Enomoto Mika, Adachi Hisashi, Fukami Ako, Kumagai Eita, Nakamura Sachiko, Nohara Yume, Kono Shoko, Nakao Erika, Morikawa Nagisa, Tsuru Tomoko, Sakaue Akiko, Fukumoto Yoshihiro
Division of Cardiovascular Medicine, Department of Internal Medicine, Kurume University School of Medicine , Kurume , Japan.
Division of Cardiovascular Medicine, Department of Internal Medicine, Kurume University School of Medicine, Kurume, Japan; Department of Community Medicine, Kurume University School of Medicine, Kurume, Japan.
Front Cardiovasc Med. 2017 Feb 2;4:3. doi: 10.3389/fcvm.2017.00003. eCollection 2017.
Accumulation of visceral fat leads to metabolic syndrome and increases risks of cerebro-cardiovascular diseases, which should be recognized and improved at the early stage in general population. Accurate measurement of visceral fat area (VFA) is commonly performed by the abdominal cross-sectional image measured by computed tomography scan, which is, however, limited due to the radiation exposure. The bioelectrical impedance analysis (OMRON, HDS-2000 DUALSCAN) has been recently developed to measure VFA, which is more easily accessible modality. In the present study, we investigated the clinical usefulness of DUALSCAN in 226 subjects who received health examination, including blood chemistries, electrocardiography, cardio, and carotid ultrasonography. VFA was measured within only just 5 min. Average of VFA was 83.5 ± 36.3 cm in men, and 64.8 ± 28.0 cm in women, which was correlated to weight ( = 0.7404, < 0.0001), body mass index (BMI) ( = 0.7320, < 0.0001), and waist circumstance ( = 0.7393, < 0.0001). In multivariate analyses, VFA was significantly associated with weight ( < 0.0001), BMI ( < 0.0001), and waist circumstance ( < 0.0001). Compared to the group of smaller waist and normal BMI, VFA was significantly increased ( < 0.0001) in the group of larger waist and obese subjects. In conclusion, these results indicated that DUALSCAN is useful to measure VFA easily in general population, even in a large number of subjects.
内脏脂肪堆积会导致代谢综合征,并增加心脑血管疾病的风险,这在普通人群中应在早期得到认识和改善。内脏脂肪面积(VFA)的准确测量通常通过计算机断层扫描测量的腹部横断面图像来进行,然而,由于辐射暴露,这种方法存在局限性。生物电阻抗分析(欧姆龙,HDS - 2000 DUALSCAN)最近已被开发用于测量VFA,这是一种更容易获得的方法。在本研究中,我们调查了DUALSCAN在226名接受健康检查的受试者中的临床实用性,检查内容包括血液化学、心电图、心脏和颈动脉超声检查。VFA仅在5分钟内即可测量完成。男性VFA的平均值为83.5±36.3平方厘米,女性为64.8±28.0平方厘米,其与体重(r = 0.7404,P < 0.0001)、体重指数(BMI)(r = 0.7320,P < 0.0001)和腰围(r = 0.7393,P < 0.0001)相关。在多变量分析中,VFA与体重(P < 0.0001)、BMI(P < 0.0001)和腰围(P < 0.0001)显著相关。与腰围较小且BMI正常的组相比,腰围较大和肥胖受试者组的VFA显著增加(P < 0.0001)。总之,这些结果表明DUALSCAN对于在普通人群中轻松测量VFA很有用,即使是在大量受试者中。