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. 2021 May 3;8(4):2535–2545. doi: 10.1002/ehf2.13382

Table 4.

Associations a between HFpEF risk factors with adipose tissue and skeletal muscle measures

Systolic blood pressure Diabetes Atrial fibrillation/flutter Obstructive sleep apnoea
β (SE) P OR (95% CI) P OR (95% CI) P OR (95% CI) P
RV EAT, mm −0.64 (0.83) 0.44 0.93 (0.71–1.23) 0.62 0.70 (0.43–1.11) 0.13 0.87 (0.64–1.20) 0.40
AV groove EAT, mm 0.008 (0.31) 0.98 1.06 (0.95–1.18) b 0.29 1.07 (0.95–1.21) 0.27 0.97 (0.86–1.10) 0.67
Liver fat fraction, % 0.22 (0.27) 0.42 0.99 (0.91–1.08) 0.85 1.00 (0.90–1.11) 0.97 1.01 (0.91–1.12) 0.86
Abdominal VAT, cm2 −0.002 (0.03) 0.93 1.00 (0.99–1.01) b 0.48 1.00 (0.99–1.01) 0.47 1.00 (1.00–1.01) b 0.32
Abdominal SAT, cm2 −0.04 (0.02) 0.06 1.00 (0.99–1.00) 0.34 1.00 (0.99–1.01) 0.51 1.00 (0.99–1.00) 0.30
VAT/SAT ratio 6.25 (7.13) 0.38 6.13 (0.44–85.58) 0.18 1.30 (0.09–18.72) 0.85 11.55 (0.45–298.80) 0.14
Thigh SAT, cm2 0.01 (0.03) 0.74 0.99 (0.98–1.00) 0.12 1.01 (1.00–1.02) 0.11 1.00 (0.99–1.01) 0.75
Thigh IMAT, cm2 0.06 (0.12) 0.61 1.01 (0.97–1.06) 0.60 1.03 (0.97–1.09) 0.40 0.96 (0.91–1.01) 0.12
Thigh IMAT FF, % 0.30 (0.21) 0.16 0.99 (0.92–1.06) 0.69 1.04 (0.96–1.13) 0.29 0.87 (0.77–0.98) 0.02
Thigh interMF, cm2 0.73 (0.17) <0.001 1.22 (1.03–1.46) 0.03 0.95 (0.83–1.09) 0.46 0.96 (0.86–1.07) 0.45
Thigh intraMF, cm2 0.18 (0.29) 0.53 1.01 (0.92–1.11) 0.89 1.14 (0.99–1.31) 0.07 0.96 (0.85–1.06) 0.37
Thigh muscle, cm2 0.003 (0.04) 0.94 1.00 (0.98–1.01) 0.67 0.98 (0.96–1.01) b 0.17 1.02 (1.00–1.04) 0.06
Psoas muscle, cm2 0.81 (0.56) 0.15 1.03 (0.84–1.25) 0.79 0.95 (0.77–1.19) 0.68 0.95 (0.77–1.17) 0.62
Paraspinal muscle, cm2 −0.11 (0.33) 0.74 1.03 (0.92–1.15) 0.61 0.98 (0.85–1.12) 0.75 0.97 (0.86–1.09) 0.60

AV, atrioventricular; CI, confidence interval; EAT, epicardial adipose tissue; FF, fat fraction; HFpEF, heart failure with preserved ejection fraction; IMAT, intermuscular adipose tissue; interMF, intermuscular fat; intraMF, intramuscular fat; OR, odds ratio; RV, right ventricular; SAT, subcutaneous adipose tissue; SE, standard error; VAT, visceral adipose tissue.

a

Analyses are adjusted for age, sex, and body surface area. Positive β coefficients indicate higher values of adipose tissue/skeletal muscle measurement associated with the risk factor.

b

Associations significant in unadjusted analyses.