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...
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| Veröffentlicht in: | Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2010-04, Vol.26 (4), p.382-389 |
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| creator | Onat, Altan, M.D Uğur, Murat, M.D Can, Günay, M.D Yüksel, Hüsniye, M.D Hergenç, Gülay, Ph.D |
| 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. |
| doi_str_mv | 10.1016/j.nut.2009.05.019 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733085490</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0899900709002408</els_id><sourcerecordid>2807298651</sourcerecordid><originalsourceid>FETCH-LOGICAL-c465t-fa8eb86a579af9b3e628e5e2f61c510f8202b67f3500835f56af4c8128759a493</originalsourceid><addsrcrecordid>eNp9kk-LFDEQxYMo7rj6AbxIQGRP3VbSne5EQZDFf7Cg4Oo1pNOVJTPdndmke5b59macwYU9eKrLr6pevVeEvGRQMmDN23U5LXPJAVQJogSmHpEVk21VMF7Xj8kKpFKFAmjPyLOU1gAZadRTcpZLxUHBitz99sliNAM1vd-GhHT2KS1IzdTTLvR76sxMR5PSO_ojYu_t7HdId2ZYMFEX4l8whgFpcPQGpx4j9RO1JvY-jDibLgze0ujThpoxTDf0eomb9Jw8cWZI-OJUz8mvz5-uL78WV9-_fLv8eFXYuhFz4YzETjZGtMo41VXYcIkCuWuYFQyc5MC7pnWVAJCVcKIxrraScdkKZWpVnZOL49xtDLdZ8qzHw8HDYCYMS9JtVYEUtYJMvn5ArsMSpyxOM1YBVxIUyxQ7UjaGlCI6vY1-NHGvGehDKHqtcyj6EIoGobPjuefVafLSjdjfd5xSyMCbE2CSNYOLZrI-_eM4F5JX0GTu_ZHD7NjOY9TJepxsjiWinXUf_H9lfHjQbQc_-bxwg3tM99fqxDXon4fvOTxPVgi8zvb-AQTavlk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1130298091</pqid></control><display><type>article</type><title>Visceral adipose tissue and body fat mass: Predictive values for and role of gender in cardiometabolic risk among Turks</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>ProQuest Central UK/Ireland</source><creator>Onat, Altan, M.D ; Uğur, Murat, M.D ; Can, Günay, M.D ; Yüksel, Hüsniye, M.D ; Hergenç, Gülay, Ph.D</creator><creatorcontrib>Onat, Altan, M.D ; Uğur, Murat, M.D ; Can, Günay, M.D ; Yüksel, Hüsniye, M.D ; Hergenç, Gülay, Ph.D</creatorcontrib><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.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2009.05.019</identifier><identifier>PMID: 19632090</identifier><identifier>CODEN: NUTRER</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Abdomen ; Adipose Tissue ; Area Under Curve ; Biological and medical sciences ; Body fat ; Cardiovascular disease ; Cardiovascular diseases ; 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 ; Health risks ; Humans ; Insulin resistance ; Intra-Abdominal Fat ; Male ; Metabolic disorders ; 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</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2010-04, Vol.26 (4), p.382-389</ispartof><rights>2010</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2010. Published by Elsevier Inc.</rights><rights>Copyright Elsevier Limited Apr 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-fa8eb86a579af9b3e628e5e2f61c510f8202b67f3500835f56af4c8128759a493</citedby><cites>FETCH-LOGICAL-c465t-fa8eb86a579af9b3e628e5e2f61c510f8202b67f3500835f56af4c8128759a493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1130298091?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22582306$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19632090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Onat, Altan, M.D</creatorcontrib><creatorcontrib>Uğur, Murat, M.D</creatorcontrib><creatorcontrib>Can, Günay, M.D</creatorcontrib><creatorcontrib>Yüksel, Hüsniye, M.D</creatorcontrib><creatorcontrib>Hergenç, Gülay, Ph.D</creatorcontrib><title>Visceral adipose tissue and body fat mass: Predictive values for and role of gender in cardiometabolic risk among Turks</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><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.</description><subject>Abdomen</subject><subject>Adipose Tissue</subject><subject>Area Under Curve</subject><subject>Biological and medical sciences</subject><subject>Body fat</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Causality</subject><subject>Cholesterol</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Coronary Disease - epidemiology</subject><subject>Coronary heart disease</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes type 2</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology and Hepatology</subject><subject>Health risks</subject><subject>Humans</subject><subject>Insulin resistance</subject><subject>Intra-Abdominal Fat</subject><subject>Male</subject><subject>Metabolic disorders</subject><subject>Metabolic syndrome</subject><subject>Metabolic Syndrome - epidemiology</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Predictive Value of Tests</subject><subject>Reproducibility of Results</subject><subject>Risk Factors</subject><subject>ROC Curve</subject><subject>Sensitivity and Specificity</subject><subject>Sex Factors</subject><subject>Turkey - epidemiology</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Visceral adiposity</subject><issn>0899-9007</issn><issn>1873-1244</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kk-LFDEQxYMo7rj6AbxIQGRP3VbSne5EQZDFf7Cg4Oo1pNOVJTPdndmke5b59macwYU9eKrLr6pevVeEvGRQMmDN23U5LXPJAVQJogSmHpEVk21VMF7Xj8kKpFKFAmjPyLOU1gAZadRTcpZLxUHBitz99sliNAM1vd-GhHT2KS1IzdTTLvR76sxMR5PSO_ojYu_t7HdId2ZYMFEX4l8whgFpcPQGpx4j9RO1JvY-jDibLgze0ujThpoxTDf0eomb9Jw8cWZI-OJUz8mvz5-uL78WV9-_fLv8eFXYuhFz4YzETjZGtMo41VXYcIkCuWuYFQyc5MC7pnWVAJCVcKIxrraScdkKZWpVnZOL49xtDLdZ8qzHw8HDYCYMS9JtVYEUtYJMvn5ArsMSpyxOM1YBVxIUyxQ7UjaGlCI6vY1-NHGvGehDKHqtcyj6EIoGobPjuefVafLSjdjfd5xSyMCbE2CSNYOLZrI-_eM4F5JX0GTu_ZHD7NjOY9TJepxsjiWinXUf_H9lfHjQbQc_-bxwg3tM99fqxDXon4fvOTxPVgi8zvb-AQTavlk</recordid><startdate>20100401</startdate><enddate>20100401</enddate><creator>Onat, Altan, M.D</creator><creator>Uğur, Murat, M.D</creator><creator>Can, Günay, M.D</creator><creator>Yüksel, Hüsniye, M.D</creator><creator>Hergenç, Gülay, Ph.D</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</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>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100401</creationdate><title>Visceral adipose tissue and body fat mass: Predictive values for and role of gender in cardiometabolic risk among Turks</title><author>Onat, Altan, M.D ; Uğur, Murat, M.D ; Can, Günay, M.D ; Yüksel, Hüsniye, M.D ; Hergenç, Gülay, Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-fa8eb86a579af9b3e628e5e2f61c510f8202b67f3500835f56af4c8128759a493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Abdomen</topic><topic>Adipose Tissue</topic><topic>Area Under Curve</topic><topic>Biological and medical sciences</topic><topic>Body fat</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Causality</topic><topic>Cholesterol</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Coronary Disease - epidemiology</topic><topic>Coronary heart disease</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes type 2</topic><topic>Feeding. 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Academic</collection><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Onat, Altan, M.D</au><au>Uğur, Murat, M.D</au><au>Can, Günay, M.D</au><au>Yüksel, Hüsniye, M.D</au><au>Hergenç, Gülay, Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visceral adipose tissue and body fat mass: Predictive values for and role of gender in cardiometabolic risk among Turks</atitle><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle><addtitle>Nutrition</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>26</volume><issue>4</issue><spage>382</spage><epage>389</epage><pages>382-389</pages><issn>0899-9007</issn><eissn>1873-1244</eissn><coden>NUTRER</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19632090</pmid><doi>10.1016/j.nut.2009.05.019</doi><tpages>8</tpages></addata></record> |
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| ispartof | Nutrition (Burbank, Los Angeles County, Calif.), 2010-04, Vol.26 (4), p.382-389 |
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| subjects | Abdomen Adipose Tissue Area Under Curve Biological and medical sciences Body fat Cardiovascular disease Cardiovascular diseases 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 Health risks Humans Insulin resistance Intra-Abdominal Fat Male Metabolic disorders 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 |
| title | Visceral adipose tissue and body fat mass: Predictive values for and role of gender in cardiometabolic risk among Turks |
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