tissue (VAT) in patients with abdominal obesity and its relationship with metabolic disorders.

Material and methods. Patients with abdominal obesity (n=107) were included in the study. All participants had an assessment of anthropometric parameters (height, weight), calculation of body mass index (BMI), proportion of total adipose tissue and VAT (bioimpedance analyzer), high-density lipoprotein cholesterol (HDL-c) levels, triglycerides, fasting blood glucose, epicardial thickness adipose tissue (two-dimensional echocardiography).

Results. The median share of VAT (bioimpedance method) was 13%. Patients with abdominal obesity are divided by VAT into 2 groups: ≥14% or ≤13%. Patients with VAT≥14% had significantly higher levels of triglycerides (1.76 [1.27; 2.38] mmol / L) and glucose (6.33 [5.78; 7.87] mmol / L), and below HDL-c levels (0.95 [0.85; 1.21] mmol / L) compared with patients with VAT≤13% (1.32 [1.02; 1.50], 5.59 [5, 11; 6.16] and 1.31 [1.07; 1.58] mmol / L, respectively; p<0.001 for all three comparisons). A significant correlation was found between VAT and triglyceride, glucose and HDL-c levels (r=0.40; r=0.40; r=-0.31, respectively; p<0.001).

Conclusion. Persons with abdominal obesity are heterogeneous in the proportion of VAT. The proportion of VAT above the median is associated with metabolic disorders that are significant for the development and progression of atherosclerosis. An increase in BMI in obese individuals is not associated with an increase in VAT and an increase in the severity of metabolic disorders.

About the Authors

S. V. Miklishanskaya
Russian Medical Academy of Continuous Professional Education
Russian Federation

Sofia V. Miklishanskaya.


eLibrary SPIN 2843-1855

L. V. Solomasova
Russian Medical Academy of Continuous Professional Education
Russian Federation

Lilia V. Solomasova.


A. A. Orlovsky
National Medical Research Center of Cardiology
Russian Federation

Alexey A. Orlovsky.


eLibrary SPIN 9976-1620

S. N. Nasonova
National Medical Research Center of Cardiology
Russian Federation

Svetlana N. Nasonova.


eLibrary SPIN 5423-0041

N. A. Mazur
Russian Medical Academy of Continuous Professional Education
Russian Federation

Nikolai A. Mazur.


eLibrary SPIN 2391-0976


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For citation:

Miklishanskaya S.V., Solomasova L.V., Orlovsky A.A., Nasonova S.N., Mazur N.A. Heterogeneity of abdominal obesity in patients with cardiovascular diseases. Rational Pharmacotherapy in Cardiology. 2021;17(6):867-872. (In Russ.)

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