Factors associated with visceral fat accumulation in the general population in Okinawa, Japan

作     者：Shingo Arakaki Tatsuji Maeshiro Akira Hokama Kunikazu Hoshino Shuichi Maruwaka Miwa Higashiarakawa Gretchen Parrott Tetsuo Hirata Kozen Kinjo Jiro Fujita 

作者机构：Department of Infectious Respiratory and Digestive Medicine University of the Ryukyus Department of Endoscopy University of the Ryukyus Department of InfectiousRespiratoryand Digestive Medicine University of the Ryukyus Okinawa Health Promotion Foundation Department of InfectiousRespiratoryand Digestive MedicineUniversity of the Ryukyus 

出 版 物：《World Journal of Gastrointestinal Pharmacology and Therapeutics》 (世界胃肠药理与治疗学杂志（英文版）（电子版）)

年 卷 期：2016年第7卷第2期

页      面：261-267页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：visceral fat accumulation Computed tomography Metabolic syndrome Alcohol consumption Waist circumference 

摘      要：AIM:To investigate the clinical and biochemical factors associated with visceral fat accumulation in the general ***:We enrolled 1004 subjects who underwent a medical health checkup between April 2008 and March *** medical health checkup included the following tests:Height,body weight,waist circumference(WC),systolic blood pressure,diastolic blood pressure,urinalysis,blood-cell counts,blood chemistry,electrocardiography,chest radiography,and abdominal computed tomography(CT)for visceral fat *** patients’medical history and lifestyle factors were collected privately by nurses using a selfadministered questionnaire,and they included questions regarding physical activity,sleep duration,dietary habits,smoking,and alcohol *** fat area(VFA)was defined as the sum of the intraperitoneal fat area at the level of the umbilicus with CT density in the range of-150 to-50 Hounsfield ***:The mean age and body mass index(BMI)of the study subjects were 57.0 years and 24.4 kg/*** both male and females,v FA was significantly andpositively correlated with WC(r=0.532,P0.01;r=0.612,P0.01).Subjects with high levels of v FA were primarily male with significantly higher age,height,body weight,BMI,systolic blood pressure(BP),diastolic BP,and hemoglobin in all subjects(P0.05).A multivariate logistic regression analysis revealed that vF A had a positive relationship with age≥56,BMI≥25 kg/m2,and triglyceride level≥149 in males(P0.05),whereas it had a positive relationship with age≥58,BMI≥24.4 kg/m2,high-density lipoprotein cholesterol level40 mg/d L,and current drinking in females(P0.05).CONCLUSION:These results suggest that gender differences exist in the clinical and biochemical parameters associated with visceral fat accumulation.