Lemieux S, Prud'homme D, Tremblay A, Bouchard C, Després J P
Lipid Research Center, Laval University Medical Research Center, Québec, Canada.
Int J Obes Relat Metab Disord. 1996 Jul;20(7):618-24.
To investigate the association between either increases or decreases in visceral adipose tissue and changes in anthropometric indices in a group of 32 women studied over a 7-y period.
32 women aged 35.1 +/- 5.4 (SD) years at baseline.
Waist and hip circumferences, body fat mass (hydrostatic weighing) and viscera adipose tissue (computed tomography) were measured at baseline and at follow-up.
Waist girth, waist-to-hip ratio, sagittal diameter and visceral adipose tissue area were all significantly higher at follow-up than at baseline (p < 0.05). Changes in visceral adipose tissue area were strongly correlated to changes in waist girth, hip girth, sagittal diameter and body fat mass (0.80 < or = r < or = 0.91 p < 0.0001). However, the association between changes in waist-to-hip ratio and those in visceral adipose tissue area was of low magnitude (r = 0.35; p = 0.05). Partial correlation analyses showed that the association between changes in visceral adipose tissue area and changes in either waist girth (p < 0.01) or sagittal diameter (p < 0.0001) remained significant even after control for 7-y variation in total body fatness.
Results of the present study suggest that changes in visceral adipose tissue accumulation that occur with age in women are better predicted by changes in waist girth or sagittal diameter than by changes in waist-to-hip ratio.
在一组历经7年研究的32名女性中，调查内脏脂肪组织增加或减少与人体测量指数变化之间的关联。
32名女性，基线时年龄为35.1±5.4（标准差）岁。
在基线和随访时测量腰围、臀围、体脂量（水下称重法）和内脏脂肪组织（计算机断层扫描）。
随访时腰围、腰臀比、矢状径和内脏脂肪组织面积均显著高于基线时（p<0.05）。内脏脂肪组织面积的变化与腰围、臀围、矢状径和体脂量的变化密切相关（0.80≤r≤0.91，p<0.0001）。然而，腰臀比变化与内脏脂肪组织面积变化之间的关联程度较低（r = 0.35；p = 0.05）。偏相关分析表明，即使在控制了全身脂肪7年的变化后，内脏脂肪组织面积变化与腰围变化（p<0.01）或矢状径变化（p<0.0001）之间的关联仍然显著。
本研究结果表明，对于女性随年龄增长而发生的内脏脂肪组织蓄积变化，腰围或矢状径的变化比腰臀比的变化更能有效预测。
