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Visceral fat thickness measured by ultrasonography can estimate not only visceral obesity but also risks of cardiovascular and metabolic diseases

Authors
 Soo Kyung Kim  ;  Hae Jin Kim  ;  Bong Soo Cha  ;  Kap Bum Huh  ;  Hyun Chul Lee  ;  Kyung Rae Kim  ;  Sung Kil Lim  ;  Chul Woo Ahn  ;  Sung Hee Choi  ;  Kyu Yeon Hur 
Citation
 AMERICAN JOURNAL OF CLINICAL NUTRITION, Vol.79(4) : 593-599, 2004 
Journal Title
 AMERICAN JOURNAL OF CLINICAL NUTRITION 
ISSN
 0002-9165 
Issue Date
2004
MeSH
Abdomen/diagnostic imaging* ; Adipose Tissue/diagnostic imaging* ; Body Mass Index ; Cardiovascular Diseases/etiology ; Cholesterol/blood ; Diabetes Complications ; Female ; Humans ; Male ; Metabolic Diseases/etiology ; Middle Aged ; Obesity/complications ; Obesity/diagnostic imaging* ; Risk Factors ; Ultrasonography
Keywords
Abdominal obesity ; cardiovascular disease ; coronary artery disease ; ultrasonography ; visceral fat ; waist circumference
Abstract
BACKGROUND: Visceral obesity is closely associated with cardiovascular disease and the metabolic syndrome. Estimating the amount of visceral fat is important and requires a straightforward, reliable, and practical method. OBJECTIVE: We investigated whether visceral fat thickness (VFT) measured by ultrasonography can adequately assess visceral fat accumulation and predict cardiovascular or metabolic diseases. DESIGN: Diabetic patients (240 men and 106 women) underwent ultrasonography to estimate visceral fat accumulation. RESULTS: The visceral adipose tissue area had the best correlation with VFT (r = 0.799, P < 0.001). VFT correlated with HDL-cholesterol, triacylglycerol, and high-sensitivity C-reactive protein concentrations, the homeostasis model assessment for insulin resistance, and the intima-media thickness at the common carotid artery (r = -0.30, 0.39, 0.34, 0.31, and 0.33, respectively; P < 0.05) in men and with triacylglycerol and high-sensitivity C-reactive protein concentrations and the homeostasis model assessment for insulin resistance (r = 0.33, 0.44, and 0.30, respectively; P < 0.05) in women. Men in the middle and high VFT tertiles had a higher odds ratio (OR) of coronary artery disease [ORs: 4.48 (95% CI: 1.29, 5.51) and 2.04 (1.06, 3.94), respectively; P = 0.016], hypertriacylglycerolemia [ORs: 2.87 (1.41, 5.86) and 1.91 (1.24, 2.95), respectively; P = 0.003], and the metabolic syndrome [ORs: 3.38 (1.61, 7.10) and 1.95 (1.16, 3.27), respectively; P = 0.003] than did those in the low tertile, after adjustment for age, waist circumference, and body mass index. CONCLUSION: VFT might be a reliable index for assessing the amount of visceral fat and for identifying diabetic patients, particularly men, who are at high risk of cardiovascular disease.
Files in This Item:
T200401446.pdf Download
DOI
10.1093/ajcn/79.4.593
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Rae(김경래)
Kim, Soo Kyung(김수경)
Kim, Hae Jin(김혜진)
Ahn, Chul Woo(안철우) ORCID logo https://orcid.org/0000-0003-3733-7486
Lee, Hyun Chul(이현철)
Lim, Sung Kil(임승길)
Cha, Bong Soo(차봉수) ORCID logo https://orcid.org/0000-0003-0542-2854
Choi, Seong Hee(최성희)
Huh, Kap Bum(허갑범)
Hur, Kyu Yeon(허규연)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112582
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