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Less waste on waist measurements: Determination of optimal waist circumference measurement site to predict visceral adipose tissue in postmenopausal women with obesity

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Seimon, RV, Wild-Taylor, AL, Gibson, AA, Harper, C, McClintock, S, Fernando, HA, Hsu, MSH, da Luz, FQ, Keating, SE, Johnson, NA, Grieve, SM, Markovic, TP, Caterson, ID, Byrne, NM ORCID: 0000-0001-5310-6640 and Sainsbury, A 2018 , 'Less waste on waist measurements: Determination of optimal waist circumference measurement site to predict visceral adipose tissue in postmenopausal women with obesity' , Nutrients, vol. 10, no. 2 , doi: 10.3390/nu10020239.

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Abstract

With obesity being a leading cause of preventable death, it is vital to understand how best to identify individuals with greater risk of metabolic disease, especially those with high visceral adipose tissue (VAT). This study aimed to determine whether three commonly used waist circumference (WC) measurement sites could provide accurate estimations of VAT, as determined by magnetic resonance imaging (MRI), which is a gold standard for measuring VAT, in postmenopausal women with obesity. VAT volume was measured by MRI of the total abdomen in 97 women aged 57.7 ± 0.4 years (mean ± SEM), mean body mass index 34.5 ± 0.2 kg/m2. WC was measured at the midpoint between the lowest rib and the iliac crest (WCmid), the narrowest point of the torso (WCnarrow), and at the level of the umbilicus (WCumbilicus). WC differed significantly according to measurement site, with WCnarrow (102.1 ± 0.7 cm) mid (108.3 ± 0.7 cm) umbilicus (115.7 ± 0.8 cm) (p mid, WCnarrow and WCumbilicus were all significantly correlated with VAT, as measured by MRI (r = 0.581, 0.563 and 0.390, respectively; p mid or WCnarrowand VAT determined by MRI were stronger than for WCumbilicus. Measurement of either WCmid or WCnarrow provides valid estimates of VAT in postmenopausal women with obesity, with WCnarrow being favoured in light of its greater ease and speed of measurement in this population.

Item Type: Article
Authors/Creators:Seimon, RV and Wild-Taylor, AL and Gibson, AA and Harper, C and McClintock, S and Fernando, HA and Hsu, MSH and da Luz, FQ and Keating, SE and Johnson, NA and Grieve, SM and Markovic, TP and Caterson, ID and Byrne, NM and Sainsbury, A
Keywords: magnetic resonance imaging, obesity, visceral adipose tissue, waist circumference
Journal or Publication Title: Nutrients
Publisher: MDPI Publishing
ISSN: 2072-6643
DOI / ID Number: 10.3390/nu10020239
Copyright Information:

Copyright 2018 the Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/

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