Impact of the Visceral Fat Area Measured by Dual Impedance Method on the Diagnostic Components of Metabolic Diseases in a Middle-aged Japanese Population

• Published in: Internal Medicine Vol. 55; no. 13; pp. 1691 - 1696
• Main Authors: Sakamaki, Koji, Maejima, Yuko, Tokita, Yoshiharu, Masamura, Yasuhiro, Kumamoto, Kensuke, Akuzawa, Masako, Nagano, Nobuo, Nakajima, Katsuyuki, Shimomura, Kenju, Takenoshita, Seiichi, Shimomura, Yohnosuke
• Format: Journal Article
• Language: English
• Published: Japan The Japanese Society of Internal Medicine 01-01-2016
• Subjects: Adult; Blood Pressure; Body Composition; body composition monitor; Body Mass Index; Electric Impedance; Female; Glycated Hemoglobin A; Humans; Intra-Abdominal Fat - physiopathology; Lipids - blood; Male; metabolic syndrome; Metabolic Syndrome - physiopathology; Middle Aged; Risk Factors; ROC Curve; subcutaneous fat; Subcutaneous Fat - physiopathology; visceral fat; Waist Circumference - physiology
• ISSN: 0918-2918; 1349-7235
• DOI: 10.2169/internalmedicine.55.6088

Objective The aim of this study was to examine the associations between the visceral fat area (VFA) and the subcutaneous fat area (SFA) as estimated by the dual impedance method with a body composition monitor (BCM) and the diagnostic components of metabolic syndrome in a middle-aged Japanese population. Methods The subjects included 303 men (average age 51.3±9.0 years old) and 345 women (average age 40.0±9.4 years old). The VFA and SFA were estimated by BCM, and the associations among the components of metabolic syndrome (waist circumference, blood pressure and related blood sample tests) were evaluated. Results VFA showed positive correlations with waist circumference, HbA1c, high-density lipoprotein (HDL)/low-density lipoprotein (LDL) cholesterol, triglyceride and uric acid level in men, while showing positive correlations with waist circumference, HDL cholesterol, triglyceride and HbA1c in women. The estimated SFA showed positive correlations with systolic blood pressure, HDL/LDL cholesterol and triglyceride in men, and HDL cholesterol and triglyceride in women. A receiver operating characteristic (ROC) analysis showed the estimated VFA to be as effective as WC to identify subject with metabolic syndrome. Conclusion By estimating the VFA using BCM, it may be possible to identify patients at risk of developing metabolic syndrome and hyperuricemia.