Skip to main content
Erschienen in: Environmental Health and Preventive Medicine 6/2014

01.11.2014 | Regular Article

Association between lifestyle-related disorders and visceral fat mass in Japanese males: a hospital based cross-sectional study

verfasst von: Hironobu Sanada, Hirohide Yokokawa, Junichi Yatabe, Scott M. Williams, Robin A. Felder, Pedro A. Jose, Seiichi Takenosita

Erschienen in: Environmental Health and Preventive Medicine | Ausgabe 6/2014

Einloggen, um Zugang zu erhalten

Abstract

Objective

This study aimed to examine the association between lifestyle-related disorders and visceral fat mass, and to estimate an appropriate cutoff value for visceral fat mass that correlated with body mass index (BMI) and waist circumference (WC).

Methods

This cross-sectional study was conducted between July 2012 and August 2013 at Bange Kosei General Hospital, in Fukushima, Japan. All study participants were adult males who had completed voluntary medical check-ups that included estimation of visceral fat mass by bioelectrical impedance analysis (BIA). Participants were without past histories of atherosclerotic complications or were not currently taking medications for lifestyle-related disorders. Multivariate analysis was performed to estimate the association between lifestyle-related disorders and quartiles of visceral fat mass.

Results

Of 536 total respondents, 442 were included in the analysis. Mean participant age was 56 years, and mean values of BMI, WC, and visceral fat mass were 24.1 kg/m2, 85.9 cm, and 2.1 kg, respectively. Visceral fat mass ≥1.8 kg was positively associated with an increased prevalence of dyslipidemia, elevated blood pressure, and impaired glucose tolerance. Cutoff values that correlated with visceral fat mass (≥1.8 kg) were 85.3 cm for WC and 23.25 kg/m2 for BMI.

Conclusion

Visceral fat mass ≥1.8 kg was positively associated with lifestyle-related disorders and closely related to WC and BMI cutoff values used to diagnose obesity. BIA may be a useful method for assessing visceral fat mass, and these findings provide important evidence for the use of BIA in the early detection of central obesity for preventing lifestyle-related disorders.
Literatur
1.
Zurück zum Zitat Yan LL, Daviglus ML, Liu K, Stamler J, Wang R, Pirzada A, et al. Midlife body mass index and hospitalization and mortality in older age. JAMA. 2006;295:190–8.PubMedCrossRef Yan LL, Daviglus ML, Liu K, Stamler J, Wang R, Pirzada A, et al. Midlife body mass index and hospitalization and mortality in older age. JAMA. 2006;295:190–8.PubMedCrossRef
2.
Zurück zum Zitat Daviglus ML, Liu K, Yan LL, Pirzada A, Manheim L, Manning W, et al. Relation of body mass index in young adulthood and middle age to Medicare expenditures in older age. JAMA. 2004;292:2743–9.PubMedCrossRef Daviglus ML, Liu K, Yan LL, Pirzada A, Manheim L, Manning W, et al. Relation of body mass index in young adulthood and middle age to Medicare expenditures in older age. JAMA. 2004;292:2743–9.PubMedCrossRef
3.
Zurück zum Zitat Fox CS, Massaro JM, Hoffmann U, Pou KM, Maurovich-Horvat P, Liu CY, et al. Abdominal visceral and subcutaneous adipose tissue compartments: association with metabolic risk factors in the Framingham Heart Study. Circulation. 2007;116:39–48.PubMedCrossRef Fox CS, Massaro JM, Hoffmann U, Pou KM, Maurovich-Horvat P, Liu CY, et al. Abdominal visceral and subcutaneous adipose tissue compartments: association with metabolic risk factors in the Framingham Heart Study. Circulation. 2007;116:39–48.PubMedCrossRef
4.
Zurück zum Zitat Oka R, Miura K, Sakurai M, Nakamura K, Yagi K, Miyamoto S, et al. Impacts of visceral adipose tissue and subcutaneous adipose tissue on metabolic risk factors in middle-aged Japanese. Obesity (Silver Spring). 2010;18:153–60.PubMedCrossRef Oka R, Miura K, Sakurai M, Nakamura K, Yagi K, Miyamoto S, et al. Impacts of visceral adipose tissue and subcutaneous adipose tissue on metabolic risk factors in middle-aged Japanese. Obesity (Silver Spring). 2010;18:153–60.PubMedCrossRef
5.
Zurück zum Zitat Britton KA, Massaro JM, Murabito JM, Kreger BE, Hoffmann U, Fox CS. Body fat distribution, incident cardiovascular disease, cancer, and all-cause mortality. J Am Coll Cardiol. 2013;62:921–5.PubMedCentralPubMedCrossRef Britton KA, Massaro JM, Murabito JM, Kreger BE, Hoffmann U, Fox CS. Body fat distribution, incident cardiovascular disease, cancer, and all-cause mortality. J Am Coll Cardiol. 2013;62:921–5.PubMedCentralPubMedCrossRef
6.
Zurück zum Zitat Kashihara H, Lee JS, Kawakubo K, Tamura M, Akabayashi A. Criteria of waist circumference according to computed tomography-measured visceral fat area and the clustering of cardiovascular risk factors. Circ J. 2009;73:1881–6.PubMedCrossRef Kashihara H, Lee JS, Kawakubo K, Tamura M, Akabayashi A. Criteria of waist circumference according to computed tomography-measured visceral fat area and the clustering of cardiovascular risk factors. Circ J. 2009;73:1881–6.PubMedCrossRef
7.
Zurück zum Zitat Schreiner PJ, Terry JG, Evans GW, Hinson WH, Crouse JR 3rd, Heiss G. Sex-specific associations of magnetic resonance imaging-derived intra-abdominal and subcutaneous fat areas with conventional anthropometric indices. The atherosclerosis risk in communities study. Am J Epidemiol. 1996;144:335–45.PubMedCrossRef Schreiner PJ, Terry JG, Evans GW, Hinson WH, Crouse JR 3rd, Heiss G. Sex-specific associations of magnetic resonance imaging-derived intra-abdominal and subcutaneous fat areas with conventional anthropometric indices. The atherosclerosis risk in communities study. Am J Epidemiol. 1996;144:335–45.PubMedCrossRef
8.
Zurück zum Zitat Carroll JF, Chiapa AL, Rodriquez M, Phelps DR, Cardarelli KM, Vishwanatha JK, et al. Visceral fat, waist circumference, and BMI: impact of race/ethnicity. Obesity (Silver Spring). 2008;16:600–7.CrossRef Carroll JF, Chiapa AL, Rodriquez M, Phelps DR, Cardarelli KM, Vishwanatha JK, et al. Visceral fat, waist circumference, and BMI: impact of race/ethnicity. Obesity (Silver Spring). 2008;16:600–7.CrossRef
9.
Zurück zum Zitat Unno M, Furusyo N, Mukae H, Koga T, Eiraku K, Hayashi J. The utility of visceral fat level by bioelectrical impedance analysis in the screening of metabolic syndrome—the results of the Kyushu and Okinawa population study (KOPS). J Atheroscler Thromb. 2012;19:462–70.PubMedCrossRef Unno M, Furusyo N, Mukae H, Koga T, Eiraku K, Hayashi J. The utility of visceral fat level by bioelectrical impedance analysis in the screening of metabolic syndrome—the results of the Kyushu and Okinawa population study (KOPS). J Atheroscler Thromb. 2012;19:462–70.PubMedCrossRef
10.
Zurück zum Zitat Böhm A, Heitmann BL. The use of bioelectrical impedance analysis for body composition in epidemiological studies. Eur J Clin Nutr. 2013;67(Suppl 1):S79–85.PubMedCrossRef Böhm A, Heitmann BL. The use of bioelectrical impedance analysis for body composition in epidemiological studies. Eur J Clin Nutr. 2013;67(Suppl 1):S79–85.PubMedCrossRef
11.
Zurück zum Zitat Berker D, Koparal S, Işik S, Paşaoğlu L, Aydin Y, Erol K, et al. Compatibility of different methods for the measurement of visceral fat in different body mass index strata. Diagn Interv Radiol. 2010;16:99–105.PubMed Berker D, Koparal S, Işik S, Paşaoğlu L, Aydin Y, Erol K, et al. Compatibility of different methods for the measurement of visceral fat in different body mass index strata. Diagn Interv Radiol. 2010;16:99–105.PubMed
12.
Zurück zum Zitat Seino Y, Nanjo K, Tajima N, Kadowaki T, Kashiwagi A, Araki E, et al. The Committee of Japan Diabetes Society on the diagnostic criteria of diabetes mellitus: Report of the Committee on the classification and diagnostic criteria of diabetes mellitus. J Jpn Diabetes Soc. 2012;55:485–504 (in Japanese). Seino Y, Nanjo K, Tajima N, Kadowaki T, Kashiwagi A, Araki E, et al. The Committee of Japan Diabetes Society on the diagnostic criteria of diabetes mellitus: Report of the Committee on the classification and diagnostic criteria of diabetes mellitus. J Jpn Diabetes Soc. 2012;55:485–504 (in Japanese).
13.
Zurück zum Zitat Belloc NB, Breslow L. Relationship of physical health status and health practices. Prev Med. 1972;1:409–21.PubMedCrossRef Belloc NB, Breslow L. Relationship of physical health status and health practices. Prev Med. 1972;1:409–21.PubMedCrossRef
14.
Zurück zum Zitat Yokokawa H, Goto A, Sanada H, Watanabe T, Felder RA, Jose PA, et al. Achievement status toward goal blood pressure levels and healthy lifestyles among Japanese hypertensive patients; cross sectional survey results from Fukushima Research of Hypertension (FRESH). Intern Med. 2011;50:1149–56.PubMedCrossRef Yokokawa H, Goto A, Sanada H, Watanabe T, Felder RA, Jose PA, et al. Achievement status toward goal blood pressure levels and healthy lifestyles among Japanese hypertensive patients; cross sectional survey results from Fukushima Research of Hypertension (FRESH). Intern Med. 2011;50:1149–56.PubMedCrossRef
15.
Zurück zum Zitat Yokokawa H, Goto A, Abe Y, Suzuki S, Yasumura S. Lifestyle characteristics and 3 year total mortality of Japanese with self-reported diabetes. Health Soc Care Community. 2008;16:614–20.PubMedCrossRef Yokokawa H, Goto A, Abe Y, Suzuki S, Yasumura S. Lifestyle characteristics and 3 year total mortality of Japanese with self-reported diabetes. Health Soc Care Community. 2008;16:614–20.PubMedCrossRef
16.
Zurück zum Zitat Teramoto T, Sasaki J, Ishibashi S, Birou S, Daida H, Dohi S, et al. Diagnostic criteria for dyslipidemia. Executive summary of the Japan Atherosclerosis Society (JAS) guidelines for the diagnosis and prevention of atherosclerotic cardiovascular diseases in Japan—2012 version. J Atheroscler Thromb. 2013;20:655–60.PubMedCrossRef Teramoto T, Sasaki J, Ishibashi S, Birou S, Daida H, Dohi S, et al. Diagnostic criteria for dyslipidemia. Executive summary of the Japan Atherosclerosis Society (JAS) guidelines for the diagnosis and prevention of atherosclerotic cardiovascular diseases in Japan—2012 version. J Atheroscler Thromb. 2013;20:655–60.PubMedCrossRef
19.
Zurück zum Zitat The Committee of The Japanese Society of Internal Medicine on the diagnostic criteria of metabolic syndrome: Definition and diagnostic criteria of metabolic syndrome. J Jpn Soc Intern Med. 2005;94:188–203 (in Japanese). The Committee of The Japanese Society of Internal Medicine on the diagnostic criteria of metabolic syndrome: Definition and diagnostic criteria of metabolic syndrome. J Jpn Soc Intern Med. 2005;94:188–203 (in Japanese).
21.
Zurück zum Zitat Japan Society for the study of Obesity. Criteria for obesity disease 2011. J Jpn Soc for the study of Obesity. 2011: 14 (Extra) (in Japanese). Japan Society for the study of Obesity. Criteria for obesity disease 2011. J Jpn Soc for the study of Obesity. 2011: 14 (Extra) (in Japanese).
22.
Zurück zum Zitat WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–63.CrossRef WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–63.CrossRef
23.
Zurück zum Zitat Kim M, Kim H. Accuracy of segmental multi-frequency bioelectrical impedance analysis for assessing whole-body and appendicular fat mass and lean soft tissue mass in frail women aged 75 years and older. Eur J Clin Nutr. 2013;67:395–400.PubMedCrossRef Kim M, Kim H. Accuracy of segmental multi-frequency bioelectrical impedance analysis for assessing whole-body and appendicular fat mass and lean soft tissue mass in frail women aged 75 years and older. Eur J Clin Nutr. 2013;67:395–400.PubMedCrossRef
Metadaten
Titel
Association between lifestyle-related disorders and visceral fat mass in Japanese males: a hospital based cross-sectional study
verfasst von
Hironobu Sanada
Hirohide Yokokawa
Junichi Yatabe
Scott M. Williams
Robin A. Felder
Pedro A. Jose
Seiichi Takenosita
Publikationsdatum
01.11.2014
Verlag
Springer Japan
Erschienen in
Environmental Health and Preventive Medicine / Ausgabe 6/2014
Print ISSN: 1342-078X
Elektronische ISSN: 1347-4715
DOI
https://doi.org/10.1007/s12199-014-0411-9

Weitere Artikel der Ausgabe 6/2014

Environmental Health and Preventive Medicine 6/2014 Zur Ausgabe