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)
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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