DXA-derived Abdominal Fat Mass, Waist Circumference, and Blood Lipids in Postmenopausal Women
The purpose of this study was to determine the utility of dual‐energy X‐ray absorptiometry (DXA)‐derived fat mass indices for predicting blood lipid profile in postmenopausal women. A secondary purpose was to determine whether waist circumference is comparable with DXA‐derived measurements in predic...
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Veröffentlicht in: | Obesity (Silver Spring, Md.) Md.), 2009-08, Vol.17 (8), p.1635-1640 |
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description | The purpose of this study was to determine the utility of dual‐energy X‐ray absorptiometry (DXA)‐derived fat mass indices for predicting blood lipid profile in postmenopausal women. A secondary purpose was to determine whether waist circumference is comparable with DXA‐derived measurements in predicting blood lipid profile. Subjects were 423 postmenopausal women (age 58.1 ± 6.3 years). Fat mass was assessed at abdomen, trunk, and total body using DXA. Anthropometric measurements included BMI and waist circumference. Blood samples were analyzed for total cholesterol (TC), triglyceride (TAG), high‐density lipoprotein (HDL), low‐density lipoprotein (LDL), and cholesterol/HDL ratio. Of the DXA‐derived measures, abdominal‐fat mass was the best predictor of blood lipid profiles. DXA‐derived abdominal fat mass and waist girth explained 20 and 16.5% of variation in TC/HDL ratio, respectively, in univariate analysis, with no difference between the slopes of the regression coefficients. Eighty‐four percent of subjects were common to the top quartiles of waist circumference and abdominal fat mass, and blood lipid profiles generally worsened across increasing quartiles. DXA‐derived abdominal fat mass and waist circumference are of equivalent utility for predicting alterations in blood lipids. Waist circumference is, therefore, ideal as an inexpensive means in primary health‐care services for predicting risk of cardiovascular diseases in postmenopausal women. |
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Jay</creator><creatorcontrib>Vatanparast, Hassanali ; Chilbeck, Philip D ; Cornish, Stephen M ; Little, Jonathan P ; Paus-Jenssen, Lisa S ; Case, Allison M ; Biem, H. Jay</creatorcontrib><description>The purpose of this study was to determine the utility of dual‐energy X‐ray absorptiometry (DXA)‐derived fat mass indices for predicting blood lipid profile in postmenopausal women. A secondary purpose was to determine whether waist circumference is comparable with DXA‐derived measurements in predicting blood lipid profile. Subjects were 423 postmenopausal women (age 58.1 ± 6.3 years). Fat mass was assessed at abdomen, trunk, and total body using DXA. Anthropometric measurements included BMI and waist circumference. Blood samples were analyzed for total cholesterol (TC), triglyceride (TAG), high‐density lipoprotein (HDL), low‐density lipoprotein (LDL), and cholesterol/HDL ratio. Of the DXA‐derived measures, abdominal‐fat mass was the best predictor of blood lipid profiles. DXA‐derived abdominal fat mass and waist girth explained 20 and 16.5% of variation in TC/HDL ratio, respectively, in univariate analysis, with no difference between the slopes of the regression coefficients. Eighty‐four percent of subjects were common to the top quartiles of waist circumference and abdominal fat mass, and blood lipid profiles generally worsened across increasing quartiles. DXA‐derived abdominal fat mass and waist circumference are of equivalent utility for predicting alterations in blood lipids. Waist circumference is, therefore, ideal as an inexpensive means in primary health‐care services for predicting risk of cardiovascular diseases in postmenopausal women.</description><identifier>ISSN: 1930-7381</identifier><identifier>EISSN: 1930-739X</identifier><identifier>DOI: 10.1038/oby.2009.80</identifier><identifier>PMID: 19343013</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Abdomen ; abdominal fat ; Abdominal Fat - pathology ; Absorptiometry, Photon - methods ; Aged ; Anthropometry - methods ; blood lipids ; body composition ; Body fat ; body fat distribution ; Body Mass Index ; Cardiovascular disease ; Cardiovascular Diseases - blood ; Cholesterol ; Cholesterol - metabolism ; Cholesterol, HDL - metabolism ; dual-energy X-ray absorptiometry ; Exercise ; Female ; health status ; High density lipoprotein ; Hormone replacement therapy ; Humans ; Lipids ; Lipids - blood ; Lipoproteins ; low density lipoprotein ; Magnetic resonance imaging ; menopause ; Middle Aged ; Obesity ; Postmenopause ; Public health ; triacylglycerols ; Triglycerides - metabolism ; Waist Circumference ; women ; Womens health</subject><ispartof>Obesity (Silver Spring, Md.), 2009-08, Vol.17 (8), p.1635-1640</ispartof><rights>2009 North American Association for the Study of Obesity (NAASO)</rights><rights>Copyright Nature Publishing Group Aug 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4175-4f0b0a86dec2c17e0f7d4be21d7dc51e0d8199a43a6f52bec10a2c2de1d5031e3</citedby><cites>FETCH-LOGICAL-c4175-4f0b0a86dec2c17e0f7d4be21d7dc51e0d8199a43a6f52bec10a2c2de1d5031e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1038%2Foby.2009.80$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1038%2Foby.2009.80$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19343013$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vatanparast, Hassanali</creatorcontrib><creatorcontrib>Chilbeck, Philip D</creatorcontrib><creatorcontrib>Cornish, Stephen M</creatorcontrib><creatorcontrib>Little, Jonathan P</creatorcontrib><creatorcontrib>Paus-Jenssen, Lisa S</creatorcontrib><creatorcontrib>Case, Allison M</creatorcontrib><creatorcontrib>Biem, H. Jay</creatorcontrib><title>DXA-derived Abdominal Fat Mass, Waist Circumference, and Blood Lipids in Postmenopausal Women</title><title>Obesity (Silver Spring, Md.)</title><addtitle>Obesity (Silver Spring)</addtitle><description>The purpose of this study was to determine the utility of dual‐energy X‐ray absorptiometry (DXA)‐derived fat mass indices for predicting blood lipid profile in postmenopausal women. A secondary purpose was to determine whether waist circumference is comparable with DXA‐derived measurements in predicting blood lipid profile. Subjects were 423 postmenopausal women (age 58.1 ± 6.3 years). Fat mass was assessed at abdomen, trunk, and total body using DXA. Anthropometric measurements included BMI and waist circumference. Blood samples were analyzed for total cholesterol (TC), triglyceride (TAG), high‐density lipoprotein (HDL), low‐density lipoprotein (LDL), and cholesterol/HDL ratio. Of the DXA‐derived measures, abdominal‐fat mass was the best predictor of blood lipid profiles. DXA‐derived abdominal fat mass and waist girth explained 20 and 16.5% of variation in TC/HDL ratio, respectively, in univariate analysis, with no difference between the slopes of the regression coefficients. Eighty‐four percent of subjects were common to the top quartiles of waist circumference and abdominal fat mass, and blood lipid profiles generally worsened across increasing quartiles. DXA‐derived abdominal fat mass and waist circumference are of equivalent utility for predicting alterations in blood lipids. Waist circumference is, therefore, ideal as an inexpensive means in primary health‐care services for predicting risk of cardiovascular diseases in postmenopausal women.</description><subject>Abdomen</subject><subject>abdominal fat</subject><subject>Abdominal Fat - pathology</subject><subject>Absorptiometry, Photon - methods</subject><subject>Aged</subject><subject>Anthropometry - methods</subject><subject>blood lipids</subject><subject>body composition</subject><subject>Body fat</subject><subject>body fat distribution</subject><subject>Body Mass Index</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - blood</subject><subject>Cholesterol</subject><subject>Cholesterol - metabolism</subject><subject>Cholesterol, HDL - metabolism</subject><subject>dual-energy X-ray absorptiometry</subject><subject>Exercise</subject><subject>Female</subject><subject>health status</subject><subject>High density lipoprotein</subject><subject>Hormone replacement therapy</subject><subject>Humans</subject><subject>Lipids</subject><subject>Lipids - blood</subject><subject>Lipoproteins</subject><subject>low density lipoprotein</subject><subject>Magnetic resonance imaging</subject><subject>menopause</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Postmenopause</subject><subject>Public health</subject><subject>triacylglycerols</subject><subject>Triglycerides - metabolism</subject><subject>Waist Circumference</subject><subject>women</subject><subject>Womens health</subject><issn>1930-7381</issn><issn>1930-739X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90M9rFDEUB_AglbbWnry3AcGLnfW9yWR-HLerVWGlQltaDxIyyZuSMjNZkx1l_3uz7KLgwVMS8smXvC9jrxBmCKJ-59vNLAdoZjU8Y8fYCMgq0Twc_NnXeMRexPgEUJQg8ZAdpYtCAIpj9v39wzyzFNxPsnzeWj-4Uff8Sq_5Fx3jBb_XLq75wgUzDR0FGg1dcD1aftl7b_nSrZyN3I38q4_rgUa_0lNMCfc-HV6y553uI53u1xN2d_XhdvEpW15__LyYLzNTYCWzooMWdF1aMrnBiqCrbNFSjrayRiKBrbFpdCF02cm8JYOgc5NbQitBIIkT9maXuwr-x0RxrQYXDfW9HslPUZWVTONWTYKv_4FPfgpp4qhSlyAamUuZ1NudMsHHGKhTq-AGHTYJbV2tUudq27mqIemzfebUDmT_2n3JCcAO_HI9bf6Xpa4vv6HE7Q_Od0867ZV-DC6qu5s8hQGWddFIIX4DKhGUDA</recordid><startdate>200908</startdate><enddate>200908</enddate><creator>Vatanparast, Hassanali</creator><creator>Chilbeck, Philip D</creator><creator>Cornish, Stephen M</creator><creator>Little, Jonathan P</creator><creator>Paus-Jenssen, Lisa S</creator><creator>Case, Allison M</creator><creator>Biem, H. Jay</creator><general>Blackwell Publishing Ltd</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200908</creationdate><title>DXA-derived Abdominal Fat Mass, Waist Circumference, and Blood Lipids in Postmenopausal Women</title><author>Vatanparast, Hassanali ; Chilbeck, Philip D ; Cornish, Stephen M ; Little, Jonathan P ; Paus-Jenssen, Lisa S ; Case, Allison M ; Biem, H. Jay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4175-4f0b0a86dec2c17e0f7d4be21d7dc51e0d8199a43a6f52bec10a2c2de1d5031e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Abdomen</topic><topic>abdominal fat</topic><topic>Abdominal Fat - pathology</topic><topic>Absorptiometry, Photon - methods</topic><topic>Aged</topic><topic>Anthropometry - methods</topic><topic>blood lipids</topic><topic>body composition</topic><topic>Body fat</topic><topic>body fat distribution</topic><topic>Body Mass Index</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - blood</topic><topic>Cholesterol</topic><topic>Cholesterol - metabolism</topic><topic>Cholesterol, HDL - metabolism</topic><topic>dual-energy X-ray absorptiometry</topic><topic>Exercise</topic><topic>Female</topic><topic>health status</topic><topic>High density lipoprotein</topic><topic>Hormone replacement therapy</topic><topic>Humans</topic><topic>Lipids</topic><topic>Lipids - blood</topic><topic>Lipoproteins</topic><topic>low density lipoprotein</topic><topic>Magnetic resonance imaging</topic><topic>menopause</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Postmenopause</topic><topic>Public health</topic><topic>triacylglycerols</topic><topic>Triglycerides - metabolism</topic><topic>Waist Circumference</topic><topic>women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vatanparast, Hassanali</creatorcontrib><creatorcontrib>Chilbeck, Philip D</creatorcontrib><creatorcontrib>Cornish, Stephen M</creatorcontrib><creatorcontrib>Little, Jonathan P</creatorcontrib><creatorcontrib>Paus-Jenssen, Lisa S</creatorcontrib><creatorcontrib>Case, Allison M</creatorcontrib><creatorcontrib>Biem, H. 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Jay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>DXA-derived Abdominal Fat Mass, Waist Circumference, and Blood Lipids in Postmenopausal Women</atitle><jtitle>Obesity (Silver Spring, Md.)</jtitle><addtitle>Obesity (Silver Spring)</addtitle><date>2009-08</date><risdate>2009</risdate><volume>17</volume><issue>8</issue><spage>1635</spage><epage>1640</epage><pages>1635-1640</pages><issn>1930-7381</issn><eissn>1930-739X</eissn><abstract>The purpose of this study was to determine the utility of dual‐energy X‐ray absorptiometry (DXA)‐derived fat mass indices for predicting blood lipid profile in postmenopausal women. A secondary purpose was to determine whether waist circumference is comparable with DXA‐derived measurements in predicting blood lipid profile. Subjects were 423 postmenopausal women (age 58.1 ± 6.3 years). Fat mass was assessed at abdomen, trunk, and total body using DXA. Anthropometric measurements included BMI and waist circumference. Blood samples were analyzed for total cholesterol (TC), triglyceride (TAG), high‐density lipoprotein (HDL), low‐density lipoprotein (LDL), and cholesterol/HDL ratio. Of the DXA‐derived measures, abdominal‐fat mass was the best predictor of blood lipid profiles. DXA‐derived abdominal fat mass and waist girth explained 20 and 16.5% of variation in TC/HDL ratio, respectively, in univariate analysis, with no difference between the slopes of the regression coefficients. Eighty‐four percent of subjects were common to the top quartiles of waist circumference and abdominal fat mass, and blood lipid profiles generally worsened across increasing quartiles. DXA‐derived abdominal fat mass and waist circumference are of equivalent utility for predicting alterations in blood lipids. Waist circumference is, therefore, ideal as an inexpensive means in primary health‐care services for predicting risk of cardiovascular diseases in postmenopausal women.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19343013</pmid><doi>10.1038/oby.2009.80</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Abdomen abdominal fat Abdominal Fat - pathology Absorptiometry, Photon - methods Aged Anthropometry - methods blood lipids body composition Body fat body fat distribution Body Mass Index Cardiovascular disease Cardiovascular Diseases - blood Cholesterol Cholesterol - metabolism Cholesterol, HDL - metabolism dual-energy X-ray absorptiometry Exercise Female health status High density lipoprotein Hormone replacement therapy Humans Lipids Lipids - blood Lipoproteins low density lipoprotein Magnetic resonance imaging menopause Middle Aged Obesity Postmenopause Public health triacylglycerols Triglycerides - metabolism Waist Circumference women Womens health |
title | DXA-derived Abdominal Fat Mass, Waist Circumference, and Blood Lipids in Postmenopausal Women |
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