Body composition and abdominal obesity in patients with and without coronary heart disease _ rahmani _ cardiology research

of Cardiology, Faculty of Medicine, Ilam University of Medical

The body fat and its distribution is an important risk factor for

coronary artery diseases. What is the meaning of heart disease The aim of this study was to evaluate the

relationship between body composition and abdominal obesity in

patients with and without coronary involvement in stable angina.

angiography for stable angina were divided into two groups: patients

with or without coronary heart disease (CHD). Heart disease facts Participants underwent

bioimpedance analysis for measurement of adipose tissues and lean

circumference, waist to hip ratio and fat mass were significantly

higher in CHD group (P = 0.02, P = 0.04 and P = 0.01). Congenital heart disease icd 9 code Fat-free mass

Screening for adiposity in subjects by body composition measurement

method and determining fat distribution could better identify those

Body fat distribution; Stable angina; Fat mass; Waist circumference

Obesity is an expanding public health problem worldwide, creating a

global health epidemic.


Coronary heart disease types Obesity has long been associated with an

Although the gold standard definition of obesity is considered an

the body mass index (BMI) is the most practical way to evaluate the

degree of obesity. What does heart disease mean When estimating cardiovascular and other risks

circumference) and body composition must also be taken into account

content. Congenital heart disease genetic Computed tomography scan and magnetic resonance imaging are

accurate for measuring body composition but they are too expensive

to be performed for this purpose alone. Congenital heart disease types The bioimpedance analysis (BIA)

is popular because it is safe, noninvasive, portable and rapid [ 6].

composition (fat-free mass and fat mass), this study was designed to

evaluate the association of different indices of obesity in stable

this cross-sectional study, we evaluated patients with stable angina

who underwent coronary angiography in a teaching hospital. Conjunctive heart disease Stable

angina pectoris refers to chest discomfort that occurs predictably

and reproducibly at a certain level of exertion and is relieved with

The study protocol was approved by responsible ethics committee and

informed consents were obtained from all patients before performing

the angiography. 4 signs of heart disease Exclusion criteria were unstable angina, myocardial

infarction, fever, electrolyte imbalance, consumption of diuretics

in the previous 24 h, corticosteroids and extreme obesity. 5 cyanotic congenital heart disease Past

medical history including diabetes, hypertension, dyslipidemia,

tobacco use and demographic data was asked by a questionnaire.

Diabetes was considered with a previously documented fasting glucose

200 mg/dL or treatment with antidiabetic medications. Dog heart disease Hypertension

was either self-reported or defined as a previously documented

was considered dyslipidemia. Risk of heart disease Coronary angiography was carried out

via femoral artery with a standard method. Hypertensive heart and chronic kidney disease The films of coronary

angiography were reviewed by two cardiologists separately. Coronary heart disease treatment According

to the angiography reports, the patients were divided into two

groups: patients with or without CHD. Heart with heart disease CHD was defined as stenosis

more than 50% in angiography. Early symptoms of heart disease Weight of participants was measured

while the subjects were minimally clothed and bare feet using

digital scales and recorded to the nearest 0.1 kg. Rheumatic heart disease case study Height was

measured in a standing position and bare feet (without shoes) using

a tape meter while the shoulders were in a normal state. Risk factors for heart disease BMI was

calculated as weight (in kg) divided by the square of height (in

consequently. Rheumatic heart disease causes Waist circumference was obtained by measuring the

distance around the smallest area below the rib cage and above the

umbilicus with the use of a non-stretch tape measure, without any

pressure to body surface and measurements were recorded to the

nearest 0.1 cm. Coronary heart disease results from A measurement of greater than 90 cm for men and

greater than 80 cm for women was defined as abdominal obesity (the

Hip circumference was measured around the widest portion of the

buttocks. Congenital heart disease baby Concomitantly all participants underwent whole-body

bioelectrical impedance for the measurement of adipose tissues. Rheumatic heart disease diagnosis Fat

mass and fat-free mass were estimated from BIA data. Risk factors for coronary heart disease Whole-body

bioelectrical impedance was measured at 50 kHz and 800 MA with a

bioimpedance meter (Maltron England). Symptoms of heart disease in child All measurements were done by

Statistical analyses SPSS software version 18 was used to analyze

data. Ischemic heart disease treatment drugs Student’s t test was used to compare continuous variables

total of 161 patients with stable angina who underwent angiography

were enrolled in the study. Coronary heart disease risk The mean ages of the patients with

coronary involvement (n = 83) and without coronary involvement (n =

respectively (P = 0.8). Child heart disease Demographic data and past medical history of

There was no difference in the history of smoking between two groups

(29% versus 22%; P = 0.6). Right coronary artery disease The history of hypertension (47% versus

27%; P = 0.04) and dyslipidemia (48% versus 25%; P = 0.05) were

significantly more in CHD group versus non-CHD group. Coronary heart disease coronary artery disease The frequency

of diabetes was also more in CHD group (22% versus 8%; P = 0.04).

difference between anthropometric data and body composition in two

circumference was found between CHD and non-CHD groups. Chf heart disease The means of

waist circumference, waist to hip ratio (WHR) and fat mass were

significantly higher in CHD group. As heart disease Fat-free mass was significantly

significantly higher in CHD group versus non-CHD group and also

there was no difference in mean levels of weight and BMI in two

groups. Coronary heart disease death The most practical way to evaluate the degree of obesity is

BMI measurement, although it is not sensitive to body composition

and fat distribution. Ischemic heart disease medscape Unfortunately BMI may overestimate the degree

of obesity in individuals who are overweight but very muscular [ 9].

On the other hand, normal weight obesity, defined as the combination

Also older adults tend to have lower bone density and reduced lean

body mass and therefore may weigh less than younger adults of the

same height. Symptoms for heart disease Variation in body composition exists among different

In addition, BMIs for Asian populations need to be in the lower

ranges for optimal health to reflect their higher cardiovascular

Many other studies have shown that BMI does not reflect the actual body fat

content, causing mistakes in the diagnosis of overweight or obesity

Sadeghi et al showed that among anthropometrics and imaging indices

patients with CHD, while computed tomography-measured visceral

adipose tissue area has the best correlation with dyslipidemia in

Also Romero-Corral et al showed that BMI is not an independent CHD

predictor and subjects with high body fat content detected by BIA

with a normal BMI have a higher prevalence of cardiometabolic

dysregulation and are at higher risk for cardiovascular mortality [ 10].

In our study, fat distribution was also significantly different in

two groups, that is, central obesity was significantly more in CHD

abdominal adiposity, have been shown to be better than BMI, an

indicator of total adiposity, for identifying individuals at higher

Recent studies have shown that when estimating cardiovascular and

other risks associated with obesity, both regional fat distribution

and comorbid conditions must also be taken into account. Heart disease in the us At any

given level of BMI, the risk of the development of cardiovascular

disease in both men and women is increased by more abdominal fat [ 20,

bioimpedance does not give any information about fat distribution,

measuring of waist circumference and WHR beside BIA should be

considered for assessment of cardiovascular risk factors. Congenital heart disease medications Our study

has several potential limitations. Rheumatic heart disease pictures First, it was a cross-sectional

detectable effect on outcome measures was not anticipated. Ischemic heart disease diagnosis Larger

Differences in skeletal size and the proportion of lean body mass

can contribute to body weight variations among individuals of

similar height; therefore, body composition and fat distribution

measurements should be used along with other assessment factors to

convey our gratitude to the Ilam University of Medical Sciences,

Funding of this study was provided by Ilam University of Medical

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Relation of BMI to a dual-energy X-ray absorptiometry measure of

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circumference action levels in the identification of cardiovascular risk

aspects of body fat are particularly hazardous and how do we measure

obesity and the risk of all-cause, cardiovascular, and cancer mortality:

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Digital Object Identifier (DOI): http://dx.doi.org/10.14740/cr324w

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