Abdalla Mona Mohamed Ibrahim, Soon S C
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Endocr Regul. 2017 Oct 26;51(4):185-192. doi: 10.1515/enr-2017-0019.
Body fat content, fat distribution, and adiponectin level are important variables in the development of obesity related complications. Anthropometric indices may provide an economic and faster method in measuring the risk for complications through their predictive effect of fat distribution and adiponectin concentration. We aimed to determine, which of the waist circumference (WC), waist-to-hip ratio (WHR), and body mass index (BMI) may be the best predictor for the total fat percentage (WF), visceral fat level (VF), and subcutaneous whole-body fat (SCWBF). We aimed also to investigate the potential use of the anthropometric measures and fat distribution as predictors for the salivary adiponectin level in the healthy adult males.
A total of 88 adult males aged between 18-25 years with a wide range of BMI were studied. Anthropometric indices were measured using standardized methods and salivary adiponectin level was assessed using an enzyme-linked immunosorbent assay.
In path analysis of the Structural Equation Model (SEM) using IBM@SPSS AMOS, version22, BMI and WC, but not WHR, were strong predictors for WF and SCWBF (p<0.05). BMI but not WC was a strong predictor for VF (p<0.001). WF was strong predictor for SCWBF (p<0.001), but not for VF. BMI, WC, WHR, WF, VF, and SCWBF were poor predictors of the salivary adiponectin level.
BMI is the best predictor for the total body fat and fat distribution. However, WHR seems to be of a little value and the salivary adiponectin level independent of BMI and body fat in healthy adult Malay males.
体脂含量、脂肪分布和脂联素水平是肥胖相关并发症发生发展的重要变量。人体测量指数可通过其对脂肪分布和脂联素浓度的预测作用,为测量并发症风险提供一种经济且快速的方法。我们旨在确定腰围(WC)、腰臀比(WHR)和体重指数(BMI)中哪一个可能是总脂肪百分比(WF)、内脏脂肪水平(VF)和皮下全身脂肪(SCWBF)的最佳预测指标。我们还旨在研究人体测量指标和脂肪分布作为健康成年男性唾液脂联素水平预测指标的潜在用途。
共研究了88名年龄在18 - 25岁之间、BMI范围广泛的成年男性。使用标准化方法测量人体测量指数,并使用酶联免疫吸附测定法评估唾液脂联素水平。
在使用IBM@SPSS AMOS 22版进行的结构方程模型(SEM)路径分析中,BMI和WC(而非WHR)是WF和SCWBF的强预测指标(p<0.05)。BMI(而非WC)是VF的强预测指标(p<0.001)。WF是SCWBF的强预测指标(p<0.001),但不是VF的强预测指标。BMI、WC、WHR、WF、VF和SCWBF对唾液脂联素水平的预测能力较差。
BMI是全身脂肪和脂肪分布的最佳预测指标。然而,在健康成年马来男性中,WHR似乎价值不大,且唾液脂联素水平独立于BMI和体脂。