Abstract
Abstract
Background/Objectives
To evaluate anthropometric measures for the prediction of whole-abdominal adipose tissue volumes VXAT (subcutaneous VSAT, visceral VVAT and total VTAT) in patients with obesity.
Subjects/Methods
A total of 181 patients (108 women) with overweight or obesity were analyzed retrospectively. MRI data (1.5 T) were available from independent clinical trials at a single institution (Integrated Research and Treatment Center of Obesity, University of Leipzig). A custom-made software was used for automated tissue segmentation. Anthropometric parameters (AP) were circumferences of the waist (WC) and hip (HC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR) and the (hypothetical) hip-to-height ratio (HHtR). Agreement was evaluated by standard deviations sd% of percent differences between estimated volumes (using results of linear AP–VXAT regression) and measured ones as well as Pearson’s correlation coefficient r.
Results
For SAT volume estimation, the smallest sd% for all patients was seen for HC (25.1%) closely followed by HHtR (25.2%). Sex-specific results for females (17.5% for BMI and 17.2% for HC) and males (20.7% for WC) agreed better. VAT volumes could not be estimated reliably by any of the anthropometric measures considered here. TAT volumes in a mixed population could be best estimated by BMI closely followed by WC (roughly 17.5%). A sex-specific consideration reduced the deviations to around 16% for females (BMI and WC) and below 14% for males (WC).
Conclusions
We suggest the use of sex-specific parameters–BMI or HC for females and WC for males–for the estimation of abdominal SAT and TAT volumes in patients with overweight or obesity.
Publisher
Springer Science and Business Media LLC
Subject
Nutrition and Dietetics,Endocrinology, Diabetes and Metabolism,Medicine (miscellaneous)
Reference44 articles.
1. World Health Organization. The SuRF report 2: surveillance of chronic disease risk factors: country-level data and comparable estimates. WHO Geneva. 2005. https://apps.who.int/iris/bitstream/handle/10665/43190/9241593024_eng.pdf. Accessed 03 Feb 2023.
2. World Health Organization. Obesity and overweight: key facts. WHO Geneva. 2021. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed 03 Feb 2023.
3. Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013;309:71–82.
4. Kitahara CM, Flint AJ, Berrington de Gonzalez A, Bernstein L, Brotzman M, MacInnis RJ, et al. Association between Class III obesity (BMI of 40–59 kg/m2) and Mortality: a pooled analysis of 20 prospective studies. PLoS Med. 2014;11:e1001673.
5. Branca F, Nikogosian H, Lobstein T (Redaktion). Die Herausforderung Adipositas und Strategien zu ihrer Bekämpfung in der Europäischen Region der WHO: Zusammenfassung. WHO Regionalbüro für Europa/Kopenhagen. 2007. https://www.euro.who.int/__data/assets/pdf_file/0003/98247/E89858G.pdf. Accessed 03 Feb 2023.
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献