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    경동맥 죽상경화증과 동맥 경직도의 비만과의 연관관계 = Association of Carotid Atherosclerosis and Arterial Stiffness with Obesity

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    https://www.riss.kr/link?id=A104605749

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Objective: Few studies related to carotid intima media thickness and arterial pulse wave velocity in obese people were reported in Korea. We evaluated carotid intima media thickness (IMT) and arterial pulse wave velocity (PWV) according to existence of obesity.
    Methods: From January 2009 to March 2010 at Soonchunhyang University Seoul Hospital, we enrolled 118 healthy adults (male:67, female: 51) without past history of hypertension, diabetes, hypercholesterolemia, heart disease and renal failure. We devided the population into two groups according to body mass index (BMI, kg/m2); non-obese (n=68, 18.5 to 25 kg/m2) group, obese (n=50, ≥25 kg/m2) group. We measured carotid IMT and PWV of aorta as well as arteries of upper and lower extremities.
    Results: Carotid IMT showed statistically significant increase in obese group (0.54±0.11 mm vs. 0.58±0.10 mm; P=0.041). IMT is independently and significantly related to age and systolic blood pressure. There is no statistical difference of the PWVs of aorta, upper extremity and lower extremity in obese group compared with non-obese group. BMI showed significant correlations with systolic blood pressure, diastolic blood pressure and IMT.
    Conclusion: Carotid IMT that was mainly determined by age and systolic blood pressure significantly increased in obese group compared to non-obese group, while neither aortic PWV nor arterial PWVs of upper and lower extremities showed significant difference between the two groups.
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    Objective: Few studies related to carotid intima media thickness and arterial pulse wave velocity in obese people were reported in Korea. We evaluated carotid intima media thickness (IMT) and arterial pulse wave velocity (PWV) according to existence o...

    Objective: Few studies related to carotid intima media thickness and arterial pulse wave velocity in obese people were reported in Korea. We evaluated carotid intima media thickness (IMT) and arterial pulse wave velocity (PWV) according to existence of obesity.
    Methods: From January 2009 to March 2010 at Soonchunhyang University Seoul Hospital, we enrolled 118 healthy adults (male:67, female: 51) without past history of hypertension, diabetes, hypercholesterolemia, heart disease and renal failure. We devided the population into two groups according to body mass index (BMI, kg/m2); non-obese (n=68, 18.5 to 25 kg/m2) group, obese (n=50, ≥25 kg/m2) group. We measured carotid IMT and PWV of aorta as well as arteries of upper and lower extremities.
    Results: Carotid IMT showed statistically significant increase in obese group (0.54±0.11 mm vs. 0.58±0.10 mm; P=0.041). IMT is independently and significantly related to age and systolic blood pressure. There is no statistical difference of the PWVs of aorta, upper extremity and lower extremity in obese group compared with non-obese group. BMI showed significant correlations with systolic blood pressure, diastolic blood pressure and IMT.
    Conclusion: Carotid IMT that was mainly determined by age and systolic blood pressure significantly increased in obese group compared to non-obese group, while neither aortic PWV nor arterial PWVs of upper and lower extremities showed significant difference between the two groups.

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    참고문헌 (Reference)

    1 이유정, "청소년기 비만지표와 초기 성인기 경동맥 내중막 두께와의 관련성: Kangwha Study" 대한예방의학회 41 (41): 107-114, 2008

    2 김지혜, "비만 청소년에서 맥파 속도와 발목 상완 동맥압 지수에 대한 연구" 대한소아과학회 50 (50): 1078-1084, 2007

    3 김영권, "대사증후군 및 그 구성요소가 맥파속도에 미치는 영향" 대한내과학회 68 (68): 140-148, 2005

    4 Begum N, "Vascular smooth muscle cell growth and insulin regulation of mitogen-activated protein kinase in hypertension" 275 (275): C42-C49, 1998

    5 Freedman DS, "The relation of obesity throughout life to carotid intima-media thickness in adulthood: the Bogalusa Heart Study" 28 : 159-166, 2004

    6 Miyai N, "The influence of obesity and metabolic risk variables on brachial-ankle pulse wave velocity in healthy adolescents" 23 : 444-450, 2009

    7 The World Health Organization Western Pacific Region, "The Asia-Pacific perspective: redefining obesity and its treatment" Health Communications Australia Pty Limited 2000

    8 Joly L, "Pulse wave velocity assessment by external noninvasive devices and phase-contrast magnetic resonance imaging in the obese" 54 : 421-426, 2009

    9 Ulrich P, "Protein glycation, diabetes, and aging" 56 : 1-21, 2001

    10 Safar ME, "Obesity, arterial stiffness, and cardiovascular risk" 17 (17): S109-S111, 2006

    1 이유정, "청소년기 비만지표와 초기 성인기 경동맥 내중막 두께와의 관련성: Kangwha Study" 대한예방의학회 41 (41): 107-114, 2008

    2 김지혜, "비만 청소년에서 맥파 속도와 발목 상완 동맥압 지수에 대한 연구" 대한소아과학회 50 (50): 1078-1084, 2007

    3 김영권, "대사증후군 및 그 구성요소가 맥파속도에 미치는 영향" 대한내과학회 68 (68): 140-148, 2005

    4 Begum N, "Vascular smooth muscle cell growth and insulin regulation of mitogen-activated protein kinase in hypertension" 275 (275): C42-C49, 1998

    5 Freedman DS, "The relation of obesity throughout life to carotid intima-media thickness in adulthood: the Bogalusa Heart Study" 28 : 159-166, 2004

    6 Miyai N, "The influence of obesity and metabolic risk variables on brachial-ankle pulse wave velocity in healthy adolescents" 23 : 444-450, 2009

    7 The World Health Organization Western Pacific Region, "The Asia-Pacific perspective: redefining obesity and its treatment" Health Communications Australia Pty Limited 2000

    8 Joly L, "Pulse wave velocity assessment by external noninvasive devices and phase-contrast magnetic resonance imaging in the obese" 54 : 421-426, 2009

    9 Ulrich P, "Protein glycation, diabetes, and aging" 56 : 1-21, 2001

    10 Safar ME, "Obesity, arterial stiffness, and cardiovascular risk" 17 (17): S109-S111, 2006

    11 Zebekakis PE, "Obesity is associated with increased arterial stiffness from adolescence until old age" 23 : 1839-1846, 2005

    12 Hernáandez-Mijares A, "Obesity and overweight prevalences in rural and urban populations in East Spain and its association with undiagnosed hypertension and Diabetes Mellitus: a cross-sectional population-based survey" 2 : 151-, 2009

    13 Wildman RP, "Measures of obesity are associated with vascular stiffness in young and older adults" 42 : 468-473, 2003

    14 Reinehr T, "Intima media thickness in childhood obesity: relations to inflammatory marker, glucose metabolism, and blood pressure" 55 : 113-118, 2006

    15 Montagnani M, "Insulin action in vascular endothelium: potential mechanisms linking insulin resistance with hypertension" 2 : 285-292, 2000

    16 Giannini C, "Increased carotid intima-media thickness in pre-pubertal children with constitutional leanness and severe obesity: the speculative role of insulin sensitivity, oxidant status, and chronic inflammation" 161 : 73-80, 2009

    17 Kotsis VT, "Impact of obesity in intima media thickness of carotid arteries" 14 : 1708-1715, 2006

    18 Weyer C, "Humoral markers of inflammation and endothelial dysfunction in relation to adiposity and in vivo insulin action in Pima Indians" 161 : 233-242, 2002

    19 Lo J, "Effects of obesity, body composition, and adiponectin on carotid intima-media thickness in healthy women" 91 : 1677-1682, 2006

    20 Stenvinkel P, "Effects of insulin on renal haemodynamics and the proximal and distal tubular sodium handling in healthy subjects" 35 : 1042-1048, 1992

    21 Young JB, "Effect of experimental hyperinsulinemia on sympathetic nervous system activity in the rat" 43 : 193-200, 1988

    22 Gungor N, "Early signs of cardiovascular disease in youth with obesity and type 2 diabetes" 28 : 1219-1221, 2005

    23 Ferreira I, "Current and adolescent body fatness and fat distribution: relationships with carotid intima-media thickness and large artery stiffness at the age of 36 years" 22 : 145-155, 2004

    24 Yudkin JS, "C-reactive protein in healthy subjects: associations with obesity, insulin resistance, and endothelial dysfunction: a potential role for cytokines originating from adipose tissue?" 19 : 972-978, 1999

    25 Kawamoto R, "Association of obesity and visceral fat distribution with intima-media thickness of carotid arteries in middle-aged and older persons" 47 : 143-149, 2008

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