Impact of the Visceral Fat Area Measured by Dual Impedance Method on the Diagnostic Components of Metabolic Diseases in a Middle-aged Japanese Population

Koji Sakamaki; Yuko Maejima; Yoshiharu Tokita; Yasuhiro Masamura; Kensuke Kumamoto; Masako Akuzawa; Nobuo Nagano; Katsuyuki Nakajima; Kenju Shimomura; Seiichi Takenoshita; Yohnosuke Shimomura

doi:10.2169/internalmedicine.55.6088

ORIGINAL ARTICLES

Impact of the Visceral Fat Area Measured by Dual Impedance Method on the Diagnostic Components of Metabolic Diseases in a Middle-aged Japanese Population

Koji Sakamaki, Yuko Maejima, Yoshiharu Tokita, Yasuhiro Masamura, Kensuke Kumamoto, Masako Akuzawa, Nobuo Nagano, Katsuyuki Nakajima, Kenju Shimomura, Seiichi Takenoshita, Yohnosuke Shimomura

Author information

Koji Sakamaki
Centre for Health Control, Hidaka Hospital, Japan
Yuko Maejima
Department of Electrophysiology and Oncology, Fukushima Medical University School of Medicine, Japan
Yoshiharu Tokita
Department of Laboratory Sciences, Gunma University Graduate School of Health Sciences, Japan
Yasuhiro Masamura
Centre for Health Control, Hidaka Hospital, Japan
Kensuke Kumamoto
Department of Organ Regulatory Surgery, Fukushima Medical University School of Medicine, Japan
Masako Akuzawa
Centre for Health Control, Hidaka Hospital, Japan
Nobuo Nagano
Centre for Health Control, Hidaka Hospital, Japan
Katsuyuki Nakajima
Centre for Health Control, Hidaka Hospital, Japan
Kenju Shimomura
Department of Electrophysiology and Oncology, Fukushima Medical University School of Medicine, Japan
Seiichi Takenoshita
Department of Organ Regulatory Surgery, Fukushima Medical University School of Medicine, Japan
Yohnosuke Shimomura
Centre for Health Control, Hidaka Hospital, Japan

Keywords: metabolic syndrome, visceral fat, subcutaneous fat, body composition monitor

JOURNAL OPEN ACCESS

2016 Volume 55 Issue 13 Pages 1691-1696

DOI https://doi.org/10.2169/internalmedicine.55.6088

Details

Abstract

Objective The aim of this study was to examine the associations between the visceral fat area (VFA) and the subcutaneous fat area (SFA) as estimated by the dual impedance method with a body composition monitor (BCM) and the diagnostic components of metabolic syndrome in a middle-aged Japanese population. Methods The subjects included 303 men (average age 51.3±9.0 years old) and 345 women (average age 40.0±9.4 years old). The VFA and SFA were estimated by BCM, and the associations among the components of metabolic syndrome (waist circumference, blood pressure and related blood sample tests) were evaluated. Results VFA showed positive correlations with waist circumference, HbA1c, high-density lipoprotein (HDL)/low-density lipoprotein (LDL) cholesterol, triglyceride and uric acid level in men, while showing positive correlations with waist circumference, HDL cholesterol, triglyceride and HbA1c in women. The estimated SFA showed positive correlations with systolic blood pressure, HDL/LDL cholesterol and triglyceride in men, and HDL cholesterol and triglyceride in women. A receiver operating characteristic (ROC) analysis showed the estimated VFA to be as effective as WC to identify subject with metabolic syndrome. Conclusion By estimating the VFA using BCM, it may be possible to identify patients at risk of developing metabolic syndrome and hyperuricemia.

Corresponding author

Register with J-STAGE for free!