Visceral Fat Mass Has Stronger Associations with Diabetes and Prediabetes than Other Anthropometric Obesity Indicators among Korean Adults
Yonsei Medical Journal 2016³â 57±Ç 3È£ p.674 ~ p.680
(Jung Suk-Hwa) - Ajou University School of Medicine
ÇϰæÈ(Ha Kyoung-Hwa) - Ajou University College of Medicine Department of Endocrinology and Metabolism
±è´ëÁß(Kim Dae-Jung) - Ajou University School of Medicine Department of Endocrinology and Metabolism
Abstract
Purpose: This study determined which obesity measurement correlates the best with diabetes and prediabetes.
Materials and Methods: This cross-sectional study enrolled 1603 subjects (611 men, 992 women; age 30?64 years) at the Cardiovascular and Metabolic Diseases Etiology Research Center. Body mass index, waist circumference, waist-height ratio, waist-hip ratio, waist-thigh ratio, and visceral fat were used as measures of obesity. Visceral fat was acquired using dual-energy X-ray absorptiometry (DXA). The prevalences of diabetes and prediabetes were defined using the criteria in the American Diabetes Association 2015 guidelines.
Results: After adjusting for age and other potential confounding factors, participants with a visceral fat mass in the upper 10th percentile had a higher odds ratio (OR) for diabetes and prediabetes than the upper 10th percentile of other adiposity indices [men, OR=15.9, 95% confidence interval (CI)=6.4?39.2; women, OR=6.9, 95% CI=3.5?13.7]. Visceral fat mass also had the highest area under the curve with diabetes and prediabetes in both men (0.69, 95% CI=0.64?0.73) and women (0.70, 95% CI=0.67?0.74) compared to other anthropometric measurements of obesity.
Conclusion: Visceral fat mass measured using DXA is an indicator of diabetes or prediabetes, due to its ability to differentiate between abdominal visceral and subcutaneous fat.
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Diabetes mellitus, obesity, visceral fat
KMID :
0311120160570030674
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Visceral fat mass, measured via DXA, is associated more closely with diabetes and prediabetes than other traditional adiposity indices.