비만환자에서 복부지방분포와 혈중지질, 공복혈당 및 동맥경화지수와의 관계

Abstract

The present study was designed to find out the relationship between abdominal subcutaneous fat distribution and blood lipids, fasting blood sugar (FBS) and atherogenic index. The subjects were 92 obese adults, who visited the obesity clinic in a general hospital from July 2005 to May 2006. Total abdominal fat,(TF), visceral fat (VF), DSF, abdominal superficial subcutaneous (SSF) and thigh fat were assessed by CT scan. Total cholesterol (TC), triglyceride (TG), LDL-cholesterol (LDL), HDL-cholesterol (HDL), FBS and atherogenic index were measured. In women, DSF/TF was negatively related to TC/HDL and TG/HDL, DSF+VF positively to LDL/HDL, VF positively to TG, TC/HDL, LDL/HDL and negatively to HDL. In men, thigh fat/DSF was positively related to HDL, and negatively to TG/HDL, DSF/TF negatively to FBS. Multiple regression analyses were performed to identify independent correlates of variables. In women, VF was the best predictor of HDL, TG, TC/HDL, TG/HDL and LDL/HDL, TF for FBS. In men, thigh fat/DSF was the best predictor of HDL and TG/HDL, thigh fat for FBS. As a result, VF for women, thigh fat/DSF for men was the best predictor of dyslipidemia and atherogenic index.