DOI: 10.36347/sjams.2021.v09i06.018

Pages: 914-918

Background: The visceral adiposity index (VAI) is proposed as a substitute marker of dysfunction and distribution of adipose tissue and is found to be independently correlated with cardiometabolic risk associated with visceral obesity. However, VAI is not well studied in Bangladeshi population. Objectives: This study was aimed to determine the visceral adipose dysfunction (VAD) based on VAI in a group of patients with Acute Coronary Syndrome (ACS) admitted in a tertiary care hospital of Bangladesh and also to determine the correlation of VAI with other anthropometric indicators of obesity. Methods: This descriptive cross-sectional study was conducted on 96 admitted patients of ACS at the Department of Cardiology, Abdul Malek Ukil Medical College & Hospital, Noakhali, Bangladesh from January 2019 to June 2019. Fasting serum lipid profile was obtained within 24 hours of hospitalization and demographic and anthropometric parameters [Body Mass Index (BMI), Waist Circumference (WC) and Waist to Height Ratio (WHtR)] were documented. VAI was calculated and VAD was determined for each patients. Results: The mean age of the subjects were 57.7±14.4 years with majority (71.9%) being male. Based on BMI 50% patients were obese. 69.8% and 81.3% had central obesity based on WC and WHtR criteria respectively. Overall, mean VAI was high (7.48±2.85) and significantly higher in female than male (8.83±2.89 versus 6.95±2.67; p=0.003). All patients had VAD. WHtR had significant positive correlation with VAI (r=0.338; p=0.001). Conclusion: VAD was highly prevalent in this group of ACS patients and WHtR was better than WC and BMI to measure the visceral fat.