Abdominal Adiposity Assessed by Dual Energy X-Ray Absorptiometry Provides a Sex-Independent Predictor of Insulin Sensitivity in Older Adults

Abstract

WHR is not associated with S(I) in either men or women. Abdominal adiposity measured by DXA L1-L4 fat mass provides a sex-independent predictor of S(I) in older men and women.

Body composition, metabolic syndrome and insulin resistance in type 1 diabetes mellitus

“…Android fat region is an estimate of central fat, while gynoid fat region correlates with peripheral fat. Android fat region has been shown to contain a relative high proportion of intra-abdominal fat and has been validated as a good indirect method of visceral fat prediction (17)(18)(19)(20)(21)(22).…”

“…Regional fat distribution measured by DEXA as gynoid fat and android fat positively correlates with central and peripheral fat measured by MRI, respectively. This technique has been validated as a precise indirect method of visceral abdominal fat determination, with the advantage of having a cost lower than that of CT and MRI and no need of contrast media (17)(18)(19)(20)(21)(22).…”

Relationship of abdominal obesity measured by DXA and waist circumference with insulin sensitivity in Hispanic and non‐Hispanic white individuals: The San Luis Valley Diabetes Study

“…Studies that have considered the association of the DXA ROI and cardiovascular disease (CVD) and diabetes risk factors have found varying results [12][13][14][15][16]. A study among men and women found the DXA ROI (measured L1-L4) was more predictive of insulin sensitivity than waist index, BMI as well as other DEXA measures (including percent body fat) after controlling for sex [16].…”

“…A study among men and women found the DXA ROI (measured L1-L4) was more predictive of insulin sensitivity than waist index, BMI as well as other DEXA measures (including percent body fat) after controlling for sex [16].…”

Utilização de medidas antropométricas para a avaliação do acúmulo de gordura visceral

“…Atualmente, sabe-se que o tecido adiposo não representa apenas o maior reservatório de energia no organismo, mas também um órgão com múlti-plas funções e, dependendo dos locais nos quais há deposição de gordura, diferentes respostas biológicas são observadas 2 . Embora as relações de causa e efeito não tenham sido totalmente estabelecidas, as evidências disponíveis indicam que a gordura visceral possui um efeito deletério sobre distintos parâ-metros metabólicos e hemodinâmicos, representando um elo importante entre as diversas facetas da síndrome metabólica 3 , como a resistência à insulina 4 , a intolerância à glicose 5,6 , a hipertensão arterial e as dislipidemias 7 .…”