Measuring Abdominal Visceral Fat Thickness With Sonography: A Methodologic Approach

Woldemariam, Mulubrhan M.; Evans, Kevin D.; Butwin, Angela N.; Pargeon, Rachel L.; Volz, Kevin R.; Spees, Colleen

doi:10.1177/8756479317747210

Cited by 10 publications

(11 citation statements)

References 19 publications

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“…Furthermore, the odds of obtaining a LAP >80.74 was 6.79 times higher in individuals with visceral fat ≥ 5 cm compared to that in B -Clinical Sciences Cardiology than central obesity [22]. Clinicians are encouraged to use BMI and WC as monitoring tools for assessment of obesity in adults and children [19]. WC is better than BMI in evaluating visceral fat distribution and in anticipating CVD [22].…”

Section: Resultsmentioning

confidence: 99%

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Lipid Accumulation Product as an Index for Visceral Obesity and Cardiovascular Risk among a Sample of Obese Egyptian Women

Hassan

El-Masry

El-Saeed

et al. 2021

Open Access Maced J Med Sci

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Background:Lipid accumulation product (LAP) is one of the indices that can demonstrate cardiovascularrisk factors according to international studies. Aim: To evaluate relationship between LAP, visceral obesity and different cardio vascular risk factors among sample of obese Egyptian Women. Methods: A retrospective cross-sectional observational study included 350 obese Egyptian women; aged 25- 55 years. They were subjected to blood pressure and anthropometric assessment (weight, height and waist circumference), abdominal ultrasound (visceral fat) and laboratory tests (fasting blood sugar and lipid profile).Results: The majority of the participated women had wide WC (88.9%) and increased visceral fat (80.6%). Hyperglycemia was present among (47.4%), hypertension among 42.6%, high triglycerides among 26.6% and low HDL among 44.3%. The odds of obtaining LAP >80.74 cm.mmol/L (4th quartile) is 2.7 times higher in individuals with hypertension(BP > 130/85),and 6.79 times higher in individuals with visceral fat ≥ 5 cm. Depending on the visceral fat as a standard for classification of visceral obesity (>5 cm for women), revealed that the AUCs of LAP was 0.752 (95% CI 0.697–0.806) in women. The cutoff point of LAP;for prediction of visceral obesity among Egyptian women, was 61.69; using ROC analysis; with sensitivity 68% and specificity 75% and PPV/NPV 1.05 and accuracy 71.5% .Conclusion: LAP index had significant correlations with visceral obesity and hypertension. The cutoff point of LAP 61.69 can be used to predict visceral obesity among Egyptian women.

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Section: Resultsmentioning

confidence: 99%

“…Obesity is a significant public health problem with a reduced quality of life, multiple comorbidities, and multicausal mortality [19]. The frequency of obesity related cardiovascular risk factors has significantly increased both in developing and developed countries [20].…”

Section: Discussionmentioning

confidence: 99%

Lipid Accumulation Product as an Index for Visceral Obesity and Cardiovascular Risk among a Sample of Obese Egyptian Women

Hassan

El-Masry

El-Saeed

et al. 2021

Open Access Maced J Med Sci

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“…14 The relationship between these variables has been explored by several researchers. 9,11,15 Kim et al 14 conducted a study containing 240 men and 106 diabetic patients who had DMS measurements of visceral fat taken and compared to the prevalence of cardiovascular disease, dyslipidemia, and metabolic syndrome. Men whose visceral fat measured in the middle to high quartile were found to have greater a prevalence of cardiovascular disease, hypertriacylglycerolemia, low-HDL cholesterolemia, and metabolic syndrome than those in a lower quartile.…”

Section: Discussionmentioning

confidence: 99%

The Potential for Using Sonography to Measure Abdominal Adiposity in Children

Stigall

Evans

Hunter

et al. 2019

Journal of Diagnostic Medical Sonography

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According to the Centers for Disease Control and Prevention (CDC), the percentage of obesity in children and adolescents has more than tripled since the 1970s. 1 The prevalence of obesity among children in the United States has reached rates of 13.9%, 18.4%, and 20.6% in children ages 2 to 5 years, 6 to 11 years, and 12 to 18 years, respectively. 2 The prevalence of overweight obese adults and children has become a national public health crisis, affecting over 13 million children and adolescents across the United States. 2 The increased rates of childhood obesity have put these individuals at risk for chronic health conditions, diseases, and pathologies. 1 The increasing rate of childhood obesity will also increase the likelihood of adult obesity and associated comorbidities, including but not limited to type 2 diabetes, fatty liver, glucose intolerance, and increased incidence of metabolic conditions in youth. 3 Obesity is a major determinant for cardiovascular disease and a risk factor for type 2 diabetes. The progression of type 2 diabetes typically begins with the accumulation of abdominal adiposity or abdominal obesity. 4 In addition, childhood obesity is associated with increased risk for atherosclerosis and mortality due to adult cardiovascular disease, regardless of an adult's weight. 5 To define obesity in children, the CDC uses age-and sex-specific body mass index (BMI) percentiles. Size and growth patterns of children and adolescents are used 834929J DMXXX10.

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“…DMS postexamination measurements were taken at the xiphoid, umbilicus, and the waist to determine the depth of adiposity as outlined by previous investigators. [8][9][10][11][12] At each location, subcutaneous fat and visceral fat were measured (see Figures 3 and 4). All image analyses were completed by a credentialed abdominal sonographer with 35 years of experience.…”

Section: Sonography Protocolmentioning

confidence: 99%

“…6 Nonetheless, studies have been published using DMS for the purpose of measuring abdominal adipose. 8–11 Perhaps the Hamagawa et al 11 study was the most seminal as it looked at the ability of sonographically measured visceral fat to predict metabolic syndrome in a cohort of patients. Besides BMI, WC, and other biomarkers, DMS was compared with coronary angiography for predictive value.…”

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confidence: 99%

Abdominal Adiposity Measured by Sonography as a Tool for Determining Disease Risk

Stigall

Evans

Tatarski

et al. 2018

Journal of Diagnostic Medical Sonography

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A preexperimental cohort study was conducted with 67 overweight cancer survivors. This cohort of participants was screened for baseline body composition and anthropometrics based on a variety of techniques, including body mass index (BMI), dual X-ray absorptiometry-percentage body fat (DXA-android %BF), diagnostic medical sonography (DMS), and waist circumference (WC). The combination of subcutaneous fat layer at the xyphoid and umbilicus compared with BMI, WC, and DXA-android %BF. These variables demonstrated moderately positive association and were statistically significant. A total maximum mean score of DMS measures of subcutaneous and visceral fat was also compared with BMI, WC, and DXA-android %BF. The aforementioned comparison had a moderately positive association and was statistically significant. The sonographic measure of mesentery fat was compared with WC and demonstrated a strongly positive strength of association and was statistically significant. Sonography may be an inexpensive, noninvasive, portable, and valid body composition measure for overweight patients.

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Measuring Abdominal Visceral Fat Thickness With Sonography: A Methodologic Approach

Cited by 10 publications

References 19 publications

Lipid Accumulation Product as an Index for Visceral Obesity and Cardiovascular Risk among a Sample of Obese Egyptian Women

Lipid Accumulation Product as an Index for Visceral Obesity and Cardiovascular Risk among a Sample of Obese Egyptian Women

The Potential for Using Sonography to Measure Abdominal Adiposity in Children

Abdominal Adiposity Measured by Sonography as a Tool for Determining Disease Risk

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