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
Hauptverfasser: Vatanparast, Hassanali, Chilbeck, Philip D, Cornish, Stephen M, Little, Jonathan P, Paus-Jenssen, Lisa S, Case, Allison M, Biem, H. Jay
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container_end_page 1640
container_issue 8
container_start_page 1635
container_title Obesity (Silver Spring, Md.)
container_volume 17
creator Vatanparast, Hassanali
Chilbeck, Philip D
Cornish, Stephen M
Little, Jonathan P
Paus-Jenssen, Lisa S
Case, Allison M
Biem, H. Jay
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.
doi_str_mv 10.1038/oby.2009.80
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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. 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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. 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source Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete
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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