Indirect measure of visceral adiposity ‘A Body Shape Index’ (ABSI) is associated with arterial stiffness in patients with type 2 diabetes

ObjectiveAmong indirect measures of visceral adiposity, A Body Shape Index (ABSI), which is defined as waist circumference (WC)/(body mass index (BMI)2/3×height1/2), is unique in that ABSI is positively correlated with visceral adiposity and is supposed to be independent of BMI. ABSI has been also s...

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Veröffentlicht in:BMJ open diabetes research & care 2016, Vol.4 (1), p.e000188-e000188
Hauptverfasser: Bouchi, Ryotaro, Asakawa, Masahiro, Ohara, Norihiko, Nakano, Yujiro, Takeuchi, Takato, Murakami, Masanori, Sasahara, Yuriko, Numasawa, Mitsuyuki, Minami, Isao, Izumiyama, Hajime, Hashimoto, Koshi, Yoshimoto, Takanobu, Ogawa, Yoshihiro
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container_title BMJ open diabetes research & care
container_volume 4
creator Bouchi, Ryotaro
Asakawa, Masahiro
Ohara, Norihiko
Nakano, Yujiro
Takeuchi, Takato
Murakami, Masanori
Sasahara, Yuriko
Numasawa, Mitsuyuki
Minami, Isao
Izumiyama, Hajime
Hashimoto, Koshi
Yoshimoto, Takanobu
Ogawa, Yoshihiro
description ObjectiveAmong indirect measures of visceral adiposity, A Body Shape Index (ABSI), which is defined as waist circumference (WC)/(body mass index (BMI)2/3×height1/2), is unique in that ABSI is positively correlated with visceral adiposity and is supposed to be independent of BMI. ABSI has been also shown to be linearly and positively associated with visceral fat mass and all-cause and cardiovascular disease (CVD) in the general population. It is, however, uncertain whether ABSI could be associated with arterial stiffness in patients with diabetes.MethodsThis is a cross-sectional study of 607 patients with type 2 diabetes (mean age 64±12 years; 40.0% female). Visceral fat area (VFA, cm2) and subcutaneous fat area (SFA, cm2) were assessed with a dual-impedance analyzer. In order to estimate the risk for CVD, brachial-ankle pulse wave velocity (baPWV, cm) was used for the assessment of arterial stiffness.ResultsABSI was significantly and positively correlated with VFA (r=0.138, p=0.001) and negatively associated with BMI (r=−0.085, p=0.037). The correlation of z-score for ABSI with VFA remained significant (r=0.170, p
doi_str_mv 10.1136/bmjdrc-2015-000188
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ABSI has been also shown to be linearly and positively associated with visceral fat mass and all-cause and cardiovascular disease (CVD) in the general population. It is, however, uncertain whether ABSI could be associated with arterial stiffness in patients with diabetes.MethodsThis is a cross-sectional study of 607 patients with type 2 diabetes (mean age 64±12 years; 40.0% female). Visceral fat area (VFA, cm2) and subcutaneous fat area (SFA, cm2) were assessed with a dual-impedance analyzer. In order to estimate the risk for CVD, brachial-ankle pulse wave velocity (baPWV, cm) was used for the assessment of arterial stiffness.ResultsABSI was significantly and positively correlated with VFA (r=0.138, p=0.001) and negatively associated with BMI (r=−0.085, p=0.037). The correlation of z-score for ABSI with VFA remained significant (r=0.170, p&lt;0.001) but not with BMI (r=0.009, p=0.820). ABSI (standardized β 0.095, p=0.043) but not WC (standardized β −0.060, p=0.200) was significantly and positively correlated with baPWV in the multivariate model including BMI as a covariate.ConclusionsABSI appears to reflect visceral adiposity independently of BMI and to be a substantial marker of arterial stiffening in patients with type 2 diabetes.</description><identifier>ISSN: 2052-4897</identifier><identifier>EISSN: 2052-4897</identifier><identifier>DOI: 10.1136/bmjdrc-2015-000188</identifier><identifier>PMID: 27026809</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Blood pressure ; Body mass index ; Cardiovascular and Metabolic Risk ; Heart attacks ; Insulin resistance ; Mortality</subject><ispartof>BMJ open diabetes research &amp; care, 2016, Vol.4 (1), p.e000188-e000188</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b468t-2bdbb8591a0f170227cb37aca1c7420640d94f8d58e9dfe2002950d3ceef23903</citedby><cites>FETCH-LOGICAL-b468t-2bdbb8591a0f170227cb37aca1c7420640d94f8d58e9dfe2002950d3ceef23903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://drc.bmj.com/content/4/1/e000188.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://drc.bmj.com/content/4/1/e000188.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,4010,27526,27527,27900,27901,27902,53766,53768,77343,77374</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27026809$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bouchi, Ryotaro</creatorcontrib><creatorcontrib>Asakawa, Masahiro</creatorcontrib><creatorcontrib>Ohara, Norihiko</creatorcontrib><creatorcontrib>Nakano, Yujiro</creatorcontrib><creatorcontrib>Takeuchi, Takato</creatorcontrib><creatorcontrib>Murakami, Masanori</creatorcontrib><creatorcontrib>Sasahara, Yuriko</creatorcontrib><creatorcontrib>Numasawa, Mitsuyuki</creatorcontrib><creatorcontrib>Minami, Isao</creatorcontrib><creatorcontrib>Izumiyama, Hajime</creatorcontrib><creatorcontrib>Hashimoto, Koshi</creatorcontrib><creatorcontrib>Yoshimoto, Takanobu</creatorcontrib><creatorcontrib>Ogawa, Yoshihiro</creatorcontrib><title>Indirect measure of visceral adiposity ‘A Body Shape Index’ (ABSI) is associated with arterial stiffness in patients with type 2 diabetes</title><title>BMJ open diabetes research &amp; care</title><addtitle>BMJ Open Diabetes Res Care</addtitle><description>ObjectiveAmong indirect measures of visceral adiposity, A Body Shape Index (ABSI), which is defined as waist circumference (WC)/(body mass index (BMI)2/3×height1/2), is unique in that ABSI is positively correlated with visceral adiposity and is supposed to be independent of BMI. ABSI has been also shown to be linearly and positively associated with visceral fat mass and all-cause and cardiovascular disease (CVD) in the general population. It is, however, uncertain whether ABSI could be associated with arterial stiffness in patients with diabetes.MethodsThis is a cross-sectional study of 607 patients with type 2 diabetes (mean age 64±12 years; 40.0% female). Visceral fat area (VFA, cm2) and subcutaneous fat area (SFA, cm2) were assessed with a dual-impedance analyzer. In order to estimate the risk for CVD, brachial-ankle pulse wave velocity (baPWV, cm) was used for the assessment of arterial stiffness.ResultsABSI was significantly and positively correlated with VFA (r=0.138, p=0.001) and negatively associated with BMI (r=−0.085, p=0.037). The correlation of z-score for ABSI with VFA remained significant (r=0.170, p&lt;0.001) but not with BMI (r=0.009, p=0.820). ABSI (standardized β 0.095, p=0.043) but not WC (standardized β −0.060, p=0.200) was significantly and positively correlated with baPWV in the multivariate model including BMI as a covariate.ConclusionsABSI appears to reflect visceral adiposity independently of BMI and to be a substantial marker of arterial stiffening in patients with type 2 diabetes.</description><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Cardiovascular and Metabolic Risk</subject><subject>Heart attacks</subject><subject>Insulin resistance</subject><subject>Mortality</subject><issn>2052-4897</issn><issn>2052-4897</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkc1u1DAUhSMEolXpC7BAltiURcA_SexskKYVpSNVYlFYW459zXg0iYPttMyuL8C-vF6fpB6lVG1XrHwlf-fonnuK4i3BHwlhzaeuX5ugS4pJXWKMiRAvin2Ka1pWouUvH817xWGM6x3DGsJE_brYoxzTRuB2v_izHIwLoBPqQcUpAPIWXbqoIagNUsaNPrq0RbfXNwt07M0WXazUCCjL4Pft9V90tDi-WH5ALiIVo9dOJTDoyqUVUiFBcNklJmftADEiN6BRJQdDijOTttmLIuNUBwnim-KVVZsIh_fvQfHj9Mv3k7Py_NvX5cnivOyqRqSSdqbrRN0ShS3JUSjXHeNKK6J5RXFTYdNWVphaQGssUIxpW2PDNIClrMXsoPg8-45T14PReaEcV47B9SpspVdOPv0Z3Er-9JeyEvmOjcgGR_cGwf-aICbZ72622agB_BQl4ZxXQuC6yuj7Z-jaT2HI8TIlWMsoYzxTdKZ08DEGsA_LECx3hcu5cLkrXM6FZ9G7xzEeJP_qzUA5A1n8P4Z3txK5MQ</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>Bouchi, Ryotaro</creator><creator>Asakawa, Masahiro</creator><creator>Ohara, Norihiko</creator><creator>Nakano, Yujiro</creator><creator>Takeuchi, Takato</creator><creator>Murakami, Masanori</creator><creator>Sasahara, Yuriko</creator><creator>Numasawa, Mitsuyuki</creator><creator>Minami, Isao</creator><creator>Izumiyama, Hajime</creator><creator>Hashimoto, Koshi</creator><creator>Yoshimoto, Takanobu</creator><creator>Ogawa, Yoshihiro</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2016</creationdate><title>Indirect measure of visceral adiposity ‘A Body Shape Index’ (ABSI) is associated with arterial stiffness in patients with type 2 diabetes</title><author>Bouchi, Ryotaro ; Asakawa, Masahiro ; Ohara, Norihiko ; Nakano, Yujiro ; Takeuchi, Takato ; Murakami, Masanori ; Sasahara, Yuriko ; Numasawa, Mitsuyuki ; Minami, Isao ; Izumiyama, Hajime ; Hashimoto, Koshi ; Yoshimoto, Takanobu ; Ogawa, Yoshihiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b468t-2bdbb8591a0f170227cb37aca1c7420640d94f8d58e9dfe2002950d3ceef23903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Blood pressure</topic><topic>Body mass index</topic><topic>Cardiovascular and Metabolic Risk</topic><topic>Heart attacks</topic><topic>Insulin resistance</topic><topic>Mortality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bouchi, Ryotaro</creatorcontrib><creatorcontrib>Asakawa, Masahiro</creatorcontrib><creatorcontrib>Ohara, Norihiko</creatorcontrib><creatorcontrib>Nakano, Yujiro</creatorcontrib><creatorcontrib>Takeuchi, Takato</creatorcontrib><creatorcontrib>Murakami, Masanori</creatorcontrib><creatorcontrib>Sasahara, Yuriko</creatorcontrib><creatorcontrib>Numasawa, Mitsuyuki</creatorcontrib><creatorcontrib>Minami, Isao</creatorcontrib><creatorcontrib>Izumiyama, Hajime</creatorcontrib><creatorcontrib>Hashimoto, Koshi</creatorcontrib><creatorcontrib>Yoshimoto, Takanobu</creatorcontrib><creatorcontrib>Ogawa, Yoshihiro</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health &amp; 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care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bouchi, Ryotaro</au><au>Asakawa, Masahiro</au><au>Ohara, Norihiko</au><au>Nakano, Yujiro</au><au>Takeuchi, Takato</au><au>Murakami, Masanori</au><au>Sasahara, Yuriko</au><au>Numasawa, Mitsuyuki</au><au>Minami, Isao</au><au>Izumiyama, Hajime</au><au>Hashimoto, Koshi</au><au>Yoshimoto, Takanobu</au><au>Ogawa, Yoshihiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Indirect measure of visceral adiposity ‘A Body Shape Index’ (ABSI) is associated with arterial stiffness in patients with type 2 diabetes</atitle><jtitle>BMJ open diabetes research &amp; care</jtitle><addtitle>BMJ Open Diabetes Res Care</addtitle><date>2016</date><risdate>2016</risdate><volume>4</volume><issue>1</issue><spage>e000188</spage><epage>e000188</epage><pages>e000188-e000188</pages><issn>2052-4897</issn><eissn>2052-4897</eissn><abstract>ObjectiveAmong indirect measures of visceral adiposity, A Body Shape Index (ABSI), which is defined as waist circumference (WC)/(body mass index (BMI)2/3×height1/2), is unique in that ABSI is positively correlated with visceral adiposity and is supposed to be independent of BMI. ABSI has been also shown to be linearly and positively associated with visceral fat mass and all-cause and cardiovascular disease (CVD) in the general population. It is, however, uncertain whether ABSI could be associated with arterial stiffness in patients with diabetes.MethodsThis is a cross-sectional study of 607 patients with type 2 diabetes (mean age 64±12 years; 40.0% female). Visceral fat area (VFA, cm2) and subcutaneous fat area (SFA, cm2) were assessed with a dual-impedance analyzer. In order to estimate the risk for CVD, brachial-ankle pulse wave velocity (baPWV, cm) was used for the assessment of arterial stiffness.ResultsABSI was significantly and positively correlated with VFA (r=0.138, p=0.001) and negatively associated with BMI (r=−0.085, p=0.037). The correlation of z-score for ABSI with VFA remained significant (r=0.170, p&lt;0.001) but not with BMI (r=0.009, p=0.820). ABSI (standardized β 0.095, p=0.043) but not WC (standardized β −0.060, p=0.200) was significantly and positively correlated with baPWV in the multivariate model including BMI as a covariate.ConclusionsABSI appears to reflect visceral adiposity independently of BMI and to be a substantial marker of arterial stiffening in patients with type 2 diabetes.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>27026809</pmid><doi>10.1136/bmjdrc-2015-000188</doi><oa>free_for_read</oa></addata></record>
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subjects Blood pressure
Body mass index
Cardiovascular and Metabolic Risk
Heart attacks
Insulin resistance
Mortality
title Indirect measure of visceral adiposity ‘A Body Shape Index’ (ABSI) is associated with arterial stiffness in patients with type 2 diabetes
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