Less Waste on Waist Measurements: Determination of Optimal Waist Circumference Measurement Site to Predict Visceral Adipose Tissue in Postmenopausal Women with Obesity

Published on Feb 20, 2018in Nutrients4.17
· DOI :10.3390/nu10020239
Radhika V. Seimon14
Estimated H-index: 14
Anthony L. Wild-Taylor1
Estimated H-index: 1
+ 12 AuthorsAmanda Sainsbury48
Estimated H-index: 48
With obesity being a leading cause of preventable death, it is vital to understand how best to identify individuals with greater risk of metabolic disease, especially those with high visceral adipose tissue (VAT). This study aimed to determine whether three commonly used waist circumference (WC) measurement sites could provide accurate estimations of VAT, as determined by magnetic resonance imaging (MRI), which is a gold standard for measuring VAT, in postmenopausal women with obesity. VAT volume was measured by MRI of the total abdomen in 97 women aged 57.7 ± 0.4 years (mean ± SEM), mean body mass index 34.5 ± 0.2 kg/m2. WC was measured at the midpoint between the lowest rib and the iliac crest (WCmid), the narrowest point of the torso (WCnarrow), and at the level of the umbilicus (WCumbilicus). WC differed significantly according to measurement site, with WCnarrow (102.1 ± 0.7 cm) < WCmid (108.3 ± 0.7 cm) < WCumbilicus (115.7 ± 0.8 cm) (p < 0.001). WCmid, WCnarrow and WCumbilicus were all significantly correlated with VAT, as measured by MRI (r = 0.581, 0.563 and 0.390, respectively; p < 0.001 for all), but the relationships between WCmid or WCnarrow and VAT determined by MRI were stronger than for WCumbilicus. Measurement of either WCmid or WCnarrow provides valid estimates of VAT in postmenopausal women with obesity, with WCnarrow being favoured in light of its greater ease and speed of measurement in this population.
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  • Citations (3)
Published on Jan 1, 2018in Diabetes, Obesity and Metabolism6.13
Sung Woo Lee5
Estimated H-index: 5
(Eulji University),
Jee Young Son1
Estimated H-index: 1
(Seoul National University Hospital)
+ 3 AuthorsNam Ju Heo11
Estimated H-index: 11
(Seoul National University Hospital)
Aims The relationship between directly measured body fat and all-cause mortality has been rarely studied. The aim of this study was to evaluate the predictive significance of computed tomography (CT)-measured body fat, including both visceral fat area (VFA) and subcutaneous fat area (SFA), for mortality. Methods The study included 36,656 participants who underwent abdominal CT as part of a health check-up at a single university-affiliated healthcare centre in 2007–2015. Of those, 32,593 particip...
Published on Jul 6, 2017in The New England Journal of Medicine70.67
Ashkan Afshin30
Estimated H-index: 30
(UW: University of Washington),
Mohammad H. Forouzanfar56
Estimated H-index: 56
(UW: University of Washington)
+ 150 AuthorsMohsen Naghavi81
Estimated H-index: 81
(UW: University of Washington)
BACKGROUND Although the rising pandemic of obesity has received major attention in many countries, the effects of this attention on trends and the disease burden of obesity remain uncertain. METHOD ...
Published on Aug 1, 2016in International Journal of Obesity4.51
Ada S Cheung11
Estimated H-index: 11
C de Rooy1
Estimated H-index: 1
+ 5 AuthorsMathis Grossmann35
Estimated H-index: 35
Correlation of visceral adipose tissue measured by Lunar Prodigy dual X-ray absorptiometry with MRI and CT in older men
Published on Jul 1, 2016in Nutrition & Diabetes3.10
Ian J. Neeland22
Estimated H-index: 22
Scott M. Grundy168
Estimated H-index: 168
+ 2 AuthorsGloria Lena Vega51
Estimated H-index: 51
Comparison of visceral fat mass measurement by dual-X-ray absorptiometry and magnetic resonance imaging in a multiethnic cohort: the Dallas Heart Study
Published on Apr 1, 2015in Journal of Clinical Densitometry2.18
Yong Jun Choi11
Estimated H-index: 11
(Ajou University),
Young Kyun Seo1
Estimated H-index: 1
(Ajou University)
+ 1 AuthorsYoon-Sok Chung19
Estimated H-index: 19
(Ajou University)
Abstract Recently, a fully automated method for segmenting abdominal fat into subcutaneous fat and visceral fat (VF) within the android region using dual-energy X-ray absorptiometry (DXA) has been newly developed. The purpose of this study was to validate a new DXA method by comparing it to the gold standard, computed tomography (CT), in the Korean population. Furthermore, we examined its reliability regarding VF and explored whether it is applicable to the Asian population, which has relatively...
Published on Feb 1, 2015in American Journal of Cardiology2.84
Julie-Anne Nazare4
Estimated H-index: 4
(French Institute of Health and Medical Research),
J. B. Smith17
Estimated H-index: 17
(Harvard University)
+ 13 AuthorsTakashi Kadowaki121
Estimated H-index: 121
(UTokyo: University of Tokyo)
Despite its well-documented relation with visceral adiposity (VAT) and cardiometabolic risk (CMR), whether waist circumference (WC) should be measured in addition to body mass index (BMI) remains debated. This study tested the relevance of adding WC to BMI for the estimation of VAT and CMR. In the International Study of Prediction of Intra-abdominal Adiposity and Its Relationship with Cardiometabolic Risk/Intra-abdominal Adiposity, 297 physicians recruited 4,504 patients (29 countries). Both BMI...
Published on Jul 1, 2014in Journal of Paediatrics and Child Health1.69
Matthew A. Sabin26
Estimated H-index: 26
(Monash University),
Nicole Wong1
Estimated H-index: 1
(Monash University)
+ 3 AuthorsGeorge A. Werther43
Estimated H-index: 43
(University of Melbourne)
Aims Waist circumference (WC) measurement is a useful tool in the assessment of overweight/obese individuals, but standard measures may miss an apron of ‘overhanging’ fat (termed ‘panniculus’). The objective of this study was to assess whether, in clinically overweight/obese youth, ‘pannicular’ WC better correlates with fat mass than a standard WC measurement. Methods Standard and pannicular WC, alongside body composition (BC) measures, were collected from 181 consultations on 127 overweight and...
Published on Jun 1, 2014in International Journal of Epidemiology7.34
Ancel Keys70
Estimated H-index: 70
(UMN: University of Minnesota),
Flaminio Fidanza39
Estimated H-index: 39
(UMN: University of Minnesota)
+ 2 AuthorsHenry Longstreet Taylor38
Estimated H-index: 38
(UMN: University of Minnesota)
[INTRODUCTION THE NEED for an index of relative body weight was recognized from the beginning of anthropometry, that is to say as soon as serious attention was given to the dimensions of the body and their biological and medical implications. Body weight in proportion to height or to some function of height is interesting because it should indicate something about ‘build’ or shape and about obesity or fatness. Various indices of relative weight have been espoused and applied for many years but a...
Published on Jan 1, 2014in Journal of Clinical Densitometry2.18
Yi Xia6
Estimated H-index: 6
(GE Healthcare),
David L. Ergun10
Estimated H-index: 10
(GE Healthcare)
+ 3 AuthorsSanjiv Kaul81
Estimated H-index: 81
(OHSU: Oregon Health & Science University)
Abstract To reduce radiation exposure and cost, visceral adipose tissue (VAT) measurement on X-ray computed tomography (CT) has been limited to a single slice. Recently, the US Food and Drug Administration has approved a dual-energy X-ray absorptiometry (DXA) application validated against CT to measure VAT volume. The purpose of this study was to develop an algorithm to compute single-slice area values on DXA at 2 common landmarks, L 2/3 and L 4/5 , from an automated volumetrically derived measu...
Published on Oct 1, 2013in Obesity3.97
Huandong Lin3
Estimated H-index: 3
(Fudan University),
Hongmei Yan12
Estimated H-index: 12
(Fudan University)
+ 9 AuthorsDavid L. Ergun10
Estimated H-index: 10
(GE Healthcare)
Objective To evaluate the new DXA VAT method on an Asian Chinese population by comparing to a reference method, computed tomography (CT). Design and Methods In total, 145 adult men and women volunteers, representing a wide range of ages (19-83 years) and BMI values (18.5-39.3 kg/m2) were studied with both DXA and CT. Results The coefficient of determination (r2) for regression of CT on DXA values was 0.947 for females, 0.891 for males and 0.915 combined. The 95% confidence interval for r was 0.9...
Cited By3
Published on Jan 3, 2019in Medical Sciences
Carlos Jiménez-Zamarripa1
Estimated H-index: 1
Liliana Anguiano-Robledo + 2 AuthorsClaudia C. Calzada-Mendoza2
Estimated H-index: 2
Oxidative stress is present in early postmenopause. Antioxidants, present in food, avoid or limit the damage caused by free radicals. The aim of this study was to analyze whether the consumption of vitamin A, vitamin C, and Selenium was adequate in postmenopausal women and its relationship with levels of malondialdehyde. A descriptive, cross-sectional prospective clinical study was carried out with 132 women (45–55 years old) in postmenopause. The body mass index (BMI) and the waist-to-hip ratio...
Published on Jan 1, 2019in Diabetes & Metabolism Journal
J.Y. Cho3
Estimated H-index: 3
(SKKU: Sungkyunkwan University),
Jung-Hwan Cho (SKKU: Sungkyunkwan University)+ 8 AuthorsHye Soon Park28
Estimated H-index: 28
(UOU: University of Ulsan)
Published on Sep 1, 2018in Current Hypertension Reports3.61
Thierry H. Le Jemtel21
Estimated H-index: 21
(Tulane University),
Rohan Samson3
Estimated H-index: 3
(Tulane University)
+ 2 AuthorsSuzanne Oparil94
Estimated H-index: 94
(UAB: University of Alabama at Birmingham)
Purpose of the Review Low-grade systemic inflammation increases residual cardiovascular risk. The pathogenesis of low-grade systemic inflammation is not well understood.
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