title: [The status of large vessels in overweight and obesity according to ultrasound findings].
abstract: OBJECTIVE
  To investigate the impact of overweight and obesity on the structure and function of large arteries in apparently healthy individuals; to estimate the magnitude of atherosclerotic lesions of the vessels.
  
  
  METHODS
  Sixty-one apparently healthy individuals with varying weights were randomly examined. All the examinees were divided into 3 groups according to their body mass index (BMI) and blood pressure (BP). They all underwent ultrasonography of the brachiocephalic arteries at the extracranial level, as well as the abdominal aorta and femoral arteries.
  
  
  RESULTS
  The overweight and obese persons have increased diameters and thickness of the intima-media complex of the common carotid arteries and aorta. These changes are maximally pronounced in obesity in conjunction with high normal BP (systolic BP, 130-139 mm Hg; diastolic BP, 85-89 mm Hg). At the same time, there is a reduction in blood flow velocities and an increase in arterial wall stiffness. More marked structural and functional changes are observed in persons with abdominal obesity. The femoral artery belonging to muscular ones exhibited no structural changes, but displayed reduced blood flow velocities in obesity concurrent with high normal BP. In all the groups, the spread of atherosclerotic plaques is equal; the latter are recorded in one third of the examinees. However, the degree and incidence of vascular atherosclerosis are higher in overweight and obesity concurrent with high normal BP.
  
  
  CONCLUSIONS
  The overweight and obese persons without cardiovascular diseases were found to have eccentric remodeling of elastic and muscular-and-elastic vessels: the carotid arteries and aorta in conjunction with increased intima-media thickness, reduced blood flow velocities, and atherosclerotic vascular changes. These changes are most pronounced in the obese persons with high normal BP. In all the groups, atherosclerotic changes are encountered mainly in the brachiocephalic arteries at the extracranial level.
authors.affiliation: Acad. E.A. Wagner Perm State Medical University, Ministry of Health of Russia, Perm, Russia.
authors.forename: Ya B
authors.initials: YB
authors.lastname: Khovaeva
authors.affiliation: Acad. E.A. Wagner Perm State Medical University, Ministry of Health of Russia, Perm, Russia.
authors.forename: A A
authors.initials: AA
authors.lastname: Batalova
authors.affiliation: Acad. E.A. Wagner Perm State Medical University, Ministry of Health of Russia, Perm, Russia.
authors.forename: B V
authors.initials: BV
authors.lastname: Golovskoy
authors.affiliation: Acad. E.A. Wagner Perm State Medical University, Ministry of Health of Russia, Perm, Russia.
authors.forename: А V
authors.initials: АV
authors.lastname: Gerasimova
mesh_terms: D015992:Body Mass Index; D002339:Carotid Arteries; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging*; D059168:Carotid Intima-Media Thickness; D006801:Humans; D009765:Obesity; D050177:Overweight; D014463:Ultrasonography