van der Kooy K, Seidell J C
Department of Human Nutrition, Wageningen Agricultural University, The Netherlands.
Int J Obes Relat Metab Disord. 1993 Apr;17(4):187-96.
The measurement of fat distribution has become an important issue in obesity research. Numerous techniques have been developed to assess visceral fat because this fat seems to be most strongly associated with metabolic disorders. This review focuses on methods for the direct and indirect assessment of visceral fat ranging from multiple-scan computerized tomography to anthropometric measurements. The principles of techniques, their accuracy and reproducibility as well as aspects of costs and safety are discussed. Comparison of the different methods shows that imaging techniques, such as computerized tomography and magnetic resonance imaging, are the optimal techniques available for accurate assessment of visceral fat. Methods other than imaging techniques have limited potential in the measurement of changes in visceral fat deposition. Anthropometric measurements can be useful to classify subjects into different types of fat distribution for diagnosis of abdominal obesity, and for general application in epidemiological studies. The choice of a particular technique should be based on a balance of practical and financial considerations and the aim of the study. Involvement of ionizing radiation exposure may be an important element in the decision-making process.
脂肪分布的测量已成为肥胖研究中的一个重要问题。人们已开发出多种技术来评估内脏脂肪，因为这种脂肪似乎与代谢紊乱的关联最为紧密。本综述聚焦于从多层螺旋计算机断层扫描到人体测量学等直接和间接评估内脏脂肪的方法。文中讨论了这些技术的原理、准确性、可重复性以及成本和安全性等方面。不同方法的比较表明，诸如计算机断层扫描和磁共振成像等成像技术是准确评估内脏脂肪的最佳可用技术。非成像技术在测量内脏脂肪沉积变化方面潜力有限。人体测量学可用于将受试者分类为不同类型的脂肪分布，以诊断腹部肥胖，并在流行病学研究中广泛应用。特定技术的选择应基于实际和财务考量以及研究目的之间的平衡。电离辐射暴露的影响可能是决策过程中的一个重要因素。
