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通过超声检查评估腹部肥胖:意大利人群参考标准的“袖珍”数据库。

Abdominal adiposity by ultrasonography: a "pocket" database for reference standard in Italian people.

作者信息

Bazzocchi Alberto, Ponti Federico, Diano Danila, Moio Antonio, Albisinni Ugo, Pasquali Renato, Battista Giuseppe

机构信息

Department of Specialized, Diagnostic, and Experimental Medicine, University of Bologna, Sant'Orsola - Malpighi Hospital, Via G. Massarenti 9, 40138 Bologna, Italy; Diagnostic and Interventional Radiology, "Rizzoli" Orthopaedic Institute, Via G. C. Pupilli 1, 40136 Bologna, Italy.

Department of Specialized, Diagnostic, and Experimental Medicine, University of Bologna, Sant'Orsola - Malpighi Hospital, Via G. Massarenti 9, 40138 Bologna, Italy.

出版信息

Prim Care Diabetes. 2014 Dec;8(4):358-64. doi: 10.1016/j.pcd.2014.02.003. Epub 2014 Mar 15.

Abstract

AIMS

To provide a reference standard database of ultrasonographic parameters of abdominal adiposity in healthy people.

METHODS

Italian non-obese volunteers among blood donors were enrolled in 5 age bands (from 18 to 70 year-old) to reach the threshold of 25 males and 25 females per single band (total: 250). All subjects were measured for weight, height and waist circumference and underwent ultrasonography (US) by an expert radiologist for the assessment of several abdominal fat thicknesses (minimum and maximum subcutaneous fat thickness, maximum preperitoneal fat thickness, intrabdominal fat thickness, aorto-mesenteric thickness, and mesenteric fat thickness). In addition, US data were normalized per waist circumference.

RESULTS

From 30s to 50s no statistically significant differences were achieved between males and females for the adiposity markers of visceral fat, while a relevant divergence was proved from 60s to 70s. During ageing a marked increase of the visceral fat compartment was observed in males, while only the preperitoneal circumference was significantly modified in females.

CONCLUSIONS

This paper reports on US parameters of abdominal adiposity of healthy Italian adults, to be used as a reference for daily clinical practice. Data could be also considered as control group for future investigations on physiology, pathological conditions, and differences between countries.

摘要

目的

提供健康人群腹部肥胖超声参数的参考标准数据库。

方法

招募意大利献血者中的非肥胖志愿者,分为5个年龄组(18至70岁),每个年龄组达到25名男性和25名女性的阈值(共250人)。测量所有受试者的体重、身高和腰围,并由专业放射科医生进行超声检查,以评估多个腹部脂肪厚度(最小和最大皮下脂肪厚度、最大腹膜前脂肪厚度、腹内脂肪厚度、主动脉-肠系膜厚度和肠系膜脂肪厚度)。此外,超声数据按腰围进行标准化。

结果

在30岁至50岁之间,男性和女性在内脏脂肪肥胖标志物方面没有统计学上的显著差异,而在60岁至70岁之间则出现了明显差异。在衰老过程中,男性内脏脂肪隔明显增加,而女性只有腹膜前周长有显著变化。

结论

本文报告了健康意大利成年人腹部肥胖的超声参数,可作为日常临床实践的参考。这些数据也可作为未来生理学、病理状况及国家间差异研究的对照组。

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