Abstract
OBJECTIVE: To identify the best predictor among waist circumference, waist to hip ratio (WHR), weight and body mass index (BMI) of visceral obesity across 8.5–10.8 y. We also examined whether changes in waist across the study period co-occur with changes in psychosocial distress or quality of life, and tested whether action levels of waist (level 1<80 cm, level 1–2: 80–87.9 cm, level 2≥88 cm) differentiate between women with varying levels of psychosocial distress and quality of life.
SUBJECTS AND MEASUREMENTS: Visceral adipose tissue (VAT) was determined by computerized-tomography at the L4-L5 disc space, and waist circumference, WHR, weight and BMI by anthropometric techniques in a population-based sample of postmenopausal Healthy Women Study participants. Psychosocial distress and quality of life were assessed by standardized tests of personality and behavior. The n varied from 120–345, depending on the research question.
RESULTS: Waist circumference was superior over the other anthropometric measures in predicting VAT accounting for 40.1–63.5% of the variance in VAT over the study period (P<0.001). Associations between symptoms of depression, anxiety or distress, low levels of social support or impaired quality of life with waist circumference were cross-sectional (P<0.04), with lower levels of distress and less impaired daily functioning being characteristic to women at the action level 1 relative to levels 1–2 or 2. Increasing anger over time was associated longitudinally with increasing waist circumference (P<0.03).
CONCLUSIONS: Identification of healthy women with large waist circumferences is important for prevention and intervention of poor quality of life and chronic disease.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Räikkönen, K., Matthews, K. & Kuller, L. Anthropometric and psychosocial determinants of visceral obesity in healthy postmenopausal women. Int J Obes 23, 775–782 (1999). https://doi.org/10.1038/sj.ijo.0800917
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.ijo.0800917
Keywords
This article is cited by
-
Competing priorities: a qualitative study of how women make and enact decisions about weight gain in pregnancy
BMC Pregnancy and Childbirth (2020)
-
Hostility Dimensions and Metabolic Syndrome in a Healthy, Midlife Sample
International Journal of Behavioral Medicine (2020)
-
Body size across the life course and risk of premenopausal and postmenopausal breast cancer in Black women, the Carolina Breast Cancer Study, 1993–2001
Cancer Causes & Control (2014)
-
Waist‐to‐height Ratio and Coronary Artery Disease in Taiwanese Type 2 Diabetic Patients
Obesity (2008)
-
Les 10es Entretiens de nutrition, institut Pasteur de Lille L’obésité, une maladie nutritionnelle ?
Obésité (2008)