Abdominal circumference measurement by ultrasound does not enhance estimating the association of visceral fat with cardiovascular risk

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dc.contributor.author Seibert, Helena [UNIFESP]
dc.contributor.author Pereira, Aline Maria Luiz [UNIFESP]
dc.contributor.author Ajzen, Sergio Aron [UNIFESP]
dc.contributor.author Nogueira, Paulo Cesar Koch [UNIFESP]
dc.date.accessioned 2016-01-24T14:31:09Z
dc.date.available 2016-01-24T14:31:09Z
dc.date.issued 2013-02-01
dc.identifier http://dx.doi.org/10.1016/j.nut.2012.06.014
dc.identifier.citation Nutrition. New York: Elsevier B.V., v. 29, n. 2, p. 393-398, 2013.
dc.identifier.issn 0899-9007
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/35892
dc.description.abstract Objectives: To evaluate the association between visceral fat and cardiovascular risk factors and to compare the ultrasonographic measurements of abdominal visceral fat with abdominal circumference (AC).Methods: This observational cross-sectional study categorized pubertal and postpubertal adolescents into a control group (n = 49) and an obese group (n = 46). Weight, height, AC, blood pressure, biochemical tests (lipid profile, triacylglycerols, fasting glucose for insulinemia, and serum uric acid), and ultrasound to measure visceral fat were assessed.Results: We found significant differences in the vascular risk variables between the groups, except for total cholesterol and fasting blood glucose level. We also observed that 31 subjects in the control group presented abnormalities in cardiovascular risk factors. the correlations between abdominal visceral fat (measured by ultrasound or the AC) and cardiovascular risk factors were significant. in the entire sample, AC presented better sensitivity and specificity than the ultrasound-measured abdominal visceral fat for identifying the presence of a cluster of at least three cardiovascular risk factors (areas under the receiver operating characteristics curve 0.87 and 0.73, respectively).Conclusion: Ultrasonographic measurements of visceral fat were correlated with cardiovascular risk factors, but this association was also demonstrable with AC measurements. Our results suggest that the measurement of visceral fat by ultrasound is unnecessary for the diagnosis of cardiovascular risk in well-nourished or obese adolescents. (C) 2013 Elsevier Inc. All rights reserved. en
dc.description.sponsorship Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.format.extent 393-398
dc.language.iso eng
dc.publisher Elsevier B.V.
dc.relation.ispartof Nutrition
dc.rights Acesso aberto
dc.subject Adolescent en
dc.subject Ultrasonography en
dc.subject Abdominal circumference en
dc.subject Abdominal obesity en
dc.subject Metabolic syndrome en
dc.title Abdominal circumference measurement by ultrasound does not enhance estimating the association of visceral fat with cardiovascular risk en
dc.type Artigo
dc.rights.license http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo, Escola Paulista Med, Dept Pediat, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Escola Paulista Med, Dept Pediat, São Paulo, Brazil
dc.description.sponsorshipID FAPESP: 03/02584-8
dc.identifier.file WOS000314443600005.pdf
dc.identifier.doi 10.1016/j.nut.2012.06.014
dc.description.source Web of Science
dc.identifier.wos WOS:000314443600005



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