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자료유형
학술저널
저자정보
송선옥 (국민건강보험공단 일산병원) 황유철 (강동경희대학교병원) 류한욱 (전북대학교) Steven E. Kahn (University of Washington School of Medicine) Donna L. Leonetti (University of Washington) Wilfred Y. Fujimoto (University of Washington School of Medicine) Edward J. Boyko (University of Washington)
저널정보
대한내분비학회 Endocrinology and Metabolism Endocrinology and Metabolism Vol.36 No.4
발행연도
2021.8
수록면
835 - 844 (10page)
DOI
https://doi.org/10.3803/EnM.2021.1130

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Background: Both intra-abdominal fat (IAF) and high-density lipoprotein cholesterol (HDL-C) are known to be associated withcardiometabolic health. We evaluated whether the accumulation of computed tomography (CT)-measured IAF over 5 years was related to baseline HDL-C concentration in a prospective cohort study. Methods: All participants were Japanese-Americans between the ages of 34 and 74 years. Plasma HDL-C concentration and CTmeasurements of IAF, abdominal subcutaneous fat (SCF), and thigh SCF cross-sectional areas were assessed at baseline and at5-year follow-up visits. Results: A total of 397 subjects without diabetes were included. The mean±standard deviation HDL-C concentration was 51.6±13.0mg/dL in men and 66.0±17.0 mg/dL in women, and the IAF was 91.9±48.4 cm2 in men and 63.1±39.5 cm2 in women. The baselineplasma concentration of HDL-C was inversely associated with the change in IAF over 5 years using multivariable regression analysiswith adjustment for age, sex, family history of diabetes, weight change over 5 years, and baseline measurements of body mass index,IAF, abdominal SCF, abdominal circumference, thigh SCF, and homeostatic model assessment for insulin resistance. Conclusion: These results demonstrate that HDL-C concentration significantly predicts future accumulation of IAF over 5 years independent of age, sex, insulin sensitivity, and body composition in Japanese-American men and women without diabetes.

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