Proposed cut‐off values of the waist circumference for metabolic syndrome based on visceral fat volume in a Japanese population

Abstract

Aim/IntroductionWaist circumference (WC) is the most important parameter for diagnosis of metabolic syndrome. The present study was carried out to obtain optimal WC cut‐off values for diagnosis of metabolic syndrome in a Japanese population based on the measurement of total intra‐abdominal visceral fat volume (VFV), which could be expected to reflect visceral obesity more precisely than visceral fat area.Materials and MethodsA total of 405 Japanese persons undergoing health screening were investigated. visceral fat volume was calculated from the data in 700–800 computed tomography slices from the top of the liver to the floor of the pelvic cavity. Then, receiver operating characteristic analysis was used to determine the cut‐off value of the VFV/height ratio. Subsequently, the corresponding WC value was obtained by linear regression analysis.ResultsThe cut‐off value of the VFV/height ratio was 2,317 cm3/m in men and 1,425 cm3/m in women. The sensitivity and specificity of the ratio were 52.9 and 86.4% in men vs 63.4 and 82.2% in women, respectively. The corresponding cut‐off value of WC was 86.0 cm in men and 80.9 cm in women.ConclusionsThe proposed cut‐off values of WC for metabolic syndrome are 85 cm in Japanese men and 80 cm in Japanese women.

Recurrent stone‐forming patients have high visceral fat ratio based on computed tomography images compared to first‐time stone‐forming patients

“…These include atherosclerosis and erectile dysfunction . In addition, VFV was reported to be a more appropriate indicator of visceral obesity because the maximal VFA was not at the umbilicus but was widely distributed from L1 to L5 . However, to our knowledge, few studies have been conducted to evaluate the association of urinary stone disease and the various fat parameters described above.…”

“…3,13 In addition, VFV was reported to be a more appropriate indicator of visceral obesity because the maximal VFA was not at the umbilicus but was widely distributed from L1 to L5. 5,14,15 However, to our knowledge, few studies have been conducted to evaluate the association of urinary stone disease and the various fat parameters described above. We defined VFVR as {VFV/(VFV + SFV)} 9 100 by applying the concept of VFAR, namely visceral fat ratio of areal parameters, to volumetric parameters.…”

Liraglutide Reduces Visceral and Intrahepatic Fat Without Significant Loss of Muscle Mass in Obese Patients With Type 2 Diabetes: A Prospective Case Series

“…Imaging data were transferred to a workstation for analysis of the abdominal fat volume. Visceral fat volume (VFV) and subcutaneous fat volume (SFV) were calculated by using SYNAPSE VINCENT® software (Fuji Film, Tokyo, Japan) [12]. Proton magnetic resonance spectroscopy ( 1 H-MRS) was performed as described previously [13].…”

<p>The Effect of Visceral Abdominal Fat Volume on Oxidative Stress and Proinflammatory Cytokines in Subjects with Normal Weight, Overweight and Obesity</p>

“…Some studies used computed tomography to settle cutoff points of VAF in the Japanese population. 27,28 More recently, different cutoff scores of VAF were established for men (≥599 cm 3 ) and women (≥399 cm 3 ) as a predictor for systolic blood pressure ≥130 mmHg in healthy young European population using DEXA method. 29 In our study, VAF volume values differ from those reported in Japanese and European populations.…”