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Yonsei Med J. 2016 May;57(3):674-80. doi: 10.3349/ymj.2016.57.3.674.

Visceral Fat Mass Has Stronger Associations with Diabetes and Prediabetes than Other Anthropometric Obesity Indicators among Korean Adults.

Jung SH1, Ha KH2,3, Kim DJ2,4.

Author information

1
Ajou University School of Medicine, Suwon, Korea.
2
Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea.
3
Cardiovascular and Metabolic Disease Etiology Research Center, Ajou University School of Medicine, Suwon, Korea.
4
Cardiovascular and Metabolic Disease Etiology Research Center, Ajou University School of Medicine, Suwon, Korea. djkim@ajou.ac.kr.

Abstract

PURPOSE:

This study determined which obesity measurement correlates the best with diabetes and prediabetes.

MATERIALS AND METHODS:

This cross-sectional study enrolled 1603 subjects (611 men, 992 women; age 30-64 years) at the Cardiovascular and Metabolic Diseases Etiology Research Center. Body mass index, waist circumference, waist-height ratio, waist-hip ratio, waist-thigh ratio, and visceral fat were used as measures of obesity. Visceral fat was acquired using dual-energy X-ray absorptiometry (DXA). The prevalences of diabetes and prediabetes were defined using the criteria in the American Diabetes Association 2015 guidelines.

RESULTS:

After adjusting for age and other potential confounding factors, participants with a visceral fat mass in the upper 10th percentile had a higher odds ratio (OR) for diabetes and prediabetes than the upper 10th percentile of other adiposity indices [men, OR=15.9, 95% confidence interval (CI)=6.4-39.2; women, OR=6.9, 95% CI=3.5-13.7]. Visceral fat mass also had the highest area under the curve with diabetes and prediabetes in both men (0.69, 95% CI=0.64-0.73) and women (0.70, 95% CI=0.67-0.74) compared to other anthropometric measurements of obesity.

CONCLUSION:

Visceral fat mass measured using DXA is an indicator of diabetes or prediabetes, due to its ability to differentiate between abdominal visceral and subcutaneous fat.

KEYWORDS:

Diabetes mellitus; obesity; visceral fat

PMID:
26996568
PMCID:
PMC4800358
DOI:
10.3349/ymj.2016.57.3.674
[Indexed for MEDLINE]
Free PMC Article

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