Armellini F, Zamboni M, Rigo L, Bergamo-Andreis I A, Robbi R, Vicentini R, De Marchi M, Formentini G, Bosello O
Istituto di Clinica Medica, Università di Verona.
Minerva Endocrinol. 1991 Jan-Mar;16(1):21-5.
Various methods to assess lean and fat body masses and abdominal-visceral adipose tissue were compared in 26 obese women on extremely hypocaloric diets. The following anthropometric parameters were measured before and after 15 days of extreme calorie restriction: arm circumference (A), waist circumference (W), hip circumference (H) and thigh circumference (T); W/H, W/T, A/H and A/T ratios; subcutaneous biceps , triceps , subscapular, abdominal and thigh folds; echographic thickness of abdominal muscle-aorta; area of visceral (VAT), total (AT) and subcutaneous adipose tissue measured using computed tomography, lean and fat body masses assessed by impedance measurement. Under standard conditions it was shown that echography, like impedance measurement, was the most useful method for assessing lean and fat body masses in obese subjects, whereas plicometry was not found reliable. On extremely hypocaloric diets, echography is able to assess the variations of lean and fat body masses, whereas impedance measurement overestimated the lean body mass. Localisation indexes of visceral fat based on body circumferences were shown not to be suitable for the evaluation of changes in visceral adipose tissue, at least when these were slight. Echography was also the most useful method to assess slight changes in visceral adipose tissue.
在26名采用极低热量饮食的肥胖女性中，对评估瘦体重、脂肪量和腹部内脏脂肪组织的各种方法进行了比较。在极端热量限制15天前后，测量了以下人体测量参数：上臂围（A）、腰围（W）、臀围（H）和大腿围（T）；腰臀比（W/H）、腰大腿比（W/T）、臂臀比（A/H）和臂大腿比（A/T）；肱二头肌、肱三头肌、肩胛下、腹部和大腿的皮下褶厚度；腹部肌肉-主动脉的超声厚度；使用计算机断层扫描测量的内脏脂肪组织（VAT）、总脂肪组织（AT）和皮下脂肪组织面积，通过阻抗测量评估的瘦体重和脂肪量。在标准条件下，结果表明，与阻抗测量一样，超声检查是评估肥胖受试者瘦体重和脂肪量最有用的方法，而褶测量法不可靠。在极低热量饮食情况下，超声检查能够评估瘦体重和脂肪量的变化，而阻抗测量高估了瘦体重。基于身体周长的内脏脂肪定位指数被证明不适用于评估内脏脂肪组织的变化，至少在变化轻微时如此。超声检查也是评估内脏脂肪组织轻微变化最有用的方法。
