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Nutrients. 2015;7(12):10513-24.

Comparison of Abdominal Visceral Adipose Tissue Area Measured by Computed Tomography with That Estimated by Bioelectrical Impedance Analysis Method in Korean Subjects.

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제1저자 이동화, 박경선 · 교신저자 임수

PMID 26694460 PMC4690100 DOI 10.3390/nu7125548 IF 5.8 내분비대사내과
소속 (12)
  1. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. roroko0902@gmail.com.
  2. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. yurica514@gmail.com.
  3. Division of Statistics, Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam 13620, Korea. ahnsoyeon@gmail.com.
  4. Department of Internal Medicine, Chungbuk National University Hospital, Cheongju 28644, Korea. eujeong.ku@gmail.com.
  5. Department of Internal Medicine, Eulji University Hospital, Seoul 01830, Korea. yeun6486@gmail.com.
  6. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. twinstar7@naver.com.
  7. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. kyoungmin02@gmail.com.
  8. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. jaemoon76@gmail.com.
  9. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. drshchoi@snu.ac.kr.
  10. Department of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, Korea. ksparkmd@gmail.com.
  11. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. janghak@snu.ac.kr.
  12. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. limsoo@snu.ac.kr.

Abstract

We evaluated the concordance between visceral fat area (VFA) estimated by bioelectrical impedance analysis (BIA) or computed tomography (CT) in Korean subjects with a wide range in age and body mass index (BMI). In 1006 individuals (mean age 55.2 ± 11.8 (19-87) years, mean BMI 26.0 ± 3.5 (17-46) kg/m², 48.9% men), VFA quantified by CT was compared with VFA using multifrequency BIA machines within 15 days. Concordance rates were compared by age or BMI using correlation analysis, Bland-Altman plots, and intraclass correlation coefficient (ICC). Using BIA data, we established a regression formula to reflect CT-VFA. The mean VFAs by CT and BIA were 131.9 ± 57.3 cm² and 110.5 ± 33.9 cm², respectively (r = 0.605, p < 0.001). The mean difference was 21.4 ± 45.6 cm², tending to increase with BMI. In women with BMI <25 kg/m² or age <50 years, the VFAs by BIA were similar to those by CT (ICC = 0.496 in BMI <25 kg/m² and ICC = 0.638 in age <50 years). However, the difference was greater in men with BMI ≥25 kg/m² or age ≥50 years. Applying our formula, the difference between estimations decreased to 0.2 ± 38.2cm². VFA estimated by BIA correlated well with that by CT, but a more accurate formula is needed to match CT data, particularly in older men or subjects with a high BMI.

Keywords

Koreanbioelectrical impedancecomputed tomographyvisceral fat area

Figures

Figure 1
Figure 1 Correlation between VFA measured by CT and VFA estimated by BIA (A) and Bland-Altman plot for comparing the two methods (B).
Figure 2
Figure 2 Differences in VFA between CT and BIA methods according to BMI (A) and subjects age (B).
Figure 3
Figure 3 Calibration plots of prediction model in men (A) and women (B).
Figure 4
Figure 4 Correlation between VFA measured by CT and VFA estimated by BIA (A) and Bland-Altman plot for comparison between two methods (B) in subjects who performed CT and BIA within seven days.

그림 출처: PubMed Central 공개 논문 (PMC4690100)

그 밖의 정보
출판 형태
Comparative Study, Journal Article
저널
Nutrients · eISSN 2072-6643
전자 출판
2015-12-16
MeSH
Adiposity* · Adult · Aged · Aged, 80 and over · Alanine Transaminase / blood · Asian People · Aspartate Aminotransferases / blood · Body Composition · Body Mass Index · Cholesterol, HDL / blood · Cholesterol, LDL / blood · Creatinine / blood · Cross-Sectional Studies · Electric Impedance* · Female · Humans · Intra-Abdominal Fat* · Linear Models · Male · Middle Aged · Republic of Korea · Tomography, X-Ray Computed* · Young Adult
Substances
Cholesterol, HDL · Cholesterol, LDL · Creatinine · Aspartate Aminotransferases · Alanine Transaminase
참고문헌
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