Abstract
For many decades, obesity has been one of the main risk factors for cardiovascular disease. Despite medical advances, the obesity increases contribution to morbidity and mortality from cardiovascular diseases. Numerous anthropometric criteria for obesity are well-studied, simple and inexpensive tools for diagnosing overweight in the population. However, their accuracy is comparatively low. In particular, it is impossible to determine body composition based on these criteria, which is a key point in cardiovascular risk stratification. Despite the relatively short period of ultrasound practice for obesity diagnosis, convincing evidence has already been obtained of their high accuracy and effectiveness in predicting the risk of cardiovascular disease. Given the continuous improvement of ultrasound equipment, the studied criteria should be implemented in routine clinical and research practice. This literature review describes the central parameters used in the ultrasound diagnosis of obesity, their contribution to both conventional risk factors and cardiovascular diseases itself.
Highlights
На протяжении многих десятилетий ожирение является одним из основных факторов риска развития сердечно-сосудистой патологии
It is impossible to determine body composition based on these criteria, which is a key point in cardiovascular risk stratification
Despite the relatively short period of ultrasound practice for obesity diagnosis, convincing evidence has already been obtained of their high accuracy and effectiveness in predicting the risk of cardiovascular disease
Summary
На протяжении многих десятилетий ожирение является одним из основных факторов риска развития сердечно-сосудистой патологии. АД — артериальное давление, ИВО — индекс висцерального ожирения, ИМТ — индекс массы тела, ИБС — ишемическая болезнь сердца, КТ — компьютерная томография, ЛВП — липопротеины высокой плотности, ЛНП — липопротеины низкой плотности, МРТ — магнитно-резонансная томография, ОТ — окружность талии, ОТ/ОБ — индекс талия-бёдра, ОХС — общий холестерин, ССЗ — сердечно-сосудистые заболевания, ТГ — триглицериды, УЗИ — ультразвуковое исследование, ФР — фактор риска, EAT — толщина эпикардиальной жировой ткани, IAFT — интраабдоминальная толщина жировой ткани, intra-abdominal fat thickness, MinASFT — минимальная толщина подкожно-жировой клетчатки, minimum subcutaneous fat thickness, MaxASFT — максимальная толщина подкожно-жировой клетчатки, maximum abdominal subcutaneous fat thickness, PFT — толщина пребрюшинного жира, pre-peritoneal fat thickness, SAT — подкожно-жировая клетчатка, subcutaneous adipose tissue, WFI — индекс жира брюшной стенки, wall fat index.
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