Association Between Erosive Esophagitis and Visceral Fat Accumulation Quantified by Abdominal CT Scan
- Authors
- Lee, Hang Lak; Eun, Chang Soo; Lee, Oh Young; Jeon, Yong Cheol; Han, Dong Soo; Yoon, Byung Chul; Choi, Ho Soon; Hahm, Joon Soo; Ahn, You Hern; Song, Soon Young
- Issue Date
- Mar-2009
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- erosive esophagitis; visceral fat
- Citation
- JOURNAL OF CLINICAL GASTROENTEROLOGY, v.43, no.3, pp.240 - 243
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF CLINICAL GASTROENTEROLOGY
- Volume
- 43
- Number
- 3
- Start Page
- 240
- End Page
- 243
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/177125
- DOI
- 10.1097/MCG.0b013e318167b88a
- ISSN
- 0192-0790
- Abstract
- Background and Aims: There were no objective data presented about the association between erosive esophagitis and abdominal fat. We conducted this study to examine the association of abdominal fat and gastroesophageal reflux disease-related erosive esophagitis.
Methods: Between May 2004 and October 2005, a total of 100 erosive esophagitis patients diagnosed by upper endoscopy were evaluated in a prospective manner. All study patients and controls underwent abdominal computed tomography (CT) scan. Body fat distribution was assessed by CT with a 10-mm-thick slice at the level of the fourth lurnbar vertebra.
Results: Erosive esophagilis patients presented with a significantly higher mean visceral fat (VF) area (104.68 +/- 39.47 vs. 75.90 +/- 49.10 cm(2), P = 0.014) than the control group. However, there was no association between erosive esophagitis and subcutaneous fat area (109.72 +/- 49.09 vs. 98.66 +/- 52.43cm(2), P = 0.379) or total fat area (214.41 +/- 78.78 vs. 172,59 +/- 90.49 cm(2), P = 0.054). Multivariate logistic regression analysis demonstrated that high VF areas (P = 0.0035), VF/subcutaneous fat area (P = 0.005), hiatal hernia (P = 0.001) high body mass index (P = 0.047) high waist-to-hip ratio (P = 0.042), and smoking (P = 0.005) are independent risk factors of erosive esophagitis.
Conclusions: These results suggest a role for visceral obesity, quantified by CT, as a risk factor for erosive esophagitis.
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