The effects of abdominal and epicardial adipose tissue after short-term reduction curriculum evaluated by quantification CT

• Main Authors: Ying-fan Lai, 賴映帆
• Other Authors: Jui-hsing Lin
• Format: Others
• Language: zh-TW
• Online Access: http://ndltd.ncl.edu.tw/handle/88681874634658800557

碩士 === 國立屏東教育大學 === 體育學系 === 96 === Purpose: The purpose of this study was to examine the effects of abdominal and epicardial adipose tissue (EAT) after short-term reduction curriculum and the relevance in body weight, BMI, waist circumference (WC), hip and waist-hip ratio (WHR). Methods: Sixty obese adults (aged 18-65) whose BMI were higher than 27 but lower than 40 were recruited as subjects. All subjects needed to conform with above two metabolic syndrome diagnosis standard. They were asked 12 weeks reduction curriculum that include exercise, low-calorie diet or pharmaceuticals. All subjects could measure thorax carina to diaphragm for EAT and abdomen L2-lower endplate to L5 upper endplate for visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT) and pericardial adipose tissue (PAT) by computed tomography (CT) and calculated by software. Subjects completed 12 weeks reduction curriculum and achieved 5% body weight reduction. The data were analyzed by two-way analysis of variance (group × time) with repeated measures to examine any changes after reduction curriculum. Pearson correlation coefficients will be used to examine the levels of EAT, AVAT, weight, BMI, WC, hip, and WHR. The statistical significant level is determined at α= .05. Result: In the different sex with measured before and after in the correlation, there were significant in PAT. In correlation, no significant correlation was found between EAT, weight, BMI, WC, hip and WHR. VAT showed a significant correlation with weight, WC and WHR. There were significant correlation between EAT and VAT (r= .51, p< .05), L2-5 VAT and L3-4 VAT (r= .97, p< .05). There were significant improved in PAT, EAT, abdominal adipose tissue, VAT and SAT (p< .05) after 12 weeks reduction curriculum. There were not significant difference in EAT, abdominal adipose tissue and SAT between males and females. Demonstrated that short-term reduction curriculum on obese male and female adult’s improvement is consistent. Conclusion: As the result of short-term reduction curriculum, there were significant improvement in EAT and abdominal adipose tissue. The diagnosis could be assessed by WHR in males and WC in females. The single L3-4 image was an excellent measure for VAT and the single right coronary artery image was an excellent measure for EAT. Finally, it is the important risk to assess the cardiovascular disease by EAT and VAT.