Metabolic Syndrome Clinical Trial
Official title:
Visceral Obesity/Ectopic Fat and Non-invasive Markers of Atherosclerosis: A Cardiometabolic-cardiovascular Imaging Study
Although it is frequently mentioned in the media that overweight and obesity have reached
epidemic proportions worldwide and in this country, some Canadians are perplexed and
sometimes confused about the role of obesity in diabetes and heart disease. In fact, the
investigators even hear from time to time that there could be "healthy" obese individuals.
In clinical practice, assessment of obesity as a risk factor for cardiovascular disease
(CVD) remains a challenge as even some physicians are confused. However, studies conducted
in our laboratory and by other research teams around the world over the last 20 years have
clearly shown that body shape is more important than body size when evaluating the risk of
overweight/obesity and that high accumulation of abdominal fat (excess belly fat) increases
the risk of diabetes and cardiovascular disease (CVD).
The investigators now need to better understand the link between excess belly fat and
atherosclerosis (the thickening of artery walls by fatty deposits, also referred to as
atherosclerotic plaque), leading to complications such as angina (chest pain) and myocardial
infarction (heart attacks). Using non-invasive imaging techniques such as magnetic resonance
imaging, the investigators therefore propose to examine the relationships between measures
of fatness and of abdominal fat and the size of atherosclerotic plaque in large blood
vessels of apparently healthy human subjects. This study is also a unique opportunity to
look, for the first time, at the relationship between belly fat, blood sugar, several
well-known risk factors for heart disease (cholesterol, blood pressure, cardiorespiratory
fitness, etc.) and the size of atherosclerotic plaques. This research program should pave
the way to the development of new improved preventive/therapeutic approaches focusing not on
body weight but rather on abdominal fat and associated blood abnormalities which are
predictive of the development of atherosclerotic plaques leading to the premature
development of heart disease.
n/a
Observational Model: Cohort, Time Perspective: Prospective
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