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Ectopic Adipose Tissue in Subsistence Populations with Minimal Coronary Disease, Large Left Atria, and Very Low Rates of Atrial Fibrillation

Author

Listed:
  • Randall C. Thompson

    (Institute of Kansas City, UMKC - University of Missouri [Kansas City] - University of Missouri System)

  • Benjamin C. Trumble

    (ASU - Arizona State University [Tempe])

  • Daniel Cummings

    (Chapman University)

  • Angela Neunuebel

    (Institute of Kansas City)

  • Paul L. Hooper

    (The University of New Mexico [Albuquerque] - NMC - New Mexico Consortium)

  • Samuel Wann

    (Department of Neuroscience, School of Medicine, University of New Mexico, 915 Caminode salud NE, Reginal Heber Fitz Hall 145, Albuquerque, NM 87131, USA.)

  • Adel H. Allam

    (Al-Azhar University [Cairo, Egypt])

  • Frances Neunuebel

    (Institute of Kansas City)

  • Benjamin Gans

    (Institute of Kansas City)

  • Samantha I. King

    (Institute of Kansas City)

  • Edmond Seabright

    (Al-Azhar University [Cairo, Egypt])

  • Caleb Ellicott Finch

    (USC - University of Southern California)

  • Margaret Gatz

    (USC - University of Southern California)

  • Kenneth Buetow

    (USC - University of Southern California)

  • Michael I. Miyamoto

    (Mission Heritage Medical Group, Providence Health, Mission Viejo,)

  • Guido Lombardi

    (UPCH - Universidad Peruana Cayetano Heredia - Peruvian University Cayetano Heredia [Lima, Peru])

  • Linda Sutherland

    (MemorialCare Health Systems, Fountain Valley, California)

  • James Sutherland

    (MemorialCare Health Systems, Fountain Valley, California)

  • Christopher Ward

    (Institute of Kansas City)

  • Madeleine J. Lee

    (Institute of Kansas City)

  • Ashna Mahadev

    (Institute of Kansas City)

  • Daniel Eid Rodriguez

    (Mizzou - University of Missouri [Columbia] - University of Missouri System)

  • David E. Michalik

    (UC - University of California)

  • Chris Rowan

    (University of Nevada [Reno])

  • Tianyu Cao

    (UC - University of California)

  • Jonathan Stieglitz

    (TSE-R - Toulouse School of Economics - UT Capitole - Université Toulouse Capitole - UT - Université de Toulouse - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement)

  • Cameron M. Quick

    (University of Missouri [St. Louis] - University of Missouri System)

  • Gregory S Thomas

    (MemorialCare Health Systems, Fountain Valley, California)

  • Jagat Narula

    (Institute of Kansas City)

  • Domini Dey

    (Institute of Kansas City)

  • Michael Gurven

    (UC - University of California)

  • Hillard Kaplan

    (TSE-R - Toulouse School of Economics - UT Capitole - Université Toulouse Capitole - UT - Université de Toulouse - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement)

Abstract

Background Greater deposits of epicardial adipose tissue are associated with atrial fibrillation and coronary disease, but have not been studied in subsistence populations. Methods We performed CT imaging to measure coronary artery and thoracic aortic calcium (CAC, TAC), epicardial fat thickness (EFT), liver density, and left atrial (LA) anteroposterior diameter and, using a deep learning-enabled software program, epicardial and thoracic fat volume (EFV, TFV), in two remote Amerindian subsistence populations with minimal coronary artery calcification and virtually no atrial fibrillation. We compared 893 adult Tsimane (mean age 58.3±10.5 y, 51.6% male), 440 Moseten (55.9±10.4 y, 53.6% male) to 955 U.S. (56.8±10.8 y, 51.6% male) subjects. Results Tsimane and Moseten had 43%-52% lower EFT, EFV, TFV, and 48-92% less CAC and TAC, respectively than the U.S. cohort. Mean liver measurements were 14-22% denser and LA diameters 10-14% larger (≈ 40% larger by volume). For EFV, Tsimane, Moseten, and U.S. cohorts averaged 54.2±25.6, 60.3±35.1, and 106±53.5 cc, respectively (p

Suggested Citation

  • Randall C. Thompson & Benjamin C. Trumble & Daniel Cummings & Angela Neunuebel & Paul L. Hooper & Samuel Wann & Adel H. Allam & Frances Neunuebel & Benjamin Gans & Samantha I. King & Edmond Seabright , 2025. "Ectopic Adipose Tissue in Subsistence Populations with Minimal Coronary Disease, Large Left Atria, and Very Low Rates of Atrial Fibrillation," Post-Print hal-05229534, HAL.
  • Handle: RePEc:hal:journl:hal-05229534
    DOI: 10.1016/j.ajpc.2025.101271
    as

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