北京社区人群心外膜脂肪厚度的影响因素  

Influencing factors of epicardial adipose tissue thickness in the population of Beijing Community

作　　者：马为[1] 张宝娓[1] 杨颖[1] 齐丽彤[1] 孟磊[1] 李敏[1] 朱赛楠[2] 张岩[1] 霍勇[1] MA Wei;ZHANG Bao-wei;YANG Ying;QI Li-tong;MENG Lei;LI Min;ZHU Sai-nan;ZHANG Yan;HUO Yong(Department of Cardiology,Peking University First Hospital,Beijing 100044,China;不详)

机构地区：[1]北京大学第一医院心内科,北京100044 [2]北京大学第一医院统计室,北京100044

出　　处：《中华高血压杂志》2020年第5期433-438,共6页Chinese Journal of Hypertension

摘　　要：目的探讨社区人群超声心动图测量的心外膜脂肪厚度的影响因素。方法在北京古城地区选取超声心动图资料齐全的社区人群1052人,同时测量腰围、体质量指数(BMI)、血压、血糖、血脂,调查心血管病患病情况。采用超声心动图测量心外膜脂肪厚度,在胸骨旁长轴水平,测量舒张期主动脉根部延长线右室游离壁到心包的脂肪厚度为心外膜脂肪厚度1,舒张期右室游离壁到心包的最大脂肪厚度为心外膜脂肪厚度2。采用多因素线性回归分析心外膜脂肪厚度的影响因素。结果研究人群平均心外膜脂肪厚度1为(0.39±1.26)cm,女性高于男性[(0.59±1.55)比(0.22±0.88)cm]。心外膜厚度2为(0.67±1.76)cm,女性高于男性[(0.96±2.12)比(0.41±1.28)cm]。多因素线性回归分析显示,心外膜脂肪厚度与腰围、年龄、心率和性别独立相关(心外膜脂肪厚度1:腰围,β=0.144,年龄,β=0.086,心率,β=0.086,性别,β=0.195;心外膜脂肪厚度2:腰围,β=0.198,年龄,β=0.175,心率,β=0.086,性别,β=0.230,均P<0.05)。结论腰围、年龄、心率和女性是超声心动图测量的心外膜脂肪厚度的独立影响因素。Objective To explore the factors affecting epicardial adipose tissue(EAT)thickness measured by echocardiography in Beijing community population.Methods One thousand and fifty two community participants with echocardiographic data were enrolled in this study in Gucheng District of Beijing.Waist circumference,body mass index(BMI),blood pressure,blood glucose and blood lipids were measured,prevalence of cardiovascular diseases were investigated as well.EAT thickness was measured by echocardiography.From the parasternal long-axis view,the fat thickness from the right ventricular free wall to pericardium on the extended line of aortic root during diastole was measured as epicardial fat thickness 1(EAT1).The maximum fat thickness from right ventricular free wall to pericardium in diastole was measured as epicardial fat thickness 2(EAT2).Multivariate linear regression analysis was used to analyze the relation between EAT thickness and other factors.Results The means EAT1 of the subjects was(0.39±1.26)cm,which was higher in female than male[(0.59±1.55)vs(0.22±0.88)cm].The EAT2 was(0.67±1.76)cm,which was higher in female than male[(0.96±2.12)vs(0.41±1.28)cm].Multivariate regression analysis indicated that EAT thickness was correlated with waist circumference,age,heart rate and sex independently(EAT1:waist circumference,β=0.144,age,β=0.086,heart rate,β=0.086,sex,β=0.195;EAT2:waist circumference,β=0.198,age,β=0.175,heart rate,β=0.086,sex,β=0.230;all P<0.05).Conclusion Waist circumference,age,heart rate and female were independently influencing factors of EAT thickness measured by echocardiography.

关 键 词：心外膜脂肪 腰围 体质量指数 

分 类 号：R589.2[医药卫生—内分泌]