Korean J Fam Med.  2018 Sep;39(5):284-289. 10.4082/kjfm.17.0027.

The Cutoff Pericardial Adipose Tissue Volume Associated with Metabolic Syndrome

• Kim DS
• Ok EJ
• Choi BH
• Joo NS

• KMID: 2422107
• DOI: http://doi.org/10.4082/kjfm.17.0027

Abstract

BACKGROUND
Metabolic syndrome (MS) is a well-known risk factor of cardiovascular diseases that is focused on central obesity. Recent studies have reported the association between pericardial adipose tissue (PAT) volume and MS. However, no studies have demonstrated the cutoff PAT volume that represents the best association with MS.
METHODS
The data of 374 subjects were analyzed cross-sectionally to compare PAT, measured on coronary multidetector computed tomography, and various metabolic parameters according to MS. After PAT volumes were divided into tertiles, various metabolic parameters were compared among tertiles; furthermore, the odds ratio for developing MS was calculated. Finally, we demonstrated the cutoff PAT volume that represented the best association with MS by using the receiver-operating characteristic curve.
RESULTS
We found that 27.5% of the subjects had MS, and the mean PAT volume was 123.9 cm3. PAT showed a significant positive correlation with body mass index, waist circumference, and levels of glucose, triglyceride, high-sensitivity C-reactive protein, uric acid, and homocysteine, but a negative correlation with high-density lipoprotein cholesterol. Furthermore, after dividing into tertiles, PAT volume was also significantly associated with various metabolic parameters. The odds ratio for having MS was 4.19 (95% confidence interval, 2.27-7.74) in the top tertile of PAT volumes after adjusting for age, sex, and smoking. The cutoff PAT volume that represented the best association with MS was 142.2 cm3.
CONCLUSION
PAT was significantly associated with MS and various metabolic parameters. The cutoff PAT volume of 142.2 cm3 showed the best association with MS.

Keyword

Metabolic Syndrome; Adipose Tissue; ROC Curve; Pericardial Fat

MeSH Terms

Adipose Tissue*
Body Mass Index
C-Reactive Protein
Cardiovascular Diseases
Cholesterol
Glucose
Homocysteine
Lipoproteins
Multidetector Computed Tomography
Obesity, Abdominal
Odds Ratio
Risk Factors
ROC Curve
Smoke
Smoking
Triglycerides
Uric Acid
Waist Circumference
C-Reactive Protein
Cholesterol
Glucose
Homocysteine
Lipoproteins
Smoke
Uric Acid