Smaller hip circumference is associated with dyslipidemia and the metabolic syndrome in obese women
There is great need for simple anthropometric measures that predict risk. The authors explored the relationship between body composition measures and features of the metabolic syndrome (MtS) in women aged between 20 and 50 years with class I obesity. This is a cross-sectional study of 49 obese (BMI...
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| Veröffentlicht in: | Obesity surgery 2007-06, Vol.17 (6), p.770-777 |
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| creator | Dixon, John B Strauss, Boyd J G Laurie, Cheryl O'Brien, Paul E |
| description | There is great need for simple anthropometric measures that predict risk. The authors explored the relationship between body composition measures and features of the metabolic syndrome (MtS) in women aged between 20 and 50 years with class I obesity.
This is a cross-sectional study of 49 obese (BMI 30-35) women recruited into a weight management randomized trial. An analysis was conducted of the baseline weight, anthropometric measures, skin-fold thickness, bioelectrical impedance, whole body dual-energy x-ray absorptiometry (DEXA), and their relationships with the features of the MtS.
All women but one (n=48) had a population risk waist circumference of >88 cm. 16 of the 49 (33%) fulfilled the criteria of the metabolic syndrome. Simple anthropometric measures provided the strongest correlations with the presence of the MtS. Cut-off values were selected using receiver operator characteristics. Waist circumference of >100 cm and hip circumference |
| doi_str_mv | 10.1007/s11695-007-9142-y |
| format | Article |
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This is a cross-sectional study of 49 obese (BMI 30-35) women recruited into a weight management randomized trial. An analysis was conducted of the baseline weight, anthropometric measures, skin-fold thickness, bioelectrical impedance, whole body dual-energy x-ray absorptiometry (DEXA), and their relationships with the features of the MtS.
All women but one (n=48) had a population risk waist circumference of >88 cm. 16 of the 49 (33%) fulfilled the criteria of the metabolic syndrome. Simple anthropometric measures provided the strongest correlations with the presence of the MtS. Cut-off values were selected using receiver operator characteristics. Waist circumference of >100 cm and hip circumference <115cm was associated with odds ratios of 5.2 (95% CI, 1.4-20) and 12.3 (95% CI, 3.0-51) respectively for the MtS. Regional DEXA analysis showed that lower leg fat mass rather than fat-free mass was associated with the MtS. The dyslipidemia of the MtS was associated with a lower leg fat mass, while higher HbAlc levels and HOMA, an indirect measure of insulin resistance, were seen with increased trunk fat. Percentage fat as measured by skin-fold thickness and bioelectrical impedance were not related to any features. Women with the metabolic syndrome were found to have lower bone mineral content as measured by DEXA.
Weight distribution is highly predictive of metabolic risk. Smaller hip and larger waist circumference provided independent effect. BMI adjusted anthropometric measures may be of value.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-007-9142-y</identifier><identifier>PMID: 17879577</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adult ; Body Composition ; Body Weights and Measures ; Bone Density ; Case-Control Studies ; Cross-Sectional Studies ; Female ; Hip joint ; Humans ; Metabolic syndrome ; Metabolic Syndrome - complications ; Metabolic Syndrome - pathology ; Middle Aged ; Obesity ; Obesity - complications ; Obesity - pathology ; Risk Factors ; Women</subject><ispartof>Obesity surgery, 2007-06, Vol.17 (6), p.770-777</ispartof><rights>Springer Science+Business Media 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-34cf11394078b9dcb332ed8f995b93543754866c526927351a767f76088c36e63</citedby><cites>FETCH-LOGICAL-c326t-34cf11394078b9dcb332ed8f995b93543754866c526927351a767f76088c36e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17879577$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dixon, John B</creatorcontrib><creatorcontrib>Strauss, Boyd J G</creatorcontrib><creatorcontrib>Laurie, Cheryl</creatorcontrib><creatorcontrib>O'Brien, Paul E</creatorcontrib><title>Smaller hip circumference is associated with dyslipidemia and the metabolic syndrome in obese women</title><title>Obesity surgery</title><addtitle>Obes Surg</addtitle><description>There is great need for simple anthropometric measures that predict risk. The authors explored the relationship between body composition measures and features of the metabolic syndrome (MtS) in women aged between 20 and 50 years with class I obesity.
This is a cross-sectional study of 49 obese (BMI 30-35) women recruited into a weight management randomized trial. An analysis was conducted of the baseline weight, anthropometric measures, skin-fold thickness, bioelectrical impedance, whole body dual-energy x-ray absorptiometry (DEXA), and their relationships with the features of the MtS.
All women but one (n=48) had a population risk waist circumference of >88 cm. 16 of the 49 (33%) fulfilled the criteria of the metabolic syndrome. Simple anthropometric measures provided the strongest correlations with the presence of the MtS. Cut-off values were selected using receiver operator characteristics. Waist circumference of >100 cm and hip circumference <115cm was associated with odds ratios of 5.2 (95% CI, 1.4-20) and 12.3 (95% CI, 3.0-51) respectively for the MtS. Regional DEXA analysis showed that lower leg fat mass rather than fat-free mass was associated with the MtS. The dyslipidemia of the MtS was associated with a lower leg fat mass, while higher HbAlc levels and HOMA, an indirect measure of insulin resistance, were seen with increased trunk fat. Percentage fat as measured by skin-fold thickness and bioelectrical impedance were not related to any features. Women with the metabolic syndrome were found to have lower bone mineral content as measured by DEXA.
Weight distribution is highly predictive of metabolic risk. Smaller hip and larger waist circumference provided independent effect. BMI adjusted anthropometric measures may be of value.</description><subject>Adult</subject><subject>Body Composition</subject><subject>Body Weights and Measures</subject><subject>Bone Density</subject><subject>Case-Control Studies</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Hip joint</subject><subject>Humans</subject><subject>Metabolic syndrome</subject><subject>Metabolic Syndrome - complications</subject><subject>Metabolic Syndrome - pathology</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - pathology</subject><subject>Risk Factors</subject><subject>Women</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkEtLxDAUhYMozjj6A9xIcOGumkebx1LEFwy4UNchTW-ZDG1Tk5ah_94OMyB4N_dcOOdw-RC6puSeEiIfEqVCF9ksM01zlk0naEklURnJmTpFS6IFyZRmfIEuUtoSwqhg7BwtqFRSF1IukftsbdNAxBvfY-ejG9saInQOsE_YphSctwNUeOeHDa6m1PjeV9B6i21X4WEDuIXBlqHxDqepq2Jo52iHQwkJ8G6-ukt0VtsmwdVxr9D3y_PX01u2_nh9f3pcZ44zMWQ8dzWlXOdEqlJXruScQaVqrYtS8yLnssiVEK5gQjPJC2qlkLUURCnHBQi-QneH3j6GnxHSYFqfHDSN7SCMyQjF1Dx8Nt7-M27DGLv5N8MYZ0zlis0mejC5GFKKUJs--tbGyVBi9vjNAb_Zyz1-M82Zm2PxWLZQ_SWOvPkvO6h__A</recordid><startdate>20070601</startdate><enddate>20070601</enddate><creator>Dixon, John B</creator><creator>Strauss, Boyd J G</creator><creator>Laurie, Cheryl</creator><creator>O'Brien, Paul E</creator><general>Springer Nature B.V</general><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20070601</creationdate><title>Smaller hip circumference is associated with dyslipidemia and the metabolic syndrome in obese women</title><author>Dixon, John B ; Strauss, Boyd J G ; Laurie, Cheryl ; O'Brien, Paul E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-34cf11394078b9dcb332ed8f995b93543754866c526927351a767f76088c36e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Body Composition</topic><topic>Body Weights and Measures</topic><topic>Bone Density</topic><topic>Case-Control Studies</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Hip joint</topic><topic>Humans</topic><topic>Metabolic syndrome</topic><topic>Metabolic Syndrome - complications</topic><topic>Metabolic Syndrome - pathology</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - pathology</topic><topic>Risk Factors</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dixon, John B</creatorcontrib><creatorcontrib>Strauss, Boyd J G</creatorcontrib><creatorcontrib>Laurie, Cheryl</creatorcontrib><creatorcontrib>O'Brien, Paul E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dixon, John B</au><au>Strauss, Boyd J G</au><au>Laurie, Cheryl</au><au>O'Brien, Paul E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Smaller hip circumference is associated with dyslipidemia and the metabolic syndrome in obese women</atitle><jtitle>Obesity surgery</jtitle><addtitle>Obes Surg</addtitle><date>2007-06-01</date><risdate>2007</risdate><volume>17</volume><issue>6</issue><spage>770</spage><epage>777</epage><pages>770-777</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>There is great need for simple anthropometric measures that predict risk. The authors explored the relationship between body composition measures and features of the metabolic syndrome (MtS) in women aged between 20 and 50 years with class I obesity.
This is a cross-sectional study of 49 obese (BMI 30-35) women recruited into a weight management randomized trial. An analysis was conducted of the baseline weight, anthropometric measures, skin-fold thickness, bioelectrical impedance, whole body dual-energy x-ray absorptiometry (DEXA), and their relationships with the features of the MtS.
All women but one (n=48) had a population risk waist circumference of >88 cm. 16 of the 49 (33%) fulfilled the criteria of the metabolic syndrome. Simple anthropometric measures provided the strongest correlations with the presence of the MtS. Cut-off values were selected using receiver operator characteristics. Waist circumference of >100 cm and hip circumference <115cm was associated with odds ratios of 5.2 (95% CI, 1.4-20) and 12.3 (95% CI, 3.0-51) respectively for the MtS. Regional DEXA analysis showed that lower leg fat mass rather than fat-free mass was associated with the MtS. The dyslipidemia of the MtS was associated with a lower leg fat mass, while higher HbAlc levels and HOMA, an indirect measure of insulin resistance, were seen with increased trunk fat. Percentage fat as measured by skin-fold thickness and bioelectrical impedance were not related to any features. Women with the metabolic syndrome were found to have lower bone mineral content as measured by DEXA.
Weight distribution is highly predictive of metabolic risk. Smaller hip and larger waist circumference provided independent effect. BMI adjusted anthropometric measures may be of value.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>17879577</pmid><doi>10.1007/s11695-007-9142-y</doi><tpages>8</tpages></addata></record> |
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| subjects | Adult Body Composition Body Weights and Measures Bone Density Case-Control Studies Cross-Sectional Studies Female Hip joint Humans Metabolic syndrome Metabolic Syndrome - complications Metabolic Syndrome - pathology Middle Aged Obesity Obesity - complications Obesity - pathology Risk Factors Women |
| title | Smaller hip circumference is associated with dyslipidemia and the metabolic syndrome in obese women |
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