Association of visceral fat area or BMI with arterial stiffness in ideal cardiovascular health metrics among T2DM patients.

ABSTRACT:

Background

"Obesity paradox" occurs in type 2 diabetes mellitus (T2DM) patients when body mass index (BMI) is applied to define obesity. We examined the association of visceral fat area (VFA) as an obesity measurement with arterial stiffness in seven ideal cardiovascular health metrics (ICVHMs).

Methods

A total of 29 048 patients were included in the analysis from June 2017 to April 2021 in 10 sites of National Metabolic Management Centers. ICVHMs were modified from the recommendations of the American Heart Association. Brachial-ankle pulse wave velocity (BaPWV) ≥ 1400 cm/s was employed to evaluate increased arterial stiffness. Multivariate regression models were used to compare the different effects of BMI and VFA on arterial stiffness.

Results

Lower VFA was more str

SUBMITTER: Zhao L 

PROVIDER: S-EPMC10809303 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature