Sagittal Abdominal Diameter does not Predict Metabolic Traits Better than Waist Circumference-Related Measures of Abdominal Obesity in Obese Subjects

Zazai, Runa; Wilms, Britta; Ernst, Barbara; Keppler, Rahel; Thurnheer, Martin; Schmid, Sebastian; Schultes, Bernd

doi:10.1055/s-0043-121568

Cited by 7 publications

(2 citation statements)

References 42 publications

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“…Among many of the mechanisms of abdominal obesity, chronic inflammation, cell apoptosis, energy imbalance, and gut microbial enterotypes can result in an excessive accumulation of adipose tissue. [ 35 , 36 ] It is possible that moxibustion treatments could lead to the inhibition of inflammatory, promotion of energy metabolism, and reduction of pro-inflammatory cytokines. It has been shown that the clinical effects of moxibustion may encompass neural modulation, anti-inflammatory, immunity enhancement, and acceleration effects of the metabolism.…”

Section: Discussionmentioning

confidence: 99%

Moxibustion combined with characteristic lifestyle intervention of Traditional Chinese Medicine in the treatment of abdominal obesity

et al. 2020

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Background: Abdominal obesity occurs when excessive visceral and subcutaneous fat is built up around the abdomen and stomach, which negatively impacts human health. Moxibustion, arose from Traditional Chinese Medicine (TCM), has been widely applied in the treatment of abdominal obesity. Several studies have shown the positive effects of moxibustion in prevention and treatment of endocrine issues and excess body weight. In this context, our study aims to examine the safety and efficacy of the combination of moxibustion and characteristic lifestyle intervention of TCM in the treatment of abdominal obesity. Methods/design: This study will be a multicenter, randomized, controlled trial conducted from September 2020 to January 2022 that includes 150 participants who have abdominal obesity and meet the eligibility criteria. The participants will be randomly divided into 3 groups in a 2:2:1 allocation ratio. The intervention group will receive moxibustion combined with characteristic lifestyle intervention of TCM; the other group will receive moxibustion combined with lifestyle intervention; the control group will receive lifestyle intervention only. Eight-week moxibustion sessions will be provided to participants assigned to the 2 intervention groups. The characteristic lifestyle intervention of TCM will also last 8 weeks, whereas the lifestyle intervention will last 12 weeks including 8-week treatment period, 4-week follow-up period. The primary outcome is the waist circumference measured by a tape measure. The secondary outcomes include obesity-related indicators, serum biochemical indexs, blood pressure, conversion score of physical symptoms, and measurement of the scale. Adverse events will be recorded during the treatment and follow-up period. Discussion: The results are expected to provide clinical evidence for the application of the combination of moxibustion and characteristic lifestyle intervention of TCM in patients with abdominal obesity. Trial registration: ClinicalTrials.gov, NCT04501198, Registered on 9 June 2020.

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Section: Discussionmentioning

confidence: 99%

Moxibustion combined with characteristic lifestyle intervention of Traditional Chinese Medicine in the treatment of abdominal obesity

et al. 2020

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“…One obstacle to broadening the usage of these anthropometric parameters is that the parameters are not always consistent in predicting CVD [16]. A recent study showed that SAD is not more advantageous in predicting metabolic traits than WC, and the study also found that there is gender difference in the correlation between WC, BMI, SAD, and CVD [17]. Previous studies have indicated the essential role of gender in CVD development.…”

Section: Introductionmentioning

confidence: 99%

Gender-Difference in the Association Between Anthropometric Parameters and the Risk Factors of Cardiovascular Diseases in Rural Chinese People: The Handan Eye Study

Liu

Hao

Cao

et al. 2020

Preprint

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Background Body mass index (BMI), waist circumference (WC), waist to hip ratio (WHR), waist/hip/height ratio (WHHR), sagittal abdominal diameter (SAD), and SAD/height ratio (SADHR) are all anthropometric tools used to categorize obesity status. This study aimed to determine associations between different anthropometric indices and the risk of cardiovascular disease (CVD) in Chinese rural areas. Methods The Handan Eye Study is a population-based, longitudinal study. In total, 6830 participants, aged 30 years or older, participated in the baseline study (HES-1). Among them, 5394 subjects of the 6323 survivors (follow-up rate: 85.3%) took part in the 6-year follow-up study (HES-2). As a new anthropometric parameter, SAD was added into HES-2. Meanwhile total cholesterol, high-density lipoprotein protein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), and other biochemical data were recorded. This cross-sectional study analyzed these anthropometric obesity indices and correlations with CVD. Prevalence of metabolic syndrome (MS) was used as the indicator of CVD. Results Among the 5394 patients in this study, multivariate analysis revealed higher BMI and WC in women compared to men (24.61 vs. 23.66, p < 0.0001). SAD, WHR, and WHHR showed a smaller correlation to CVD risk factors when compared with other anthropometric parameters. WC and SADHR were more effective predictors of CVD and MS. In men, BMI exhibited a greater proportionality to high-TG (0.693) and hypertension (0.593) and SADHR showed a correlation to low-HDL (0.561) as well as high-glucose (0.664). WC and SADHR were the most effective diagnostic parameters in women. Conclusions Within a rural Chinese population, women were observed to be comparatively more overweight than men. SADHR and BMI serve as effective indicators of CVD and MS in men, whereas SADHR and WC are more effective indicators of CVD and MS in women. Age and gender affect anthropometric obesity indices and correlations with CVD.

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Adipositas bei Erwachsenen – Prävalenz, Bedeutung und Implikationen für die Prävention und Gesundheitsförderung

Wilms¹,

Schmid²

2019

Springer Reference Pflege – Therapie – Gesundheit

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Sagittal Abdominal Diameter does not Predict Metabolic Traits Better than Waist Circumference-Related Measures of Abdominal Obesity in Obese Subjects

Abstract: Data show various associations between anthropometric measures of abdominal obesity and metabolic traits in obese women but overall much less in obese men. Most metabolic traits are better predicted by WC than by SAD.

Cited by 7 publications

References 42 publications

Moxibustion combined with characteristic lifestyle intervention of Traditional Chinese Medicine in the treatment of abdominal obesity

Moxibustion combined with characteristic lifestyle intervention of Traditional Chinese Medicine in the treatment of abdominal obesity

Gender-Difference in the Association Between Anthropometric Parameters and the Risk Factors of Cardiovascular Diseases in Rural Chinese People: The Handan Eye Study

Adipositas bei Erwachsenen – Prävalenz, Bedeutung und Implikationen für die Prävention und Gesundheitsförderung

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