腹部超音波法と腹囲による男性内臓脂肪蓄積評価と動脈硬化危険因子の関連―端野・壮瞥町研究―

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  • Relationship between visceral fat assessed by ultrasonography and waist circumference and accumulation of cardiovascular disease risk factors

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The usefulness of ultrasonography (US) for estimation of visceral fat accumulation has been investigated in recent years. In this study, we investigated the relationship between abdominal obesity and accumulation of cardiovascular disease risk factors using data obtained from 363 subjects (mean age of 63.0 ± 12.2 years) in whom waist circumference (WC) had been measured and visceral fat accumulation had been estimated by US in medical checkups for residents. The subjects were divided into a high blood pressure group, hyperglycemia group, high triglyceride level group and low HDL cholesterol level group. Multiple regression analysis was carried out using risk factor accumulation as the objective variable and using WC and visceral fat distance (VDF) determined by US as independent variables. WC and VDF in the high risk group (with two or more risk factors) were significantly greater than those in the low risk group (with one or less risk factor). A comparison of the rates of accumulation of risk factors in subjects divided into four groups according to WC and VFD showed that the rate of accumulation of risk factors was highest in the group in which WC<86cm and VFD ≥ 5.3cm.<BR>The results of this study suggest that estimation of visceral fat accumulation by measurement of VFD using US is useful for evaluation of accumulation of risk factors for development of cardiovascular disease.

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