Adipose Visceral and Epicardial Risk Evaluation
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 400
- 主要终点
- Association between epicardial and visceral fat thickness and low-grade inflammatory biomarkers with cardiometabolic and hepatic outcomes
研究概览
简要总结
The goal of this procedure-based interventional study without drugs or devices is to investigate the molecular mechanisms underlying metabolically unfavorable obesity and related clinical phenotypes, in order to identify non-invasive biomarkers capable of early prediction of metabolic syndrome, type 2 diabetes mellitus, MASLD, and cardiovascular disease in adult participants without known cardiovascular or liver disease.
The main questions it aims to answer are:
- What is the association between epicardial and visceral fat thickness and plasma levels of low-grade inflammatory biomarkers?
- How do these parameters relate to the presence of metabolic syndrome, type 2 diabetes mellitus, MASLD, and subclinical atherosclerosis?
Participants will:
- Undergo a comprehensive clinical evaluation, including demographic, anthropometric, and medical history data;
- Complete non-invasive diagnostic assessments, including 12-lead electrocardiogram, transthoracic echocardiography, liver elastography (FibroScan), and carotid Doppler ultrasound;
- Provide peripheral venous blood samples for biochemical, cellular, and molecular analyses.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age ≥ 18 years
- •Outpatients attending screening or prevention programs at Fondazione Policlinico Universitario A. Gemelli IRCCS
- •Ability to provide written informed consent
- •Willingness to undergo:
- •Additional blood collection for metabolic and inflammatory biomarker analyses
- •Liver elastography (FibroScan)
排除标准
- •Documented history of atherosclerotic cardiovascular disease, including myocardial infarction, angina pectoris, coronary angioplasty, coronary artery bypass grafting, peripheral artery disease, lower limb revascularization procedures, ischemic stroke, hemodynamically significant carotid stenosis, carotid endarterectomy or angioplasty, or aortopathy;
- •Known chronic liver disease of other etiology (e.g., viral hepatitis, autoimmune liver disease, hemochromatosis, alcoholic liver disease);
- •Significant alcohol consumption (>30 g/day for men, >20 g/day for women);
- •Chronic systemic inflammatory diseases (e.g., rheumatoid arthritis, systemic lupus erythematosus, psoriasis, inflammatory bowel disease, spondyloarthritis, mixed connective tissue disease, etc.);
- •Active chronic infections, including HIV, active hepatitis B or C, untreated latent tuberculosis, or any other diagnosed chronic infection;
- •Active or past malignancy within the last 5 years;
- •Current treatment with systemic anti-inflammatory drugs, immunosuppressants, or corticosteroids at pharmacological doses;
- •Current pregnancy or breastfeeding;
- •Any clinical or psychiatric condition that, in the investigator's judgment, could compromise participation or the validity of collected data.
结局指标
主要结局
Association between epicardial and visceral fat thickness and low-grade inflammatory biomarkers with cardiometabolic and hepatic outcomes
时间窗: Single time point at enrollment (baseline)
Evaluation of the relationship between epicardial and visceral adipose tissue thickness and plasma levels of low-grade inflammatory biomarkers (hs-CRP, IL-6, TNF-α) with the presence of: * Subclinical atherosclerotic disease; * Metabolic syndrome * Type 2 diabetes mellitus * Metabolic dysfunction-associated steatotic liver disease (MASLD)
次要结局
未报告次要终点
研究者
Liuzzo Giovanna
Medical Doctor, Cardiologist - Head of Acute Coronary Sindromes Unit - Head of Cellular and Molecular Cardiology Laboratory
Fondazione Policlinico Universitario Agostino Gemelli IRCCS