Sagittal abdominal diameter is more predictive of cardiovascular risk than abdominal fat compartments in severe obesity

International Journal of Obesity

Volumn 33, Issue 2, 2009, Pages 233-238

  Guzzaloni, G ^a   Minocci, A ^a   Marzullo, P ^a   Liuzzi, A ^a  

^a ISTITUTO AUXOLOGICO ITALIANO   (Italy)

Author keywords

Abdominal fat; Cardiovascular risk factors; Computed tomography; Sagittal abdominal diameter

Indexed keywords

FAT; GLUCOSE; HIGH DENSITY LIPOPROTEIN CHOLESTEROL; IMMUNOREACTIVE INSULIN; INSULIN; LOW DENSITY LIPOPROTEIN CHOLESTEROL; TRIACYLGLYCEROL;

ABDOMINAL FAT; ADULT; AGED; ARTICLE; CARDIOVASCULAR RISK; CHOLESTEROL BLOOD LEVEL; CLINICAL EVALUATION; CLINICAL STUDY; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; FEMALE; GLUCOSE BLOOD LEVEL; HUMAN; INSULIN RESISTANCE; INTRAABDOMINAL FAT; MAJOR CLINICAL STUDY; MALE; OBESITY; PRIORITY JOURNAL; SAGITTAL ABDOMINAL DIAMETER; SUBCUTANEOUS FAT;

ABDOMINAL FAT; ADOLESCENT; ADULT; AGED; BLOOD GLUCOSE; CARDIOVASCULAR DISEASES; CHOLESTEROL, HDL; CHOLESTEROL, LDL; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; MALE; MIDDLE AGED; OBESITY, MORBID; PREDICTIVE VALUE OF TESTS; RISK FACTORS; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 60249087228     PISSN: 03070565     EISSN: 14765497     Source Type: Journal    
DOI: 10.1038/ijo.2008.271     Document Type: Article

References (38)

1. Despres JP. Abdominal obesity as important component of insulin-resistance syndrome. Nutrition 1993; 9: 452-459.
2. Kissebah AH, Krakower GR. Regional adiposity and morbidity. Physiol Rev 1994; 74: 761-811.
3. Abate N, Garg A, Peshock RM, Stray-Gundersen J, Grundy SM. Relatioships of generalized and regional adiposity to insulin sensitivity in men. J Clin Invest 1995; 96: 88-98.
4. Kelley DE, Leland Thaete F, Troost F, Huwe T, Goodpaster BH. Subdivision of subcutaneous abdominal adipose tissue and insulin resistance. Am J Physiol Endocrinol Metab 2000; 278: 941-948.
5. Ross R, Freeman J, Hudson R, Janssen I. Abdominal adiposity, muscle composition, and insulin resistance in premenopausal women. J Clin Endocrinol Metab 2002; 87: 5044-5051.
6. Tchernof A, Belanger C, Morisset AS, Richard C, Mailloux J, Laberge P et al. Regional differences in adipose tissue metabolism in women: minor effect of obesity and body fat distribution. Diabetes 2006; 55: 1353-1360.
7. Enevoldsen LH, Simonsen L, Stallknecht B, Galbo H, Bulow J. In vivo human lipolytic activity in preperitoneal and subdivision of subcutaneous abdominal adipose tissue. Am J Physiol Endocrinol Metab 2001; 281: E1110-E1114.
8. Goodpaster BH, Thaete FL, Simoneau JA, Kelley DE. Subcutaneous abdominal fat and thigh muscle composition predict insulin sensitivity independentely of visceral fat. Diabetes 1997; 46: 1579-1585.
9. Marcus MA, Murphy L, Pi-Sunyer FX, Albu JB. Insulin sensitivity and serum trygliceride level in obese white and black women: relationship to visceral and truncal subcutanous fat. Metabolism 1999; 48: 194-199.
10. Lovejoy JC, Smith SR, Rood JC. Comparison of regional fat distribution and health risk factors in middle-aged white and African American women: the Healthy Transition Study. Obesity Res 2001; 9: 10-16.
11. Tulloch-Reid MK, Hanson RL, Sebring NG, Reynolds JC, Premkumar A, Genovese DJ et al. Both subcutaneous and visceral adipose tissue correlate highly with insulin resistance in African Americans. Obesity Res 2004; 12: 1352-1359.
12. Laaksonen DE, Kainulainen S, Rissanen A, Niskanen L. Relationships between changes in abdominal fat distribution insulin sensitivity during a very low calorie diet in abdominal obese men and women. Nutr Metab Cardiovasc Dis 2003; 13: 349-356.
13. Clasey JL, Bouchard C, Teates CD, Riblett JE, Thorner MO, Hartman ML et al. The use of anthropometric and dual-energy X-ray absorptiometry (DXA) measures to estimate total abdominal and abdominal visceral fat in men and women. Obes Res 1999; 7: 256-264.
14. Turcato E, Bosello O, Di Francesco V, Harris TB, Zoico E, Bissoli L et al. Waist circumference and abdominal sagittal diameter as surrogates of body fat distribution in the elderly: their relation with cardiovascular risk factors. Int J Obesity 2000; 24: 1005-1010.
15. Riserus U, Arnlov J, Brismar K, Zethelius B, Berglund L, Vessby B. Sagittal abdominal diameter is a strong anthropometric marker of insulin resistance and hyperproinsulinemia in obese men. Diabetes Care 2004; 27: 2041-2046.
16. Matthew DR, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and β-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 1985; 28: 412-419.
17. Deschenes D, Couture P, Dupont P, Tchernof A. Subdivision of the subcutaneous adipose tissue compartment and lipid-lipoprotein levels in women. Obes Res 2003; 11: 469-476.
18. Ohrvall M, Berglund L, Vessby B. Sagittal abdominal diameter compared with other anthropometric measurements in relation to cardiovascular risk. Int J Obesity 2000; 19: 497-501.
19. Kahn HS, Austin H, Williamson DF, Arensberg D. Simple anthropometric indices associated with ischemic heart disease. J Clin Epidemiol 1996; 49: 1017-1024.
20. Gustat J, Elkasabany A, Srinivasan S, Berenson GS. Relation of abdominal height to cardiovascular risks factors in young adults: the Bogalusa heart study. Am J Epidemiol 2000; 151: 885-891.
21. Montague CT, O'Rahilly S. The perils of portliness: causes and consequences of visceral adiposity. Diabetes 2000; 49: 883-888.
22. Smith SR, Lovejoy JC, Greenway F, Ryan D, deLonge J, de la Bretonne J et al. Contributions of total body fat, abdominal subcutaneous adipose tissue compartments, and visceral adipose tissue to the metabolic complications of obesity. Metabolism 2001; 50: 425-435.
23. Minocci A, Guzzaloni G, Marzullo P, Savia G, Tagliaferri A, Berselli ME et al. Abdominal fat index by ultrasound does not estimate the metabolic risk factors of cardiovascular disease better than waist circumference in severe obesity. Diabetes Metab 2005; 31: 471-477.
24. Storti KL, Brach JS, Fitzgerald SJ, Bunker CH, Kriska AM. Relationship among body composition measures in community-dwelling older women. Obesity 2006; 14: 244-251.
25. Smith DA, Ness EM, Herbert R, Schechter CB, Phillips RA, Diamond JA et al. Abdominal diameter index: a more powerful anthropometric measure for prevalent coronary heart disease risk in adult males. Diebetes Obes Metab 2005; 7: 370-380
26. Iribarren C, Darbinian JA, Lo JC, Fireman BH, Go AS. Value of sagittal abdominal diameter in coronary heart disease risk assessment: cohort study in a large, multiethnic population. Am J Epidemiol 2006; 15: 1150-1159.
27. Kullberg J, von Below C, Lonn L, Lind L, Ahistrom H, Johansson L. Practical approach for estimation of subcutaneous and visceral adipose tissue. Clin Physiol Funct Imaging 2007; 27: 148-153.
28. Sjostrom L. Methods for measurements of the total and visceral adipose tissue volume and relationship between visceral fat and disease in 1006 severely obese subjects. In: Oomura Y, Tarui S, Inoue S, Shimazu T (eds). Progress in Obesity Research 1990. John Libbey: London, 1991, pp 323-334.
29. Seidell JC, Andres R, Sorkin JD, Muller C. The sagittal waist diameter and mortality in men: the Baltimore Longitudinal Study on Aging. Int J Obes 1994; 18: 61-67.
30. Bergman RN, Kim SP, Hsu IR, Catalano KJ, Chiu JD, Kabir M et al. Abdominal obesity: role in the pathophysiology and metabolic disease and cardiovascular risk. Am J Med 2007; 120 (2 suppl 1): S3-S8; discussion S29-32.
31. Thamer C, Machann J, Stefan N, Haap M, Schafer S, Brenner S et al. High visceral fat mass and high liver fat are associated with resistance to lifestyle intervention. Obesity 2007; 15: 531-538.
32. Brochu M, Starling RD, Tchernof A, Matthews DE, Garcia-Rubi E, Poehlman ET. Visceral adipose tissue is an independent correlate of glucose disposal in older obese postmenopausal women. J Clin Endocrinol Metab 2000; 85: 2378-2384.
33. Tai ES, Lau TN, Ho SC, Fok AC, Tan CE. Body fat distribution and cardiovascular risk in normal weight women. Associations with insulin resistance, lipids and plasma leptin. Int J Obesity 2000; 24: 751-757.
34. Wajchenberg BL. Subcutaneous and visceral adipose tissue: their relation to the metabolic syndrome. Endocr Rev 2000; 21: 697-738.
35. Ross R, Fortier L, Hudson R. Separate associations between visceral and subcutaneous adipose tissue distribution, insulin and glucose levels in obese women. Diabetes Care 1996; 19: 1404-1411.
36. Wagenknecht LE, Langefeld CD, Scherzinger AL, Norris JM, Haffner SM, Saad MF et al. Insulin sensitivity, insulin secretion, and abdominal fat: the Insulin Resistance Atherosclerosis Study (IRAS) Family Study. Diabetes 2003; 52: 2490-2496.
37. Goodpaster BH, Krishnaswami S, Harris TB, Katsiaras A, Kritchevsky SB, Simonsick EM et al. Obesity, regional body fat distribution, and the metabolic syndrome in older men and women. Arch Intern Med 2005; 165: 777-783.
38. Walker GE, Verti B, Marzullo P, Savia G, Mencarelli M, Zurleni F et al. Deep subcutaneous adipose tissue: a distinct abdominal adipose depot. Obesity 2007; 15: 1933-1943.