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Preperitoneal fat thickness by ultrasonography and obesity-related disorders

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Abstract

Purpose

To determine optimal cutoff values for preperitoneal fat thickness measured by ultrasonography as indicators for obesity-related disorders.

Methods

We studied 276 men aged 60 ± 13 years and 307 women aged 64 ± 11 years. Participants were consecutively enrolled from inpatients aged ≤75 years. Demographic data were collected and maximal preperitoneal fat thickness (PFTmax) and carotid intima-media thickness were evaluated on B-mode ultrasonography. Receiver operating characteristic (ROC) curve analysis was performed to determine optimal cutoff values for PFTmax.

Results

Multiple regression analysis using one or more obesity-related disorders as an objective variable showed that the tertile on the basis of PFTmax was a significant independent contributing factor in both men and women. Receiver operating characteristic curve analysis identified the cutoff points of 6.1 mm for PFTmax in men (sensitivity, 66.7%; specificity, 62.5%) and 8.7 mm for PFTmax in women (sensitivity, 56.6%; specificity, 63.6%) as discriminator values corresponding to the presence of one or more obesity-related disorders. Using the new criteria to diagnose visceral obesity, we found that adjusted carotid intima-media thickness was significantly higher in men and women with visceral obesity and two or more obesity-related disorders than in those without them.

Conclusions

These findings suggested that PFTmax measured on ultrasonography was useful in screening for indicators of cardiovascular risk factors.

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References

  1. KGMM Alberti PZ Zimmet InstitutionalAuthorNamefor the WHO Consultation (1998) ArticleTitleDefinition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of diabetes mellitus, provisional report of a WHO consultation Diabet Med 15 539–53 Occurrence Handle9686693 Occurrence Handle10.1002/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO;2-S Occurrence Handle1:STN:280:DyaK1czkvFCrsA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  2. InstitutionalAuthorNameNational Cholesterol Education Program (2001) ArticleTitleExecutive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III) JAMA 285 2486–97 Occurrence Handle10.1001/jama.285.19.2486

    Article  Google Scholar 

  3. H Kekeuchi S Saitoh S Takagi et al. (2003) ArticleTitleMetabolic syndrome and insulin resistance in Japanese Male-Tanno-Soubetsu Study J Jpn Diabet Soc 46 739–44

    Google Scholar 

  4. H Ito K Nakasuga A Ohshima et al. (2004) ArticleTitleExcess accumulation of body fat is related to dyslipidemia in normal-weight subjects Int J Obes Relat Metab Disord 28 242–7 Occurrence Handle14610531 Occurrence Handle1:CAS:528:DC%2BD2cXht12isb8%3D

    PubMed  CAS  Google Scholar 

  5. EJ Boyko DL Leonetti RW Bergstrom et al. (1996) ArticleTitleVisceral adiposity, fasting plasma insulin, and lipid and lipoprotein levels in Japanese Americans Int J Obes Relat Metab Disord 20 801–8 Occurrence Handle8880345 Occurrence Handle1:CAS:528:DyaK28Xmt1Sjsro%3D

    PubMed  CAS  Google Scholar 

  6. T Hayashi EJ Boyko DL Leonetti et al. (2004) ArticleTitleVisceral adiposity is an independent predictor of incident hypertension in Japanese Americans Ann Intern Med 140 992–1000 Occurrence Handle15197016

    PubMed  Google Scholar 

  7. WY Fujimoto RW Bergstrom EJ Boyko et al. (1999) ArticleTitleVisceral adiposity and incident coronary heart disease in Japanese-American men. The 10-year follow-up results of the Seattle Japanese-American Community Diabetes Study Diabetes Care 22 1808–12 Occurrence Handle10546012 Occurrence Handle10.2337/diacare.22.11.1808 Occurrence Handle1:STN:280:DC%2BD3c%2Fhtlegtw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  8. R Kawamoto Y Oka H Tomita et al. (2005) ArticleTitleAssociation between abdominal wall fat index on ultrasonography and carotid atherosclerosis in non-obese men J Atheroscler Thromb 12 85–91 Occurrence Handle15942118

    PubMed  Google Scholar 

  9. R Kawamoto T Kajiwara Y Oka et al. (2002) ArticleTitleAssociation between abdominal wall fat index and carotid atherosclerosis in women J Atheroscler Thromb 9 213–8 Occurrence Handle12409630

    PubMed  Google Scholar 

  10. KH Liu YL Chan WB Chan et al. (2003) ArticleTitleSonographic measurement of mesenteric fat thickness is a good correlate with cardiovascular risk factors: comparison with subcutaneous and preperitoneal fat thickness, magnetic resonance imaging and anthropometric indexes Int J Obes 27 1267–73 Occurrence Handle10.1038/sj.ijo.0802398 Occurrence Handle1:STN:280:DC%2BD3svltVeisg%3D%3D

    Article  CAS  Google Scholar 

  11. SK Kim HJ Kim KY Hur et al. (2004) ArticleTitleVisceral fat thickness measured by ultrasonography can estimate not only visceral obesity but also risks of cardiovascular and metabolic diseases Am J Clin Nutr 79 593–9 Occurrence Handle15051602 Occurrence Handle1:CAS:528:DC%2BD2cXivFykt7Y%3D

    PubMed  CAS  Google Scholar 

  12. WT Friedewald RI Levy DS Fredrickson (1972) ArticleTitleEstimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge Clin Chem 18 499–502 Occurrence Handle4337382 Occurrence Handle1:CAS:528:DyaE38Xkslagsbw%3D

    PubMed  CAS  Google Scholar 

  13. R Suzuki S Watanabe Y Hirai et al. (1993) ArticleTitleAbdominal wall fat index, estimated by ultrasonography, for assessment of the ratio of visceral fat to subcutaneous fat in the abdomen Am J Med 95 309–14 Occurrence Handle8368228 Occurrence Handle10.1016/0002-9343(93)90284-V Occurrence Handle1:STN:280:ByyA2sjmvVw%3D

    Article  PubMed  CAS  Google Scholar 

  14. K Tokunaga Y Matsuzawa K Ishikawa et al. (1983) ArticleTitleA novel technique for the determination of body fat by computed tomography Int J Obes 7 437–45 Occurrence Handle6642855 Occurrence Handle1:STN:280:BiuD28%2FlsFE%3D

    PubMed  CAS  Google Scholar 

  15. PS Sdhu SR Desai (1997) ArticleTitleA simple and reproducible method for assessing intima-media thickness of the common carotid artery Br J Radiol 70 85–9

    Google Scholar 

  16. JT Salonen R Salonen (1991) ArticleTitleUltrasonographically assessed carotid morphology and the risk of coronary heart disease Arterioscler Thromb 11 1245–9 Occurrence Handle1911709 Occurrence Handle1:STN:280:By2D3c7psFA%3D

    PubMed  CAS  Google Scholar 

  17. Y Matsuzawa (2005) ArticleTitleMetabolic syndrome: definition and diagnostic criteria in Japan J Jpn Soc Int Med 94 188–203

    Google Scholar 

  18. The examination Committee of Criteria for “Obesity Disease” in Japan, Japan Society for Study of Obesity. New criteria for “obesity disease” in Japan. Circ J 2002;66:987–92

    Google Scholar 

  19. F Armellini M Zamboni L Rigo et al. (1990) ArticleTitleThe contribution of sonography to the measurement of intra-abdominal fat J Clin Ultrasound 18 563–7 Occurrence Handle2170455 Occurrence Handle10.1002/jcu.1870180707 Occurrence Handle1:STN:280:By6D3cbovFM%3D

    Article  PubMed  CAS  Google Scholar 

  20. N Tadokoro (2003) ArticleTitleUltrasonic diagnosis of visceral fat obesity Nippon Rinsho 61 374–9

    Google Scholar 

  21. T Nakamura K Tokunaga I Shimomura et al. (1994) ArticleTitleContribution of visceral fat accumulation to the development of coronary artery disease in non-obese men Atherosclerosis 107 239–46 Occurrence Handle7980698 Occurrence Handle10.1016/0021-9150(94)90025-6 Occurrence Handle1:STN:280:ByqD2s7lslU%3D

    Article  PubMed  CAS  Google Scholar 

  22. RA DeFronzo E Ferrannini (1999) ArticleTitleInsulin resistance. A multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease Diabetes Care 14 173–94 Occurrence Handle10.2337/diacare.14.3.173

    Article  Google Scholar 

  23. FF Ribeiro-Filho AN Faria O Kohlmann SuffixJr et al. (2001) ArticleTitleUltrasonography for the evaluation of visceral fat and cardiovascular risk Hypertension 38 713–7 Occurrence Handle11566963 Occurrence Handle1:CAS:528:DC%2BD3MXntFaku7g%3D

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Internal Medicine, Seiyo Municipal Nomura Hospital, 9-53 Nomura, Nomura-cho, Seiyo-city, Ehime, 797-1212, Japan

    Ryuichi Kawamoto, Nobuyuki Ohtsuka, Shumpei Nakamura, Daisuke Ninomiya & Ai Inoue

Authors
  1. Ryuichi Kawamoto
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  2. Nobuyuki Ohtsuka
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  3. Shumpei Nakamura
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  4. Daisuke Ninomiya
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  5. Ai Inoue
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Corresponding author

Correspondence to Ryuichi Kawamoto.

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Kawamoto, R., Ohtsuka, N., Nakamura, S. et al. Preperitoneal fat thickness by ultrasonography and obesity-related disorders. J Med Ultrasonics 34, 93–99 (2007). https://doi.org/10.1007/s10396-007-0137-z

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  • DOI: https://doi.org/10.1007/s10396-007-0137-z

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