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Medicina interna de México
Print version ISSN 0186-4866
Abstract
ARANA-PAZOS, Karla C et al. Differences in the epicardial fat thickness in patients with diabetes mellitus 2, prediabetes and nondiabetic subjects. Med. interna Méx. [online]. 2018, vol.34, n.4, pp.561-565. ISSN 0186-4866. https://doi.org/10.24245/mim.v34i4.1969.
OBJECTIVE
To evaluate the differences in epicardial fat thickness in subjects with type-2 diabetes, prediabetes or non-diabetic.
MATERIAL AND METHOD
A study was done from January to August 2017 evaluating subjects divided into 3 groups: group with type-2 diabetic patients, group with subjects with prediabetes and group with nondiabetic subjects. In all of them the epicardial fat thickness was measured with an Aloka alfa 6 equipment, by 2 cardiologists who were unaware of the clinical data. Statistical analysis was performed with ANOVA.
RESULTS
There were included 120 patients divided into three groups of 40 patients each. Epicardial fat thickness was of 5.63 mm in diabetes mellitus group, 4.43 mm in prediabetes group and 4 mm in nondiabetic group. We did not find difference in epicardial fat thickness between nondiabetes and prediabetes groups (p = 0.09). However, we found significantly differences in epicardial fat thickness between diabetes group and groups of prediabetes and nondiabetes (p = 0.00017).
CONCLUSION
Type-2 diabetic patients have greater nondiabetes than prediabetic and nondiabetic subjects; this fact supports the relationship between visceral fat and the risk of type-2 diabetes.
Keywords : Epicardial fat; Type 2 diabetes; Prediabetes; Echocardiography.
