摘要：肥胖已成为我国心血管病患病率升高的主要危险因素，应用影像学技术有助于诊断内脏脂肪型肥胖。虽然大量研究证实肥胖与心血管疾病的患病率高度相关，但心血管疾病的预后则与肥胖程度存在矛盾现象，体重指数或脂肪比例过高或过低均增加死亡风险。脂肪的功能和类型决定其对心血管的效应及转归，保持合适的体重指数和脂肪比例对心血管有保护作用。肥胖的干预目标，除减肥及降低远期心血管事件外，尚需改善脂肪本身的病变。

Abstract：
Obesity is a major risk factor for the prevalence of cardiovascular diseases ( CV D) in China. The application of imaging techniques is helpful to diagnose the visceral fat obesity. A Large number of studies show a positive relationship between the cardiovascular morbidity and obesity. However, there is not a linear correlation between the prognosis of CVD and the degree of obesity, for example, too high or too low body mass index (BMI) or body fat ratio may increase the risk of CVD mortality. The function and type of adipose tissue determine the impact on cardiovascular system, thus, maintaining an appropriate BMI and body fat ratio is beneficial. Besides weight gain control and prevention of cardiovascular events, one goal of antiobesity is to improve the sickness of adipose tissue.

作　　者：祝之明

Author： ZHU Zhi-ming

作者单位：400042 第三军医大学全军高血压代谢病中心，重庆市高血压研究所，重庆大坪医院高血压内分泌科

期　　刊：中华内分泌代谢杂志 ISTICPKU

Journal：Chinese Journal of Endocrinology and Metabolism

在线出版日期：2011年11月24日