Actualización. Alternative Strategies for Assessing Central Adiposity

  • Loretta W. Hoover
Palabras clave: Tejido adiposo central, Adiposidad Central, Circunferencia de cintura, Diámetro sagital abdominal

Resumen

A medida que nos aproximamos al nuevo milenio, se observa en todo el mundo un incremento en las tasas de incidencia de las enfermedades crónicas. Específicamente, la adipocidad central, se reconoce como un aspecto del Síndrome Metabólico, que predispone a los individuos a las enfermedades crónicas. de tejido adiposo en la región abdominal, usualmente involucra un aumento en el tejido adiposo profundo y visceral. La determinación del riesgo que conlleva tener un incremento en el tejido adiposo visceral y la adiposidad central, ha llevado a evaluar diversos métodos para detectar la cantidad de adiposidad abdominal. Las técnicas de evaluación de la composición corporal regional han sido desarrolladas para tamizar el incremento de riesgo para el Síndrome Metabólico. Estas técnicas incluyen mediciones antropométricas, índices de medición antropométrica y técnicas de imagen, que permiten la determinación de la cantidad de tejido adiposo subcutáneo y visceral. La circunferencia de la cintura y el diámetro sagital abdominal, son las técnicas antropométricas preferidas para evaluar adiposidad central en los adultos. El umbral de los valores para la circunferencia de la cintura y el diámetro sagital, requiere evaluación posterior para determinar cuáles puntos de corte representan riesgo de sufrir enfermedades crónicas en diferentes grupos de población e individuos con estaturas diferentes.
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Kissebah AH, Vydelingum N, Murray R, Evans DJ, Hartz AA, Kalkhopp RK. J Glin Endocrinol Metab 1982; 54:254-260.

Bjorntorp, P. Abdominal obesity and the metabolic syndrome. Ann Med 1992; 24:465-468.

Yarbrough DE, Barrett-Gonnor E, Kritz-Silverstein D, Wingard DL. Birth weight, adult weight, and girth as predictors of the metabolic syndrome in postmenopausal women: the Rancho Bernardo Study. Diabetes Gare 1998;21 :1652-1658.

Sjorntorp, P. Visceral fat accumulation: the missing link between psychosocial factors and cardiovascular disease? J lntem Med 1991 ;230:195-201.

Pouliot MC, Oespres JP, Lemineux S, Moorjani S, Souchard C, Tremblay A et al. Waist circumference and abdominal sagittal diameter: Best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardia/1994;73:460-468.

Han TS, van Leer EM, Seidell JC, Lean MEJ. Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. Br J Nutr 1995;311 :1401-1405.

Williams MJ, Hunter GR, Kekes-Szabo T, Snyder S, Treuth, MS. Regional fat distribution in women and risk of cardiovascular disease. Am J C/in Nufr 1997;65:855-860.

Sattar N, Tan CE, Han TS, Forster L, Lean ME, Shepherd J, Packard CJ Associations of indices of adiposity with atherogenic lipoprotein subfractions. lnt J Obes 1998;22:432-439.

Gaudet O, Vohl MC, Perron P, Tremblay G, Gagne C, Lesiege O et al. Relationships of abdominal obesity and hyperinsulinemia to angiographically assessed coronary artery disease in men with known mutations in the LOL receptor gene. Gircu/afian 1998;97:871-877.

Clifton PM, Noakes M, Nestel PJ. LOL particle size and LOL and HOL cholesterol changes with dietary fat and cholesterol in healthy subjects. J Lipid Res 1998;39:1799-1804.

Rexrode KM, Carey VJ, Hennekens CH, Walters EE, Golditz GA, Stampfer MJ et al. Abdominal adiposity and coronary heart disease in women. J Am Med Assoc 1998;280:1843-1848.

Tanaka H., Clevenger,CM, Jones PP, Seals OR, OeSouza CA Influence of body fatness on the coronary risk profile of physically active postmenopausal women. Mefab G/in Exp 1998;47:1.112-1.120.

Williams PT. Relationships of heart disease risk factors to exercise quality and intensity. Arch tnt Med 1998;158:237-245.

Cox SO, Whichelow MJ, Prevost AT. The development of cardiovascular disease in re/afian to anfhropmefric indices and hypertensian in Brifish adu/fs. lnt J Obes 1998;22:966-973.

Sowers M, Sigler C. Complex relation between increasing fat mass and decreasing high density lipoprotein cholesterol levels: evidence from a population-based study of pre-menopausal women. Am J Epidemio/ 1999; 149:4 7-5423-5432.

Rissanen P, Hamalainen P, Vanninen E, Tenhunen-Eskelinen M, Uusitupa M. Relationship of metabolic variables to abdominal adiposity measured by different anthropometric measurements and dual-energy X-ray absorptiometry in obese middle-aged women. tnt J Obes 1998;21 :367-371.

Rantala AO, Kauma H, Lilja M, Savolainen MJ, Reunanen A, Kesaniemi YA. Prevalence of the metabolic syndrome in drug-treated hypertensive patients and control subjects. J /ntern Med 1999;245:163-174.

Bjorntorp, P. Metabolic complications of body fat distribution. Diabetes Care 1991;14:1.132-1.143.

Carey DG, Jenkins AB, Campbell LV, Freund J, Chisholm DJ Abdominal fat and insulin resistance in normal and overweight women: direct measurements reveal a strong relationship in subjects at both low and high risk of NIDDM. Diabetes 1996;45:633-638.

Seidell JC, Han TS Feskens EJ, Lean ME. Narrow hips and broad waist circumferences independently contribute to increased risk of non-insulindependent diabetes mellitus. J /ntern Med 1997;242:401-406.

Han TS, Feskens EJ, Lean ME, Seidell JC. Associations of ·body composition with type 2 diabetes mellitus. Diabetic Med 1998;15:129-135.

Lean MEJ, Han TS, Seidell JC. Impairment of health and quality of life in people with large waist circumference. Laneet 1998;9106:853-856.

Smedman AE, Gustafsson 1, Berglund LG, Vessby BO. Pentadecanoic acid in serum as a markerfor intake of milk fat: relations between intake of milk fat and metabolic risk factors. Am J C/in Nutr 1999;69:22-29.

Singh RB, Rastogi V, Rastogi SS, Niaz M, Beegom R. Effect of diet and moderate exercise on central obesity and associated disturbances, myocardial infarction and mortality in patients with and without coronary artery disease. J Am ColI Nutr 1996;15:592-601,.

Narayan KM, Hoskin M, Kozak D, Krisk, .., Pettit, DJ, Nagi DK. Randomized clinical trialof lifestyle interventions in Pima Indians: a pilot study. Diabetie Med 1998;15:66-72.

Simmons D, Fleming C, Voyle J, Fou F, Feo S, Gatland B. A pilot urban church-based programme to reduce risk factors for diabetes among Western Samoans in New Zealand. Diabetie Med 1998;15:136-142.

Pasman WJ, Saris WH, Muls E, Vansant G, Westerterp-Plantenga MS. Effect of exercise training on long-term weight maintenance in weight-reduced men. Metab: C/in Exp 1999; 48:15-21.

Pescatello LS, Murphy D. Lower intensity physical activity is advantageous for fat distribution and blood glucose among viscerally obese older adults. Med Sei Sporis Exere 1998;39:1. 408-1. 413.

Murphy MH, Hardman AE Training effects of short and long bouts of brisk walking in sedentary women. Med Sei Sporls Exere 1998;30:152-157.

Han TS, Bijnen FC, Lean ME, Seidell JC. Separate associations ofwaist and hip circumference with lifestyle factors. /nternat J Epidemio/1998;27:422-430.

Williams PT. Evidence for the incompatibility of age-neutral overweight and age-neutral physical activity standards from runners. Am J Clin Nutr 1997;65:1.391-1.396.

Ellaway A, Anderson A, Macintyre S. Does area of residence affect body size and shape? Internat J Obe 1997;21 :304-308.

Van Gaal LF, Wauters MA, Peiffer FW, De Leeuw IH. Sibutramine and fat distribution: is there a role for pharmacotherapy in abdominal/visceral fat reduction? InternatJ Obes 1998;22(Suppl 1):S38-S40.

Mostaza JM, Vega GL, Snell P, Grundy SM. Abnormal metabolism offree fatty acids in hypertriglyceridaemic men: apparent insulin resistance of adipose tissue. J Inter Med 1998;243:265-274.

Van der Kooy K, Seidell JC. Techniques for the measurement of visceral fat: a practical guide. Internat J Obes 1993;17:187-196.

Sjostrom L, Kvist H, Cederblad A, Tylen U. Determination of adipose tissue and body fat in women by computed tomography, 4°K, and tritium. Am J Physiol 1986;250 (EndocrinoIMetabo/13):E763-E745.

Armellini F, Zamboni M, Robbi R, Todesco T, Rigo L, Bergamo-Andreis lA et al.. Total and intra-abdominal fat measurements by ultrasound and computerized tomography. InternatJ Obes 1993;17:209-214.

Kvist H, Chowdhury B, Grangard U, Tylen U, Sjostrom L. Total and visceral adipose tissue volumes derived from measurements with computed tomography in adult men and women: predictive equations. AmJ Clin Nutr1988;48:1351-1361.

Hoover LW, Boote EJ, Hillard AE, Thomas TR, Firman JD, Hewett JE et al. Abdominal fFat assessment in postmenopausal women receiving hormone replacement therapy. In: Ellis KJ and Eastman JD, eds.: _Human Body Composition: in vivo methods, models, and assessment. New York: Plenum;1993:215-218.

Seidell JC, Bakker CJG, Van der Kooy K. Imaging techniques for measuring adipose-tissue distribution ? a comparison between computed tomography and 1.5-T magnetic resonance. Am J Clin Nutr 1990;51 :953-957.

Han TS, Kelly lE, Walsh K, Greene RM, Lean ME. Relationship between volumes and areas from single transverse scans of intra-abdominal fat measured by magnetic resonance imaging. Internat J Obes 1997;21 :1. 161-1. 166.

Abate N, Garg A, Coleman R, Grundy SM, Peshock RM. Prediction of total subcutaneous abdominal, intraperitoneal, and retroperitoneal adipose tissue masses in men by a single axial magnetic resonance imaging slice. Am J Clin Nutr 1997;65:403-408.

Gallagher D, Ruts E, Visser M., Heshika S, Baumgartner R, Wang J et al. Weight stability masks body composition changes in elderly men: Visceral fat increase and lean tissue loss. FASEB J 1999;13(Part II:A):1022.

Molarius A, Seidell JC. Selection of anthropometric indicators for classification of abdominal fatness? a critical review. Internat J Obes 1998;22:719-727.

Hartz AJ, Rupley DC, Rimm AA. The association of girth measurements with disease in 32,856 women. Am J Epidemio/1984:119:71-80.

Kaaks R, Van Noord PA, Den Tonkelaar 1,Peeters PJH, Riboli E, Grobbee DE. Breast-cancer incidence in relation to height, weight, and body fat distribution in the Dutch "DOM" cohort. Interna J Cancer 1998;76:647-651.

Houmard JA, Wheeler WS, McCammon MR, Wells JM, Truitt N, Hamad SF et al. An evaluation of waist to hip ratio measurement methods in relation to lipid and carbohydrate metabolism. Internat J Obes 1991 ;15:181-188.

Van der Kooy K, Leenen R, Seidell JC, Deurenberg P, Droop A, Gakker CJG. Waist-hip ratio is a poor predictor of chanqes in visceral fat. Am J Clin Nutr 1993;57:327-333.

Taylor RW, Keil D, Gold EJ, Williams SM, Goulding A. Body mass index, waist girth, and waist-to-hip ratio as indexes of total and regional adiposity in women: evaluation using receiver operating characteristic curves. Am J Clin

Nutr 1998;67:44-49.

Zamboni M, Turcato E, Armellini F, Kahn HS, Zivelonghi A, Santana H et al. Sagittal abdominal diameter as a practical predictor of visceral fat. Internat J Obes 1998;22:655-660.

Lemieux S, Prudhornrnme D, Tremblay A, Bouchard C, Despres JP. Anthropometric correlates to changes in visceral adipose tissue over 7 years in women. Internat J Obes 1996;20:618-624.

Schoen RE, Thaete FL,.Sankey SS, Weissfeld JL, Kuller LH. Sagittal diameter in comparison with a single slice CT as a predictor of total visceral adipose tissue volume. Internat J Obes 1998;22:338-342.

Han TS, Richmond P, Avenell A, Lean ME. Waist circumference reduction and cardiovascular benefits during weight loss in women. Internat J Obes 1997;21 :127-134.

Lean MEJ, Han TS, Morrison CEo Waist circumference as a measure for indicating the need for weight management. Br J Nutr 1995;311 :158-161.

Chumlea WC, Kuczmarski RJ. Using a bony landmark to measure waist circumference. (Letter) J Am Diet Assoc 1995;95:12.

Carson CA, Meilahn EN, Caggiula AW. Comparison of waist measurements: A methodologic issue in longitudinal studies. J Am Diet Assoc 1998;98:771-772.

Roberts CA, Wilder LB, Jackson RT, Moy TF, Becker DM. Accuracy of self-measurement of waist and hip circumference in men and women. J Am Diet Assoc 1997;97:534-536.

Weaver TW, Kushi LH, McGovern PG, Potter JD, Rich SS, King RA et al. Validations study of self-reported measures of fat distribution. /nternat J Obes1996;20:644-650.

Han TS, Lean ME. Self-reported waist circumference compared with the Waist Watcher? tape-measure to identify individuals at increased health risk through intra-abdominal fat accumulation. Br J Nutr 1998;80:81-88.

Conway JM, Chanetsa FF, Wang P Intraabdominal adipose tissue and anthropometric surrogates in African American women with upper- and lowerbody obesity. AmJ C/in Nutr 1997;66:1.345-1.351.

Vanltallie TB. Waist circumference: a useful index in clinical care and health promotion. Nutr Rev1998;56:300-302.

Lemieux S, Prudhornrne D, Bouchard C, Tremblay A, Despres JP. A single threshold value of waist girth identifies normal-weight and overweight subjects with excess visceral adipose tissue. Am J Clin Nutr 1996;64:685-693.

Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: The evidence reporto National Heart, Lung, and Blood,lnstitute, Nationallnstitutes of Health. Jun 1998.

Ko GT, Chan JC, Woo J. Cockram CS. Waistcircumference as a screening measurement for overweight or centrally obese Chino Internat J Obes 1996;20:791-792.

Vanltallie TB. Yang MU, Heymsfield SB, Funk RC, Boileau RA. Heightnormalized indices of the body?s fat-free and fat mass: potentially useful indicators of nutritional status. Am J Clin Nutr 1990;52:953-959.

Han TS, Seidell JC, Currall JEP. Morrison CEo Deurenberg P, Lean MEJ. The influences of height and age on waist circumference as an index of adiposity in adults. /nternat J Obes 1997;21 :83-87.

Han TS, McNeill G, Seidell JC, Lean MEJ. Predicting intra-abdominal fatness from anthropometric measures: the influence of stature. /nternat J Obes 1997;21 :587-593.

Han TS, Hooper JP, Morrison CEo Lean ME. Skeletal proportions and metabolic disorders in adults. Europ J C/in Nutr 1997;51 :804-809.

Spurr GB, Reina JC, Li SK, Orozco B, Dunfour DL. Body composition of colombian women. Am J Clin Nutr 1994;60:279-285.

Ashwell M, Cole TJ, Dixon AK. Ratio of waist circumference to height is strong predictor of intra-abdominal fat. (Letter) Br Med J 1996;313:559-560.

Cox BD, Whichelow MJ. Ratio of waist circumference to height is better predictor of death than body mass index. (Letter) Br Med J 1996;313:1. 487.

Sasaki A. Obesity and its complications observed in health examinations: introduction of ACI as an index of type of obesity. Diabetes Res C/in Pract 1990;10:S137-S143.

Valdez R, Seidell JC, Ahn YI, Weiss KM. A new index of abdominal adiposity as an indieator of risk for eardiovaseular disease. A eross-population study. tnternet J Obes 1993;17:77-82.

Roubenoff R, Wilson PWF. Advantage of knee height over height as an index of stature in expression of body eomposition in adults. Am J Clin Nutr 1993;57:609-613.

Hoover LW. Evaluation of knee height as a basis for anthropometrie indiees in females. (Abstraet) FASEB J 1998;12:A868.

Hoover LW, Krause GF. Waist eireumferenee, stature and body mass index in healthy females. (Abstraet) FASEB J 1997;13:A261.

Hoover LW, 800te EJ, Thomas TR: Comparison of intraabdominal fat in postmenopausal women: three-year follow-up. (Abstraet) FASEB J 1997;11:A591.

Hoover LW, 800te EJ, Thomas TR: Indexing abdominal fat to stature: intraabdominal fat to knee height ratio (IAKR). (Abstraet) FASEB J 10:A209.

Publicado
2019-03-21
Cómo citar
Hoover L. W. (2019). Actualización. Alternative Strategies for Assessing Central Adiposity. Perspectivas En Nutrición Humana, (1), 71-90. Recuperado a partir de https://revistas.udea.edu.co/index.php/nutricion/article/view/337949
Sección
Artículos de Investigación