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肥胖日本男性减肥后估算内脏脂肪组织体积的最佳单一切面测量部位。

Best single-slice measurement site for estimating visceral adipose tissue volume after weight loss in obese, Japanese men.

机构信息

Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577, Japan.

出版信息

Nutr Metab (Lond). 2012 Jun 14;9:56. doi: 10.1186/1743-7075-9-56.

Abstract

BACKGROUND

Although the measurement site at L4-L5 for visceral adipose tissue (VAT) has been commonly accepted, some researchers suggest that additional upper sites (i.e., L1-L2 and L2-L3) are useful for estimating VAT volume. Therefore, determining the optimum measurement site remains challenging and has become important in determining VAT volume. We investigated the influence of a single-slice measurement site on the prediction of VAT volume and changes in VAT volume in obese Japanese men.

METHODS

Twenty-four men, aged 30-65 years with a mean BMI of 30 kg/m2, were included in a 12-week weight loss program. We obtained continuous T1-weighted abdominal magnetic resonance images from T9 to S1 with a 1.5-T system to measure the VAT area. These VAT areas were then summed to determine VAT volume before and after the program.

RESULTS

Single-slice images at 3-11 cm above L4-L5 had significant and high correlations with VAT volume at baseline (r=0.94-0.97). The single-slice image with the highest correlation coefficient with respect to VAT volume was located at 5 cm above L4-L5 (r=0.97). The highest correlation coefficient between the individual changes in VAT area and changes in VAT volume was located at 6 cm above L4-L5 (r=0.90).

CONCLUSIONS

Individual measurement sites have different abilities to estimate VAT volume and changes in VAT volume in obese Japanese men. Best zone located at 5-6 cm above L4-L5 may be a better predictor of VAT volume than the L4-L5 image in terms of both baseline and changes with weight loss.

摘要

背景

尽管 L4-L5 节段已被广泛用于测量内脏脂肪组织(VAT),但一些研究人员认为额外的上节段(即 L1-L2 和 L2-L3)对于估计 VAT 体积也很有用。因此,确定最佳的测量部位仍然具有挑战性,并且对于确定 VAT 体积变得很重要。我们研究了单点测量部位对肥胖日本男性 VAT 体积预测和 VAT 体积变化的影响。

方法

我们纳入了 24 名年龄在 30-65 岁、平均 BMI 为 30kg/m2 的男性,他们参与了为期 12 周的减重计划。我们使用 1.5-T 系统从 T9 到 S1 连续获得腹部 T1 加权磁共振图像,以测量 VAT 面积。然后将这些 VAT 面积相加,以确定减重计划前后的 VAT 体积。

结果

L4-L5 上方 3-11cm 的单点图像与基线时的 VAT 体积具有显著的高度相关性(r=0.94-0.97)。与 VAT 体积相关性最高的单点图像位于 L4-L5 上方 5cm(r=0.97)。与 VAT 面积个体变化与 VAT 体积变化之间相关性最高的是 L4-L5 上方 6cm(r=0.90)。

结论

在肥胖的日本男性中,单点测量部位对 VAT 体积和 VAT 体积变化的估计能力不同。最佳区域位于 L4-L5 上方 5-6cm,与基线和减重时的变化相比,可能比 L4-L5 图像更能预测 VAT 体积。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b95f/3433363/e3e0159ca7ee/1743-7075-9-56-1.jpg

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