Abstract
Objective:
This study aimed to develop a prediction equation for the visceral fat area at the umbilical level (VFAL4–5) in Japanese adults, using internal fat mass (IFM) estimated from a few anthropometric variables.
Methods:
Subjects were 112 adults aged from 25 to 82 years (body mass index (BMI)=24.2±3.1 kg/m2, ranged from 15.7 to 31.2 kg/m2). Another 60 adults aged from 21 to 71 years were recruited for the crossvalidation group (BMI=24.5±4.0 kg/m2, ranged from 17.1 to 34.6 kg/m2). We examined (1) the prediction of IFM based on a small number of skinfold thicknesses; (2) the prediction of VFAL4–5 using IFM and (3) the application of bioelectrical impedance analysis (BIA) measurement. VFAL4–5 was measured by computed tomography (reference value). Total fat mass was measured by dual-energy X-ray absorptiometry (DXA) and single-frequency BIA with 8-point tactile electrodes.
Results:
Three skinfolds at the abdomen, side chest and suprailiac were selected to estimate IFM. From IFM estimated using these three skinfolds, waist-to-hip ratio (WHR), sex and age, about 75% of the variance of VFAL4–5 could be explained (EqVFA1: R=863, R2=0.745, standard error of estimate (s.e.e.)=20.483 cm2). When substituting IFM based on BIA measurement (IFMBIA) into EqVFA1, there were no significant mean differences from the reference in both equations, and high correlations were found (r=0.860, s.e.e.=20.902 cm2), although a significant mean difference in total fat mass was found between DXA and BIA measurements. The prediction equation using IFMBIA (EqVFA2) could have prediction accuracy comparable with that of EqVFA1 (EqVFA2: R=879, R2=0.773, s.e.e.=20.324 cm2). Furthermore, when applying these equations to the crossvalidation group, there were cross-validity in both equations.
Conclusion:
This study proposed a prediction equation for VFAL4–5 from WHR and IFM based on three skinfolds, and the validity of BIA measurement in Japanese adults. We can propose the procedure for a field setting.
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References
Abe T, Kawakami Y, Fukunaga T (1993). Validity of anthropometrical methods for measuring visceral fat mass in young women. Med Sci Sports Exerc 25 (Suppl), S58 (Abstract).
Abe T, Kawakami Y, Sugita M, Yoshikawa K, Fukunaga T (1995). Use of B-mode ultrasound for visceral fat mass evaluation: comparisons with magnetic resonance imaging. J Physiol Anthropol Appl Human Sci 14, 133–139.
Abe T, Sakurai T, Kurata J, Kawakami Y, Fukunaga T (1996a). Subcutaneous and visceral fat distribution and daily physical activity: comparison between young and middle aged women. Br J sports Med 30, 297–300.
Abe T, Tanaka F, Kawakami Y, Yoshikawa K, Fukunaga T (1996b). Total and segmental subcutaneous adipose tissue volume measured by ultrasound. Med Sci Sports Exerc 28, 908–912.
Armellini F, Zamboni M, Harris T, Micciolo R, Bosello O (1997). Sagittal diameter minus subcutaneous thickness. An easy-to-obtain parameter that improves visceral fat prediction. Obes Res 5, 315–320.
Armellini F, Zamboni M, Robbi R, Todesco T, Rigo L, Bergamo-Andreis IA et al. (1993). Total and intra-abdominal fat measurements by ultrasound and computed tomography. Int J Obes Relat Metab Disord 17, 209–214.
Bacha F, Saad R, Gungor N, Janosky J, Arslanian SA (2003). Obesity, regional fat distribution, and syndrome X in obese black versus white adolescents: race differential in diabetogenic and atherogenic risk factors. J Clin Endocrinol Metab 88, 2534–2540.
Baker GL (1969). Human adipose tissue composition and age. Am J Clin Nutr 22, 829–835.
Bedogni G, Malavolti M, Severi S, Poli M, Mussi C, Fantuzzi AL et al. (2002). Accuracy of an eight-point tactile-electrode impedance method in the assessment of total body water. Eur J Clin Nutr 56, 1143–1148.
Berman DM, Rodrigues LM, Nicklas BJ, Ryan AS, Dennis KE, Goldberg AP (2001). Racial disparities in metabolism, central obesity, and sex hormone-binding globulin in postmenopausal women. J Clin Endocrinol Metab 86, 97–103.
Bertin E, Marcus C, Ruiz JC, Eschard JP, Leutenegger M (2000). Measurement of visceral adipose tissue by DXA combined with anthropometry in obese humans. Int J Obes Relat Metab Disord 24, 263–270.
Busetto L, Baggio MB, Zurlo F, Carraro R, Digito M, Enzi G (1992). Assessment of abdominal fat distribution in obese patients: anthropometry versus computed tomography. Int J Obes Relat Metab Disord 16, 731–736.
Clarys JP, Martin AD, Drinkwater DT, Marfell-Jones MJ (1987). The skinfold: myth and reality. J Sports Sci 5, 3–33.
Clasey JL, Bouchard C, Teates CD, Riblett JE, Thorner MO, Hartman ML et al. (1999). The use of anthropometric and dual-energy X-ray absorptiometry (DXA) measures to estimate total 25 abdominal and abdominal visceral fat in mean women. Obes Res 7, 256–264.
Davies PS, Jones PR, Norgan NG (1986). The distribution of subcutaneous and internal fat in man. Ann Hum Biol 13, 189–192.
Despres JP, Prud'homme D, Pouliot MC, Tremblay A, Bouchard C (1991). Estimation of deep abdominal adipose tissue anthropometric measurements in men. Am J Clin Nutr 54, 471–477.
Despres JP, Ross R, Lemieux S (1996). Imaging techniques applied to the measurement of human body composition. In: Roche AF, Heymsfield SB, Lohman TG (eds), Human Body Composition. Human Kinetics: Champaign, pp. 149–166.
Fidanza F, Keys A, Anderson JT (1953). Density of body fat in man and other mammals. J Appl Physiol 6, 252–256.
Hattori K, Numata N, Ikoma M, Matsuzaka A, Danielson RR (1991). Sex differences in the distribution of subcutaneous and internal fat. Hum Biol 63, 53–63.
Komiya S, Eto C, Otoki K, Teramoto K, Shimizu F, Shimamoto H (2000). Gender differences in body fat of low- and high-body-mass children: relationship with body mass index. Eur J Appl Physiol 82, 16–23.
Komiya S, Muraoka Y, Zhang F-S, Masuda T (1992). Age-related changes in body fat distribution in middle-aged and elderly Japanese. J Anthrop Soc Nippon 100, 161–169.
Larsson B, Svardsudd K, Welin L, Wilhelmsen L, Bjortorp P, Tibblin G (1984). Abdominal adipose tissue distribution, obesity, and risk of cardiovascular disease and death: 13 year follow up of participants in the study of men born in 1993. Br Med J 288, 1401–1404.
Raji A, Seely EW, Arky RA, Simonson DC (2001). Body fat distribution and insulin resistance in healthy Asian Indians and Caucasians. J Clin Endocrinol Metab 86, 5366–5371.
Seidell JC, Oosterlee A, Deurenberg P, Hautvast JG, Ruijs JH (1988). Abdominal fat depots measured with computed tomography: Effects of degree of obesity, sex, and age. Eur J Clin Nutr 42, 805–815.
The Examination Committee of Criteria for ‘Obesity Disease’ in Japan, Japan Society for the Study of Obesity (2002). New criteria for ‘obesity disease’ in Japan. Circ J 66, 987–992.
Vague J (1956). The degree of masculine differentiation of obesities. Am J Clin Nutr 4, 20–34.
Weinsier RL, Hunter GR, Goer BA, Schutz Y, Darnell BE, Zuckerman PA (2001). Body fat distribution in while and black women: different patterns of intraabdominal and subcutaneous abdominal adipose tissue utilization with weight loss. Am J Clin Nutr 74, 631–636.
Yoshizumi T, Nakamura T, Yamane M, Islam AH, Menju M, Yamasaki K et al. (1999). Abdominal fat: standardized technique for measurement at CT. Radiology 211, 283–286.
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Demura, S., Sato, S. Prediction of visceral fat area in Japanese adults: proposal of prediction method applicable in a field setting. Eur J Clin Nutr 61, 727–735 (2007). https://doi.org/10.1038/sj.ejcn.1602576
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DOI: https://doi.org/10.1038/sj.ejcn.1602576
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