Busetto L, Baggio M B, Zurlo F, Carraro R, Digito M, Enzi G
Department of Internal Medicine, University of Padova, Italy.
Int J Obes Relat Metab Disord. 1992 Oct;16(10):731-6.
The accuracy of waist to hip girth ratio (WHR) in assessing visceral/subcutaneous abdominal fat distribution has not yet been clearly established in the obese population. The purpose of the present study was to evaluate the relationship between WHR and visceral/subcutaneous fat distribution, both assessed by computerized tomography (CT), in a group of 28 obese patients (15 male, 13 female). Furthermore, 33 normal weight or slightly overweight subjects (23 male, 10 female) were studied as a control group. Obese subjects of both sexes were found to have higher values of WHR than non-obese; conversely visceral:subcutaneous fat area ratio (VSR) values did not differ significantly. Significant correlation between WHR and BMI was present both in males (r = 0.41, P < 0.01) and in females (r = 0.54, P < 0.01). In normal weight males significant correlations between WHR and visceral fat area or VSR were found. In obese males these correlations were much weaker. In normal weight females a significant correlation was found between waist circumference and visceral fat area, whereas in obese females no positive correlations were found between anthropometric measurements and CT indices of visceral fat distribution. In conclusion, WHR cannot be considered as a reliable index of visceral/subcutaneous fat distribution in obese patients, particularly if they are females.
在肥胖人群中，腰臀围比（WHR）评估腹部内脏/皮下脂肪分布的准确性尚未明确确立。本研究的目的是评估一组28例肥胖患者（15例男性，13例女性）中通过计算机断层扫描（CT）评估的WHR与内脏/皮下脂肪分布之间的关系。此外，将33例体重正常或轻度超重的受试者（23例男性，10例女性）作为对照组进行研究。发现肥胖的男性和女性的WHR值均高于非肥胖者；相反，内脏：皮下脂肪面积比（VSR）值没有显著差异。男性（r = 0.41，P < 0.01）和女性（r = 0.54，P < 0.01）的WHR与BMI之间均存在显著相关性。在体重正常的男性中，发现WHR与内脏脂肪面积或VSR之间存在显著相关性。在肥胖男性中，这些相关性要弱得多。在体重正常的女性中，腰围与内脏脂肪面积之间存在显著相关性，而在肥胖女性中，人体测量指标与内脏脂肪分布的CT指标之间未发现正相关。总之，WHR不能被视为肥胖患者内脏/皮下脂肪分布的可靠指标，尤其是肥胖女性。
