Oka Rie, Miura Katsuyuki, Sakurai Masaru, Nakamura Koshi, Yagi Kunimasa, Miyamoto Susumu, Moriuchi Tadashi, Mabuchi Hiroshi, Yamagishi Masakazu, Takeda Yoshiyu, Hifumi Senshu, Inazu Akihiro, Nohara Atsushi, Kawashiri Masa-aki, Kobayashi Junji
Department of Internal Medicine, Hokuriku Central Hospital, Oyabe 932-8503, Toyama, Japan.
Diabetes Res Clin Pract. 2009 Jan;83(1):100-5. doi: 10.1016/j.diabres.2008.10.001. Epub 2008 Nov 18.
To compare waist circumference (WC) with body mass index (BMI) for the prediction of abdominal adipose tissues in Japanese men and women.
1432 men and 1038 women aged 38-60 years were recruited. WC, BMI, visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) using CT scans were measured.
Women had a lower mean VAT than men (79.3 cm(2) vs. 132.3 cm(2); p<0.001) and a higher mean SAT (196.2 cm(2) vs. 139.7 cm(2); p<0.001). The correlation with WC or BMI was greatest for total adipose tissue (TAT), followed by SAT, and least for VAT. The correlation coefficients were not significantly different between WC and BMI for any adipose tissue except for VAT in men (p<0.05). Age was positively correlated with VAT in both genders (p<0.001). Using multiple regression analyses on VAT, R(2) values using WC and age were 0.45 in men and 0.48 in women. For SAT, the values were 0.57 in men and 0.59 in women.
The relationship with WC or BMI was greatest for TAT and SAT, and least for VAT. WC and BMI provided essentially similar estimates of TAT, VAT, and SAT in both genders.
比较腰围（WC）和体重指数（BMI）对日本男性和女性腹部脂肪组织的预测价值。
招募了1432名年龄在38至60岁之间的男性和1038名女性。测量了WC、BMI、通过CT扫描测得的内脏脂肪组织（VAT）和皮下脂肪组织（SAT）。
女性的平均VAT低于男性（79.3平方厘米对132.3平方厘米；p<0.001），平均SAT高于男性（196.2平方厘米对139.7平方厘米；p<0.001）。总脂肪组织（TAT）与WC或BMI的相关性最强，其次是SAT，与VAT的相关性最弱。除男性的VAT外，任何脂肪组织的WC和BMI之间的相关系数均无显著差异（p<0.05）。年龄与两性的VAT均呈正相关（p<0.001）。对VAT进行多元回归分析，男性使用WC和年龄的R²值为0.45，女性为0.48。对于SAT，男性的值为0.57，女性为0.59。
TAT和SAT与WC或BMI的关系最强，VAT与WC或BMI的关系最弱。WC和BMI对两性的TAT、VAT和SAT提供了基本相似的估计。
