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Finding the Best Waist Circumference Measurement Protocol in Patients With Nonalcoholic Fatty Liver Disease

Published on Aug 1, 2015in Nutrition in Clinical Practice2.587
· DOI :10.1177/0884533615583092
Nuno M. Pimenta6
Estimated H-index: 6
(University of Lisbon),
Helena Santa-Clara10
Estimated H-index: 10
(University of Lisbon)
+ 3 AuthorsLuís B. Sardinha54
Estimated H-index: 54
(University of Lisbon)
Abstract
Background: Central fat accumulation is important in nonalcoholic fatty liver disease (NAFLD) etiology. It is unknown whether any commonly used waist circumference measurement protocol (WCmp), as a whole and central fat accumulation marker, is preferable for patients with NAFLD. The present study sought to find a preferable WCmp to be used in patients with NAFLD, based on 3-fold criteria. Methods: Body fat (BF) was assessed through dual-energy x-ray absorptiometry in 28 patients with NAFLD (19 men, 51 ± 13 years; 9 women, 47 ± 13 years). WC was measured with 4 types of WCmp: WC1, narrowest torso; WC2, just above iliac crest; WC3, middistance between iliac crest and last rib; WC4, at the umbilicus. Results: All WC measurements were highly correlated with central BF depots, including trunk BF (r = 0.78, r = 0.82, r = 0.82, r = 0.84 for WC1, WC2, WC3, and WC4, respectively), abdominal BF (r = 0.78, r = 0.78, r = 0.80, r = 0.72 for WC1, WC2, WC3, and WC4, respectively), and central abdominal BF (r = 0.76, r =...
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References39
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#2Yiqing Song (PKU: Peking University)H-Index: 3
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#1Nuno M. Pimenta (Technical University of Lisbon)H-Index: 6
#2Helena Santa-Clara (Technical University of Lisbon)H-Index: 10
Last. Bo Fernhall (UIUC: University of Illinois at Urbana–Champaign)H-Index: 50
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Objective: To analyze the body fat (BF) content and distribution modifications in coronary artery disease (CAD) patients in response to a 1-year combined aerobic and resistance exercise training (CET) program. Design and Methods: We followed two groups of CAD male patients for 12 months. One group consisted of 17 subjects (57 ± 12 years) who engaged in a CET program (CET group) and the other was a age-matched control group of 10 subjects (58 ± 11 years). BF content and distribution were measured...
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While physical activity represents a key element in the prevention and management of many chronic diseases, we and others believe that physical inactivity is a primary cause of obesity and associated metabolic disorders. Unfortunately, accumulating evidence suggests that we have engineered physical activity out of our normal daily living activity. One such consequence of our sedentary and excessive lifestyle is nonalcoholic fatty liver disease (NAFLD), which is now considered the most common cau...
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It has been recognized that some lean individuals unexpectedly present with non-alcoholic steatohepatitis (NASH) [1] and in contrast, morbidly obese individuals present NASH in only about 14–37% of cases [2]. Although this situation is seemingly paradoxical, the discrepancy has been mostly attributed to the pattern of obesity being predominantly visceral/truncal, or peripheral/subcutaneous. Obesity, and particularly visceral fat (VF), is considered a key player in the development of the metaboli...
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The measurement of waist circumference (WC) is widely advocated as a simple anthropometric marker of health risk; yet there remains no uniformly accepted protocol. This study determined whether the magnitude of WC differs across four measurement sites, and quantified the influence of site on the apparent prevalence of abdominal obesity. The predominantly white sample consisted of 223 men and 319 women (20–67 years). WC was measured using a nonstretching tape at the superior border of the iliac c...
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Waist circumference (WC) is widely advocated as a marker of health risk and is a key diagnostic criterion for metabolic syndrome (MS); yet, there remains no uniformly accepted measurement protocol. The purpose of this study was to determine whether WC is differentially associated with cardiometabolic risk factors according to its anatomic measurement site and to quantify the impact of measurement site on prevalence of MS. The sample included 520 community-dwelling adults (208 men, 312 women). WC...
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Waist circumference (WC) has been advocated as a simple, reliable, and cost-effective measure to understand an individual's cardio-metabolic risk. Although several protocols exist for measuring WC, the variation induced by a few factors has not been investigated. We compared several established and experimental WC measurement protocols to identify factors that may cause variations in WC measurement. In this cross-sectional study, we examined the variations in the measurement of waist circumferen...
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There is currently no consensus regarding the optimal protocol for measurement of waist circumference (WC), and no scientific rationale is provided for any of the WC protocols recommended by leading health authorities. A panel of experts conducted a systematic review of 120 studies (236 samples) to determine whether measurement protocol influenced the relationship of WC with morbidity of cardiovascular disease (CVD) and diabetes and with mortality from all causes and from CVD. Statistically sign...
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Background Waist-to-height ratio (WHtR) has been reported as a preferable risk related body fat (BF) marker, although no standardised waist circumference measurement protocol (WCmp) has been proposed. The present study aimed to investigate whether the use of a different WCmp affects the strength of relationship between WHtR and both whole and central BF in non-alcoholic fatty liver disease (NAFLD) patients. Methods BF was assessed with dual energy X-ray absorptiometry (DXA) in 28 NAFLD patients ...
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