CORRELATION BETWEEN EPICARDIAL FAT AND CAROTID INTIMA-MEDIA THICKNESS IN OBESE ADOLESCENTS AGED 11 TO 15 YEARS OLD

TESIS

Abstract

By : Reddy Lufyan

Email : reddylu.md@gmail.com

Faculties : Fakultas Kedokteran

Department : PS. ILMU KESEHATAN ANAK

ABSTRACT CORRELATION BETWEEN EPICARDIAL FAT AND CAROTID INTIMA-MEDIA THICKNESS IN OBESE ADOLESCENTS AGED 11 TO 15 YEARS OLD The increasing prevalence of obesity in adolescence is linearly related to cardiovascular disorder risk. Epicardial fat and carotid intima-media thickness (CIMT) are markers that probably could reflect the visceral fat and play role as predictors of cardiometabolic disorder risk which can be examined at an early age. The aim of this study was to determine the correlation between epicardial fat and CIMT in obese adolescents aged 11 to 15 years old. This cross sectional study involved 82 obese adolescents aged 11 to 15 years old who consecutively recruited from Sanglah Hospital outpatient clinic and several junior high schools in Denpasar within period of November 2016 to April 2017. Epicardial fat and CIMT were measured using echocardiography with parasternal short axis (PSAX) view. The two-way correlation analysis between epicardial fat and CIMT was measured using Spearman correlation test. Eighty two subjects had means of BMI 31.49 Kg/M2 and Zscore BMI/age 2.71. The median of epicardial fat thickness and CIMT were 3.11 (minimum 1.27; maximum 9.76) mm and 0.57 (minimum 0.33; maximum 0.80) mm. There was a significant weak positive correlation between epicardial fat thickness and CIMT (r =0.221; p=0.046). Epicardial fat thickness had a weak significant positive correlation to CIMT in obes adolescents aged 11 to 15 years old.

Keyword : Keywords: obese adolescent, epicardial fat, carotid intima-media thickness.

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