Busetto L, Baggio M B, Inelmen E M, Sergi G, Alfieri P, Enzi G
Istituto di Medicina Interna, Università di Padova.
Minerva Endocrinol. 1990 Jul-Sep;15(3):191-5.
The aim of the study was to assess the relation between the waist to hips ratio (WHR) and the distribution of adipose tissue in visceral or subcutaneous site through the use of CAT. Results are expressed as the ratio of visceral to subcutaneous adipose tissue area (VSR). A total of 61 patients were randomly selected for inclusion in the study. Contrary to normal weight subjects, obese patients did not reveal significant correlations between the two ratios. Following multi-variant analysis in normal weight subjects, WHR appeared to be influenced by sex, BMI and VSR. In patients with prevalently visceral adiposity WHR was determined by sex and VSR, whereas in patients with prevalently subcutaneous adiposity it was influenced by BMI alone. In conclusion, the significant correlations between WHR and tomographic indices of adipose tissue distribution reported in the literature are not present in all types of patient, and in particular are not found in obese patients and normal weight subjects with prevalently subcutaneous adiposity.
本研究的目的是通过使用计算机断层扫描（CAT）评估腰臀比（WHR）与内脏或皮下部位脂肪组织分布之间的关系。结果以内脏与皮下脂肪组织面积比（VSR）表示。总共随机选择了61例患者纳入本研究。与正常体重受试者相反，肥胖患者这两个比值之间未显示出显著相关性。在对正常体重受试者进行多变量分析后，WHR似乎受性别、体重指数（BMI）和VSR影响。在主要为内脏型肥胖的患者中，WHR由性别和VSR决定，而在主要为皮下型肥胖的患者中，它仅受BMI影响。总之，文献中报道的WHR与脂肪组织分布的断层扫描指标之间的显著相关性并非在所有类型的患者中都存在，尤其是在肥胖患者以及主要为皮下型肥胖的正常体重受试者中未发现。
