title: A prospective study of epicardial adipose tissue and incident metabolic syndrome: the ARIRANG study.
abstract: Increased epicardial adipose tissue (EAT) may be closely associated with the development of metabolic abnormalities. We investigated whether EAT predicts the incident metabolic syndrome in a community-based, middle-aged population. The study subjects were comprised of 354 adults (134 men and 220 women) aged 40 to 70 yr without metabolic syndrome. Baseline EAT thickness, measured by echocardiography, was compared between subjects who developed new-onset metabolic syndrome at follow-up survey and those who did not. After an average of 2.2 yr of follow-up, 32 men (23.9%) and 37 women (16.8%) developed metabolic syndrome. Median EAT thickness at baseline was significantly higher in male subjects who developed metabolic syndrome than those who did not (1.52 mm vs 2.37 mm, P<0.001). The highest quartile of EAT thickness (≥2.55 mm) was associated with increased risk of progression to metabolic syndrome (Odds ratio [OR], 3.09; 95% confidence interval [CI], 1.11-8.66) after adjustment for age, smoking, alcohol intake, regular exercise, total energy intake, high sensitive C-reactive protein and homeostasis model assessment of insulin resistance in men. A significant association of EAT with incident metabolic syndrome was not seen in women (OR, 1.25; 95% CI, 0.54-2.90). In conclusion, increased EAT thickness is an independent predictor for incident metabolic syndrome in men.
authors: Department of Cardiology, Wonju College of Medicine, Wonju, Korea.
authors: Ji Hyun
authors: JH
authors: Lee
authors: Jang-Young
authors: JY
authors: Kim
authors: Kyung Min
authors: KM
authors: Kim
authors: Jun-Won
authors: JW
authors: Lee
authors: Young-Jin
authors: YJ
authors: Youn
authors: Min Soo
authors: MS
authors: Ahn
authors: Byung-Su
authors: BS
authors: Yoo
authors: Seung-Hwan
authors: SH
authors: Lee
authors: Junghan
authors: J
authors: Yoon
authors: Kyung-Hoon
authors: KH
authors: Choe
authors: Song Vogue
authors: SV
authors: Ahn
authors: Sang-Baek
authors: SB
authors: Koh
authors: Jong-Ku
authors: JK
authors: Park
authors: Sung Gyun
authors: SG
authors: Ahn
mesh_terms: D000273:Adipose Tissue / Q000503:physiopathology*; D000328:Adult; D000368:Aged; D001794:Blood Pressure; D015992:Body Mass Index; D002097:C-Reactive Protein / Q000032:analysis; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology*; D008875:Middle Aged; D016017:Odds Ratio; D010496:Pericardium / Q000473:pathology* / Q000503:physiopathology; D011446:Prospective Studies; D012307:Risk Factors; D012737:Sex Factors; D055105:Waist Circumference
chemical_list: D002097:C-Reactive Protein
keywords: Adipose Tissue; Metabolic Syndrome; Pericardium