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Visceral adipose tissue and body fat mass: Predictive values for and role of gender in cardiometabolic risk among Turks

Abstract Objective We investigated the predictive values of visceral adipose tissue area (VAT) and body fat mass for a composite endpoint consisting of type 2 diabetes and coronary heart disease and for incident metabolic syndrome. Methods We analyzed at 4-y follow-up 157 middle-aged men and women i... Full description

Journal Title: Nutrition (Burbank Los Angeles County, Calif.), 2010, Vol.26 (4), p.382-389
Main Author: Onat, Altan, M.D
Other Authors: Uğur, Murat, M.D , Can, Günay, M.D , Yüksel, Hüsniye, M.D , Hergenç, Gülay, Ph.D
Format: Electronic Article Electronic Article
Language: English
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Quelle: Alma/SFX Local Collection
Publisher: New York, NY: Elsevier Inc
ID: ISSN: 0899-9007
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title: Visceral adipose tissue and body fat mass: Predictive values for and role of gender in cardiometabolic risk among Turks
format: Article
creator:
  • Onat, Altan, M.D
  • Uğur, Murat, M.D
  • Can, Günay, M.D
  • Yüksel, Hüsniye, M.D
  • Hergenç, Gülay, Ph.D
subjects:
  • Abdomen
  • Adipose Tissue
  • Area Under Curve
  • Biological and medical sciences
  • Body fat
  • Cardiovascular disease
  • Causality
  • Cholesterol
  • Cohort Studies
  • Comorbidity
  • Coronary Disease - epidemiology
  • Coronary heart disease
  • Diabetes
  • Diabetes Mellitus, Type 2 - epidemiology
  • Diabetes type 2
  • Feeding. Feeding behavior
  • Female
  • Follow-Up Studies
  • Fundamental and applied biological sciences. Psychology
  • Gastroenterology and Hepatology
  • Humans
  • Insulin resistance
  • Intra-Abdominal Fat
  • Male
  • Metabolic syndrome
  • Metabolic Syndrome - epidemiology
  • Middle Aged
  • Obesity
  • Obesity - epidemiology
  • Predictive Value of Tests
  • Reproducibility of Results
  • Risk Factors
  • ROC Curve
  • Sensitivity and Specificity
  • Sex Factors
  • Turkey - epidemiology
  • Vertebrates: anatomy and physiology, studies on body, several organs or systems
  • Visceral adiposity
ispartof: Nutrition (Burbank, Los Angeles County, Calif.), 2010, Vol.26 (4), p.382-389
description: Abstract Objective We investigated the predictive values of visceral adipose tissue area (VAT) and body fat mass for a composite endpoint consisting of type 2 diabetes and coronary heart disease and for incident metabolic syndrome. Methods We analyzed at 4-y follow-up 157 middle-aged men and women in whom body composition analyzer and single-scan computerized tomography had been used. Results Sex- and age-adjusted mean areas of visceral fat were 1.5-fold greater in individuals with than without the composite endpoint ( P < 0.001), whereas abdominal subcutaneous fat was similar. Analysis of receiver operating characteristics for the optimal criterion regarding the composite endpoint (in 37 participants) indicated a VAT of 130 cm2 and accuracies of 60% in men and 85% in women. Whereas age-adjusted VAT alone significantly predicted the composite endpoint in men, body fat mass or VAT predicted it in women (with 2.2- to 2.6-fold relative risks for 1-SD increment). Age-adjusted incident metabolic syndrome was significantly predicted by each parameter in men but only by fat mass in women. Conclusion Visceral adiposity in men and body fat mass in women seem to be of greater relevance in cardiometabolic risk for the prediction of which 130 cm2 of VAT in both sexes and/or 27 kg of fat mass in women are useful cutoffs. Sex differences may reflect the predominating role of visceral adiposity in men and of insulin resistance in women in this risk.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0899-9007
fulltext: fulltext
issn:
  • 0899-9007
  • 1873-1244
url: Link


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titleVisceral adipose tissue and body fat mass: Predictive values for and role of gender in cardiometabolic risk among Turks
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creatorOnat, Altan, M.D ; Uğur, Murat, M.D ; Can, Günay, M.D ; Yüksel, Hüsniye, M.D ; Hergenç, Gülay, Ph.D
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descriptionAbstract Objective We investigated the predictive values of visceral adipose tissue area (VAT) and body fat mass for a composite endpoint consisting of type 2 diabetes and coronary heart disease and for incident metabolic syndrome. Methods We analyzed at 4-y follow-up 157 middle-aged men and women in whom body composition analyzer and single-scan computerized tomography had been used. Results Sex- and age-adjusted mean areas of visceral fat were 1.5-fold greater in individuals with than without the composite endpoint ( P < 0.001), whereas abdominal subcutaneous fat was similar. Analysis of receiver operating characteristics for the optimal criterion regarding the composite endpoint (in 37 participants) indicated a VAT of 130 cm2 and accuracies of 60% in men and 85% in women. Whereas age-adjusted VAT alone significantly predicted the composite endpoint in men, body fat mass or VAT predicted it in women (with 2.2- to 2.6-fold relative risks for 1-SD increment). Age-adjusted incident metabolic syndrome was significantly predicted by each parameter in men but only by fat mass in women. Conclusion Visceral adiposity in men and body fat mass in women seem to be of greater relevance in cardiometabolic risk for the prediction of which 130 cm2 of VAT in both sexes and/or 27 kg of fat mass in women are useful cutoffs. Sex differences may reflect the predominating role of visceral adiposity in men and of insulin resistance in women in this risk.
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subjectAbdomen ; Adipose Tissue ; Area Under Curve ; Biological and medical sciences ; Body fat ; Cardiovascular disease ; Causality ; Cholesterol ; Cohort Studies ; Comorbidity ; Coronary Disease - epidemiology ; Coronary heart disease ; Diabetes ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes type 2 ; Feeding. Feeding behavior ; Female ; Follow-Up Studies ; Fundamental and applied biological sciences. Psychology ; Gastroenterology and Hepatology ; Humans ; Insulin resistance ; Intra-Abdominal Fat ; Male ; Metabolic syndrome ; Metabolic Syndrome - epidemiology ; Middle Aged ; Obesity ; Obesity - epidemiology ; Predictive Value of Tests ; Reproducibility of Results ; Risk Factors ; ROC Curve ; Sensitivity and Specificity ; Sex Factors ; Turkey - epidemiology ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Visceral adiposity
ispartofNutrition (Burbank, Los Angeles County, Calif.), 2010, Vol.26 (4), p.382-389
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1Uğur, Murat, M.D
2Can, Günay, M.D
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descriptionAbstract Objective We investigated the predictive values of visceral adipose tissue area (VAT) and body fat mass for a composite endpoint consisting of type 2 diabetes and coronary heart disease and for incident metabolic syndrome. Methods We analyzed at 4-y follow-up 157 middle-aged men and women in whom body composition analyzer and single-scan computerized tomography had been used. Results Sex- and age-adjusted mean areas of visceral fat were 1.5-fold greater in individuals with than without the composite endpoint ( P < 0.001), whereas abdominal subcutaneous fat was similar. Analysis of receiver operating characteristics for the optimal criterion regarding the composite endpoint (in 37 participants) indicated a VAT of 130 cm2 and accuracies of 60% in men and 85% in women. Whereas age-adjusted VAT alone significantly predicted the composite endpoint in men, body fat mass or VAT predicted it in women (with 2.2- to 2.6-fold relative risks for 1-SD increment). Age-adjusted incident metabolic syndrome was significantly predicted by each parameter in men but only by fat mass in women. Conclusion Visceral adiposity in men and body fat mass in women seem to be of greater relevance in cardiometabolic risk for the prediction of which 130 cm2 of VAT in both sexes and/or 27 kg of fat mass in women are useful cutoffs. Sex differences may reflect the predominating role of visceral adiposity in men and of insulin resistance in women in this risk.
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2Area Under Curve
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4Body fat
5Cardiovascular disease
6Causality
7Cholesterol
8Cohort Studies
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10Coronary Disease - epidemiology
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15Feeding. Feeding behavior
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17Follow-Up Studies
18Fundamental and applied biological sciences. Psychology
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20Humans
21Insulin resistance
22Intra-Abdominal Fat
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24Metabolic syndrome
25Metabolic Syndrome - epidemiology
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27Obesity
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31Risk Factors
32ROC Curve
33Sensitivity and Specificity
34Sex Factors
35Turkey - epidemiology
36Vertebrates: anatomy and physiology, studies on body, several organs or systems
37Visceral adiposity
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titleVisceral adipose tissue and body fat mass: Predictive values for and role of gender in cardiometabolic risk among Turks
authorOnat, Altan, M.D ; Uğur, Murat, M.D ; Can, Günay, M.D ; Yüksel, Hüsniye, M.D ; Hergenç, Gülay, Ph.D
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abstractAbstract Objective We investigated the predictive values of visceral adipose tissue area (VAT) and body fat mass for a composite endpoint consisting of type 2 diabetes and coronary heart disease and for incident metabolic syndrome. Methods We analyzed at 4-y follow-up 157 middle-aged men and women in whom body composition analyzer and single-scan computerized tomography had been used. Results Sex- and age-adjusted mean areas of visceral fat were 1.5-fold greater in individuals with than without the composite endpoint ( P < 0.001), whereas abdominal subcutaneous fat was similar. Analysis of receiver operating characteristics for the optimal criterion regarding the composite endpoint (in 37 participants) indicated a VAT of 130 cm2 and accuracies of 60% in men and 85% in women. Whereas age-adjusted VAT alone significantly predicted the composite endpoint in men, body fat mass or VAT predicted it in women (with 2.2- to 2.6-fold relative risks for 1-SD increment). Age-adjusted incident metabolic syndrome was significantly predicted by each parameter in men but only by fat mass in women. Conclusion Visceral adiposity in men and body fat mass in women seem to be of greater relevance in cardiometabolic risk for the prediction of which 130 cm2 of VAT in both sexes and/or 27 kg of fat mass in women are useful cutoffs. Sex differences may reflect the predominating role of visceral adiposity in men and of insulin resistance in women in this risk.
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pmid19632090
doi10.1016/j.nut.2009.05.019