Ectopic Cardiovascular Fat in Middle-Aged Men: Effects of Race/Ethnicity, Overall and Central Adiposity. The ERA-JUMP Study
Identifieur interne : 003345 ( Main/Merge ); précédent : 003344; suivant : 003346Ectopic Cardiovascular Fat in Middle-Aged Men: Effects of Race/Ethnicity, Overall and Central Adiposity. The ERA-JUMP Study
Auteurs : Samar R. El Khoudary [États-Unis] ; Chol Shin [Corée du Sud] ; Kamal Masaki [États-Unis] ; Katsuyuki Miura [Japon] ; Matthew Budoff [États-Unis] ; Daniel Edmundowicz [États-Unis] ; Sakaya Kadowaki [Japon] ; Emma Barinas-Mitchell [États-Unis] ; Aiman El-Saed [États-Unis] ; Akira Fujiyoshi [Japon] ; Rhobert W. Evans [États-Unis] ; Takashi Hisamatsu [Japon] ; Takayoshi Ohkubo [Japon] ; Bradley J. Willcox [États-Unis] ; Lewis H. Kuller [États-Unis] ; Hirotsugu Ueshima [Japon] ; Akira Sekikawa [États-Unis]Source :
- International journal of obesity (2005) [ 0307-0565 ] ; 2014.
Descripteurs français
- KwdFr :
- Adiponectine (sang), Adulte d'âge moyen, Afro-Américains (), Américain origine asiatique (), Facteurs de risque, Humains, Indice de masse corporelle, Insulinorésistance, Maladie coronarienne (), Maladie coronarienne (ethnologie), Maladie coronarienne (épidémiologie), Mâle, Obésité abdominale (anatomopathologie), Obésité abdominale (ethnologie), Population d'origine asiatique (), Population d'origine européenne (), Tomodensitométrie multidétecteurs, Tour de taille.
- MESH :
- anatomopathologie : Obésité abdominale.
- ethnologie : Maladie coronarienne, Obésité abdominale.
- sang : Adiponectine.
- épidémiologie : Maladie coronarienne.
- Adulte d'âge moyen, Afro-Américains, Américain origine asiatique, Facteurs de risque, Humains, Indice de masse corporelle, Insulinorésistance, Maladie coronarienne, Mâle, Population d'origine asiatique, Population d'origine européenne, Tomodensitométrie multidétecteurs, Tour de taille.
English descriptors
- KwdEn :
- Adiponectin (blood), African Americans (statistics & numerical data), Asian Americans (statistics & numerical data), Asian Continental Ancestry Group (statistics & numerical data), Body Mass Index, Coronary Disease (epidemiology), Coronary Disease (ethnology), Coronary Disease (prevention & control), European Continental Ancestry Group (statistics & numerical data), Humans, Insulin Resistance, Male, Middle Aged, Multidetector Computed Tomography, Obesity, Abdominal (ethnology), Obesity, Abdominal (pathology), Risk Factors, Waist Circumference.
- MESH :
- chemical , blood : Adiponectin.
- epidemiology : Coronary Disease.
- ethnology : Coronary Disease, Obesity, Abdominal.
- pathology : Obesity, Abdominal.
- prevention & control : Coronary Disease.
- statistics & numerical data : African Americans, Asian Americans, Asian Continental Ancestry Group, European Continental Ancestry Group.
- Body Mass Index, Humans, Insulin Resistance, Male, Middle Aged, Multidetector Computed Tomography, Risk Factors, Waist Circumference.
Abstract
Higher volumes of ectopic cardiovascular fat (ECF) are associated with greater risk of coronary heart disease (CHD). Identifying factors that are associated with ECF volumes may lead to new preventive efforts to reduce risk of CHD. Significant racial/ethnic differences exist for overall and central adiposity measures which are known to be associated with ECF volumes. Whether racial/ethnic differences also exist for ECF volumes and their associations with these adiposity measures remain unclear.
Body-mass index (BMI), CT-measured ECF volumes (epicardial, pericardial and their summation), and visceral adipose tissue (VAT) were examined in a community-based sample of 1,199 middle-aged men (24.2% Caucasians, 7.0% African-Americans, 23.6% Japanese-Americans, 22.0% Japanese, 23.2% Koreans).
Significant racial/ethnic differences existed in ECF volumes and their relationships with BMI and VAT. ECF volumes were highest among Japanese-Americans and lowest among African-Americans. The associations of BMI and VAT with ECF differed by racial/ethnic groups. Compared to Caucasians, for each 1-unit increase in BMI, African-Americans had lower whereas Koreans had higher increases in ECF volumes (P-values<0.05 for both). Meanwhile, compared to Caucasians, for each 1-unit increase in log-transformed-VAT, African-Americans, Japanese-Americans and Japanese had similar increases, whereas Koreans had a lower increase in ECF volumes (P-value<0.05).
Racial/ethnic groups differed in their propensity to accumulate ECF at increasing level of overall and central adiposity. Future studies should evaluate whether reducing central adiposity or overall-weight will decrease ECF volumes more in certain racial/ethnic groups. Evaluating these questions might help in designing race-specific prevention strategy of CHD risk associated with higher ECF.
Url:
DOI: 10.1038/ijo.2014.154
PubMed: 25109783
PubMed Central: 4324390
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PMC:4324390Le document en format XML
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The ERA-JUMP Study</title><author><name sortKey="El Khoudary, Samar R" sort="El Khoudary, Samar R" uniqKey="El Khoudary S" first="Samar R." last="El Khoudary">Samar R. El Khoudary</name><affiliation wicri:level="4"><nlm:aff id="A1">University of Pittsburgh, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Pittsburgh, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Shin, Chol" sort="Shin, Chol" uniqKey="Shin C" first="Chol" last="Shin">Chol Shin</name><affiliation wicri:level="1"><nlm:aff id="A2">Korea University, Ansan, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Korea University, Ansan</wicri:regionArea><wicri:noRegion>Ansan</wicri:noRegion></affiliation></author><author><name sortKey="Masaki, Kamal" sort="Masaki, Kamal" uniqKey="Masaki K" first="Kamal" last="Masaki">Kamal Masaki</name><affiliation wicri:level="2"><nlm:aff id="A3">University of Hawaii, Honolulu, HI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Hawaii, Honolulu, HI</wicri:regionArea><placeName><region type="state">Hawaï</region></placeName></affiliation></author><author><name sortKey="Miura, Katsuyuki" sort="Miura, Katsuyuki" uniqKey="Miura K" first="Katsuyuki" last="Miura">Katsuyuki Miura</name><affiliation wicri:level="1"><nlm:aff id="A4">Shiga University of Medical Science, Shiga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Shiga University of Medical Science, Shiga</wicri:regionArea><wicri:noRegion>Shiga</wicri:noRegion></affiliation></author><author><name sortKey="Budoff, Matthew" sort="Budoff, Matthew" uniqKey="Budoff M" first="Matthew" last="Budoff">Matthew Budoff</name><affiliation wicri:level="2"><nlm:aff id="A5">Los Angeles Biomedical Research Institute, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Los Angeles Biomedical Research Institute, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Edmundowicz, Daniel" sort="Edmundowicz, Daniel" uniqKey="Edmundowicz D" first="Daniel" last="Edmundowicz">Daniel Edmundowicz</name><affiliation wicri:level="2"><nlm:aff id="A6">Temple University School of Medicine, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Temple University School of Medicine, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Kadowaki, Sakaya" sort="Kadowaki, Sakaya" uniqKey="Kadowaki S" first="Sakaya" last="Kadowaki">Sakaya Kadowaki</name><affiliation wicri:level="1"><nlm:aff id="A4">Shiga University of Medical Science, Shiga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Shiga University of Medical Science, Shiga</wicri:regionArea><wicri:noRegion>Shiga</wicri:noRegion></affiliation></author><author><name sortKey="Barinas Mitchell, Emma" sort="Barinas Mitchell, Emma" uniqKey="Barinas Mitchell E" first="Emma" last="Barinas-Mitchell">Emma Barinas-Mitchell</name><affiliation wicri:level="4"><nlm:aff id="A1">University of Pittsburgh, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Pittsburgh, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="El Saed, Aiman" sort="El Saed, Aiman" uniqKey="El Saed A" first="Aiman" last="El-Saed">Aiman El-Saed</name><affiliation wicri:level="4"><nlm:aff id="A1">University of Pittsburgh, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Pittsburgh, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Fujiyoshi, Akira" sort="Fujiyoshi, Akira" uniqKey="Fujiyoshi A" first="Akira" last="Fujiyoshi">Akira Fujiyoshi</name><affiliation wicri:level="1"><nlm:aff id="A4">Shiga University of Medical Science, Shiga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Shiga University of Medical Science, Shiga</wicri:regionArea><wicri:noRegion>Shiga</wicri:noRegion></affiliation></author><author><name sortKey="Evans, Rhobert W" sort="Evans, Rhobert W" uniqKey="Evans R" first="Rhobert W." last="Evans">Rhobert W. Evans</name><affiliation wicri:level="4"><nlm:aff id="A1">University of Pittsburgh, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Pittsburgh, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Hisamatsu, Takashi" sort="Hisamatsu, Takashi" uniqKey="Hisamatsu T" first="Takashi" last="Hisamatsu">Takashi Hisamatsu</name><affiliation wicri:level="1"><nlm:aff id="A4">Shiga University of Medical Science, Shiga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Shiga University of Medical Science, Shiga</wicri:regionArea><wicri:noRegion>Shiga</wicri:noRegion></affiliation></author><author><name sortKey="Ohkubo, Takayoshi" sort="Ohkubo, Takayoshi" uniqKey="Ohkubo T" first="Takayoshi" last="Ohkubo">Takayoshi Ohkubo</name><affiliation wicri:level="3"><nlm:aff id="A7">Teikyo University School of Medicine, Tokyo, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Teikyo University School of Medicine, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Willcox, Bradley J" sort="Willcox, Bradley J" uniqKey="Willcox B" first="Bradley J." last="Willcox">Bradley J. Willcox</name><affiliation wicri:level="2"><nlm:aff id="A3">University of Hawaii, Honolulu, HI, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Hawaii, Honolulu, HI</wicri:regionArea><placeName><region type="state">Hawaï</region></placeName></affiliation></author><author><name sortKey="Kuller, Lewis H" sort="Kuller, Lewis H" uniqKey="Kuller L" first="Lewis H." last="Kuller">Lewis H. Kuller</name><affiliation wicri:level="4"><nlm:aff id="A1">University of Pittsburgh, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Pittsburgh, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Ueshima, Hirotsugu" sort="Ueshima, Hirotsugu" uniqKey="Ueshima H" first="Hirotsugu" last="Ueshima">Hirotsugu Ueshima</name><affiliation wicri:level="1"><nlm:aff id="A4">Shiga University of Medical Science, Shiga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Shiga University of Medical Science, Shiga</wicri:regionArea><wicri:noRegion>Shiga</wicri:noRegion></affiliation></author><author><name sortKey="Sekikawa, Akira" sort="Sekikawa, Akira" uniqKey="Sekikawa A" first="Akira" last="Sekikawa">Akira Sekikawa</name><affiliation wicri:level="4"><nlm:aff id="A1">University of Pittsburgh, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Pittsburgh, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author></analytic><series><title level="j">International journal of obesity (2005)</title><idno type="ISSN">0307-0565</idno><idno type="eISSN">1476-5497</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adiponectin (blood)</term><term>African Americans (statistics & numerical data)</term><term>Asian Americans (statistics & numerical data)</term><term>Asian Continental Ancestry Group (statistics & numerical data)</term><term>Body Mass Index</term><term>Coronary Disease (epidemiology)</term><term>Coronary Disease (ethnology)</term><term>Coronary Disease (prevention & control)</term><term>European Continental Ancestry Group (statistics & numerical data)</term><term>Humans</term><term>Insulin Resistance</term><term>Male</term><term>Middle Aged</term><term>Multidetector Computed Tomography</term><term>Obesity, Abdominal (ethnology)</term><term>Obesity, Abdominal (pathology)</term><term>Risk Factors</term><term>Waist Circumference</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adiponectine (sang)</term><term>Adulte d'âge moyen</term><term>Afro-Américains ()</term><term>Américain origine asiatique ()</term><term>Facteurs de risque</term><term>Humains</term><term>Indice de masse corporelle</term><term>Insulinorésistance</term><term>Maladie coronarienne ()</term><term>Maladie coronarienne (ethnologie)</term><term>Maladie coronarienne (épidémiologie)</term><term>Mâle</term><term>Obésité abdominale (anatomopathologie)</term><term>Obésité abdominale (ethnologie)</term><term>Population d'origine asiatique ()</term><term>Population d'origine européenne ()</term><term>Tomodensitométrie multidétecteurs</term><term>Tour de taille</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Adiponectin</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Obésité abdominale</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronary Disease</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Maladie coronarienne</term><term>Obésité abdominale</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Coronary Disease</term><term>Obesity, Abdominal</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Obesity, Abdominal</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronary Disease</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Adiponectine</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>African Americans</term><term>Asian Americans</term><term>Asian Continental Ancestry Group</term><term>European Continental Ancestry Group</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Maladie coronarienne</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Body Mass Index</term><term>Humans</term><term>Insulin Resistance</term><term>Male</term><term>Middle Aged</term><term>Multidetector Computed Tomography</term><term>Risk Factors</term><term>Waist Circumference</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Afro-Américains</term><term>Américain origine asiatique</term><term>Facteurs de risque</term><term>Humains</term><term>Indice de masse corporelle</term><term>Insulinorésistance</term><term>Maladie coronarienne</term><term>Mâle</term><term>Population d'origine asiatique</term><term>Population d'origine européenne</term><term>Tomodensitométrie multidétecteurs</term><term>Tour de taille</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background/Objectives</title><p id="P1">Higher volumes of ectopic cardiovascular fat (ECF) are associated with greater risk of coronary heart disease (CHD). Identifying factors that are associated with ECF volumes may lead to new preventive efforts to reduce risk of CHD. Significant racial/ethnic differences exist for overall and central adiposity measures which are known to be associated with ECF volumes. Whether racial/ethnic differences also exist for ECF volumes and their associations with these adiposity measures remain unclear.</p></sec><sec id="S2"><title>Subjects/Methods</title><p id="P2">Body-mass index (BMI), CT-measured ECF volumes (epicardial, pericardial and their summation), and visceral adipose tissue (VAT) were examined in a community-based sample of 1,199 middle-aged men (24.2% Caucasians, 7.0% African-Americans, 23.6% Japanese-Americans, 22.0% Japanese, 23.2% Koreans).</p></sec><sec id="S3"><title>Results</title><p id="P3">Significant racial/ethnic differences existed in ECF volumes and their relationships with BMI and VAT. ECF volumes were highest among Japanese-Americans and lowest among African-Americans. The associations of BMI and VAT with ECF differed by racial/ethnic groups. Compared to Caucasians, for each 1-unit increase in BMI, African-Americans had lower whereas Koreans had higher increases in ECF volumes (P-values<0.05 for both). Meanwhile, compared to Caucasians, for each 1-unit increase in log-transformed-VAT, African-Americans, Japanese-Americans and Japanese had similar increases, whereas Koreans had a lower increase in ECF volumes (P-value<0.05).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Racial/ethnic groups differed in their propensity to accumulate ECF at increasing level of overall and central adiposity. Future studies should evaluate whether reducing central adiposity or overall-weight will decrease ECF volumes more in certain racial/ethnic groups. Evaluating these questions might help in designing race-specific prevention strategy of CHD risk associated with higher ECF.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gao, Yj" uniqKey="Gao Y">YJ Gao</name></author><author><name sortKey="Takemori, K" uniqKey="Takemori K">K Takemori</name></author><author><name sortKey="Su, Ly" uniqKey="Su L">LY Su</name></author><author><name sortKey="An, Ws" uniqKey="An W">WS An</name></author><author><name sortKey="Lu, C" uniqKey="Lu C">C Lu</name></author><author><name sortKey="Sharma, Am" uniqKey="Sharma A">AM Sharma</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Iacobellis, G" uniqKey="Iacobellis G">G Iacobellis</name></author><author><name sortKey="Pistilli, D" uniqKey="Pistilli D">D Pistilli</name></author><author><name sortKey="Gucciardo, M" uniqKey="Gucciardo M">M Gucciardo</name></author><author><name sortKey="Leonetti, F" uniqKey="Leonetti 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