Evaluation of whole-abdominal fat volume by 700-slice CT scanning and comparison with the umbilical fat area anthropometric indices

Furukawa, Kentaro; Katabami, Takuyuki; Nakajima, Yasuo; Sato, Tomoko; Kato, Hiroyuki; Koganei, Rieko; Asai, Shiko; Matsui, Tomoya; Sata, Yukiyoshi; Kawata, Takehiro; Kondo, Akihiko; Ohta, Akio; Tanaka, Yasushi

doi:10.1016/j.orcp.2009.10.001

Cited by 16 publications

(19 citation statements)

References 19 publications

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“…This coincides with the findings of Furukawa et al [10] in Japan and Berker et al [1] in Turkey. In Korea, Yu et al [2] found that, although the average body FM of overweight elementary school boys was higher than that of girls and the average FFM of girls was higher than that of boys, the differences were insignificant.…”

Section: Discussionsupporting

confidence: 93%

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Total and Intra-Abdominal Fat Distribution in Obese Adolescents Using Different Techniques: Anthropometry, BIA and CT

2012

Maced J Med Sci

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Objectives: Assess the association between the anthropometric measurements of obesity, body composition with total and regional fat areas determined by CT in obese adolescents.Patients and method: 33 obese adolescents and 20 control group were assessed using anthropometry and body composition. CT measured total abdominal, subcutaneous and visceral fat areas.Results: Anthropometric, body composition and CT findings of fat content were significantly higher in obese adolescents. Visceral obesity estimated by CT in obese adolescents was significantly higher than control group (66.7 % vs. 15 %,). In obese subjects, total abdominal and subcutaneous fat had a significant positive correlation with BMI, waist, hip circumferences and Fat mass, while visceral fat had a significant positive correlation with total abdominal fat and waist circumference. In control subjects, total abdominal and subcutaneous fat had a significant positive correlation with BMI, waist, hip measurements, waist / hip ratio and fat free mass, while visceral fat had a significant positive correlation with BMI, waist, hip measurements, waist/ hip ratio, FM, PBF and total abdominal fat. Conclusion:CT is useful for diagnosis of visceral abdominal obesity in both obese and non obese subjects. Waist circumference is a good predictor of total abdominal, subcutaneous and visceral fat in obese adolescents.

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Section: Discussionsupporting

confidence: 93%

“…In the WHO MONICA study, the degree of overweight was reflected by the WC and not by the WHR. The WC has better sensitivity and utility over WHR as an anthropometric measurement of obesity [10].…”

Section: Discussionmentioning

confidence: 99%

Total and Intra-Abdominal Fat Distribution in Obese Adolescents Using Different Techniques: Anthropometry, BIA and CT

2012

Maced J Med Sci

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“…Of these, we found that WC was the only significant indicator of VAT volume in children (beta 5 0.970, p , 0.001). Previous studies 15,29 carried out on adult populations also report that WC is strongly correlated with VAT volume. WC is an easy measurement to perform and can be performed with simple measuring tape or via cross-sectional imaging.…”

Section: Discussionmentioning

confidence: 76%

“…13 It has been suggested that the gold standard measurement protocol is contiguous CT images from T10-T11 to L5-S1, but owing to time and radiation exposure, measurements are typically performed on a single CT image at L4-L5 or at the level of the umbilicus. [14][15][16] Growing evidence suggests that this may not be the most suitable slice location and that a slice $5 cm above L4-L5 should be used for VAT measurement in adults. 17,18 The single-slice location for VAT quantification used in adults may not be applicable to paediatric patients owing to the varying patterns of fat distribution between children and adults.…”

Section: Introductionmentioning

confidence: 99%

“…Anthropometric measurements are non-invasive, easy, quick and cheap to perform. 21 Studies 15,22 have shown that BMI measures and waist : height ratios are not associated with VAT and, therefore, should not be used as VAT measures. The correlation between WC, SD and abdominal VAT volume has not yet been established in a paediatric population.…”

Section: Introductionmentioning

confidence: 99%

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Best single-slice location to measure visceral adipose tissue on paediatric CT scans and the relationship between anthropometric measurements, gender and VAT volume in children

O’Connor

Ryan

Foley

2015

BJR

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Objective: Visceral adipose tissue (VAT) is a significant risk factor for obesity-related metabolic diseases. This study investigates (1) the best single CT slice location for predicting total abdominal VAT volume in paediatrics and (2) the relationship between waist circumference (WC), sagittal diameter (SD), gender and VAT volume. Methods: A random sample of 130 paediatric abdomen CT scans, stratified according to age and gender, was collected. Three readers measured VAT area at each intervertebral level between T12 and S1 using ImageJ analysis (National Institute of Health, Bethesda, MD) software by thresholding 2190 to 230 HU and manually segmenting VAT. Single-slice VAT measurements were correlated with total VAT volume to identify the most representative slice. WC and SD were measured at L3-L4 and L4-L5 slices, respectively. Regression analysis was used to evaluate WC, SD and gender as VAT volume predictors. Results: Interviewer and intraviewer reliability were excellent (intraclass correlation coefficient 5 0.99). Although VAT measured at multiple slices correlated strongly with abdominal VAT, only one slice in females at L2-L3 and two slices in males at L1-L2 and L5-S1 were strongly correlated across all age groups. Linear regression analysis showed that WC was strongly correlated with VAT volume (beta 5 0.970, p , 0.001). Conclusion: Single-slice VAT measurements are highly reproducible. Measurements performed at L2-L3 in females and L1-L2 or L5-S1 in males were most representative of VAT. WC is indicative of VAT. Advances in knowledge: VAT should be measured at L2-L3 in female children and at either L1-L2 or L5-S1 in males. WC is a strong indicator of VAT in children. INTRODUCTIONThe prevalence of obesity has increased dramatically over the past 30 years and was recently described by the World Health Organization as a "global epidemic".1 In 1980, 7% of children aged 6-11 years were obese compared with nearly 18% in 2012. Similarly, the percentage of adolescents aged 12-19 years who were obese increased from 5% to almost 21% over the same period.2 The Centers for Disease Control (CDC) and Prevention classifies overweight children as those with a body mass index (BMI) over the 85th percentile and obese children as those with BMI over the 95th percentile relative to a child's age and sex. Currently, more than one-third of children and adolescents are overweight or obese, related to the sex-specific CDC BMI-for-age growth charts from 2000.

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Validation of a DIXON-based fat quantification technique for the measurement of visceral fat using a CT-based reference standard

et al. 2018

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Evaluation of whole-abdominal fat volume by 700-slice CT scanning and comparison with the umbilical fat area anthropometric indices

Cited by 16 publications

References 19 publications

Total and Intra-Abdominal Fat Distribution in Obese Adolescents Using Different Techniques: Anthropometry, BIA and CT

Total and Intra-Abdominal Fat Distribution in Obese Adolescents Using Different Techniques: Anthropometry, BIA and CT

Best single-slice location to measure visceral adipose tissue on paediatric CT scans and the relationship between anthropometric measurements, gender and VAT volume in children

Validation of a DIXON-based fat quantification technique for the measurement of visceral fat using a CT-based reference standard

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