A comparison of ultrasound and magnetic resonance imaging to assess visceral fat in the metabolic syndrome
Visceral adipose tissue (VAT) plays a key role in the metabolic syndrome. Easy detection of VAT could be an important tool to increase understanding of the metabolic syndrome. To study the relationship between the area of the inferior part of the perirenal fat (AIPPF) and anthropometric, imaging and cardiovascular risk factors of metabolic syndrome, seventy two subjects with metabolic syndrome were recruited including 44 men and 28 women (age:26-68 yr). Each subject underwent ultrasound detection of AIPPF, intraabdominal fat thickness and magnetic resonance imaging (MRI) to calculate abdominal VAT (MRI VAT). Anthropometric and cardiovascular risk factors were also evaluated. AIPPF measured by ultrasonography demonstrated excellent reproducibility.Receiver operating characteristic analysis revealed that AIPPF has the best sensitivity for women, specificity for men and accuracy of the various measures to predict visceral obesity (MRI VAT value ≥110 cm2) for both genders. AIPPF was related to MRI VAT, ultrasound measured intraabdominal fat, waist circumference, the ratio of waist and hip circumferences (of men), body mass index and the main cardiovascular risk factors of metabolic syndrome. Multiple stepwise linear regression analysis suggested that MRI VAT affected AIPPF independent of other investigated obesity indices. This study showed that AIPPF could be applied as an easy and reliable imaging indicator of visceral obesity and cardiovascular risk factors in the metabolic syndrome.
perirenal fat ultrasound visceral adipose tissue metabolic syndrome cardiovascular risk factors
Weikun Gong Wanjun Yu Huilong Ren Hongzhang Tong Xiaoyin Shen Jianping Luo Shuting Chen Jingbo Lai Xinyi Chen Hongwei Chen
Department of Endocrinology and Metabolism, Yinzhou Peoples Hospital, Ningbo, China Central Laboratory, Yinzhou Peoples Hospital, Ningbo, China Department of Radiology, Yinzhou Peoples Hospital, Ningbo, China Department of Endocrinology and Metabolism, Lihuili Hospital, Ningbo University, Ningbo, China Department of Ultrasonography, Yinzhou Peoples Hospital, Ningbo, China
国际会议
国际营养科学联盟第八届临床营养学大会暨第五届亚太临床营养学会大会
杭州
英文
339-345
2006-10-01(万方平台首次上网日期,不代表论文的发表时间)