Document Detail

Relationship between the abdominal wall fat index and blood pressure in elderly women: a comparison with the body mass index.
MedLine Citation:
PMID:  19959925     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND AIMS: Several studies have examined the associations between measurements used to assess obesity, such as the body mass index (BMI), waist circumference (WC) and intra-abdominal fat area, and cardiometabolic abnormalities. However, the application of these measures in clinical practice requires more detailed examination in older individuals. The abdominal wall fat index (AFI) is ultrasonographically determined via a vertical scan along the upper abdominal median, to measure the maximum thickness of pre-peritoneal fat at the liver surface and the minimum thickness of subcutaneous fat. Few studies, however, have compared the AFI with the BMI as a measure of obesity. Older women were examined to determine the associations among BMI, AFI and cardiometabolic variables. METHODS: In 86 asymptomatic women with BMIs of 18.5-29 kg/m2 (mean age+/-SD 77+/-6 years; mean BMI+/-SD 22.7+/-2.5 kg/m2), we measured the following cardiometabolic variables: systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse pressure (PP), plasma glucose, serum total cholesterol, triglycerides, and high-density lipoprotein cholesterol. RESULTS: In a multiple regression analysis adjusted for all the above cardiometabolic variables, BMI showed a significant negative correlation with age alone, whereas AFI showed a significant positive correlation with DBP and PP. CONCLUSIONS: Our results suggest that, compared with BMI, AFI may be useful in identifying blood pressure-related abnormalities, which represent an atherosclerotic risk in older Japanese women.
Kazuhiko Kotani; Seiji Adachi; Kokoro Tsuzaki; Naoki Sakane
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Aging clinical and experimental research     Volume:  21     ISSN:  1594-0667     ISO Abbreviation:  Aging Clin Exp Res     Publication Date:    2009 Aug-Oct
Date Detail:
Created Date:  2009-12-04     Completed Date:  2010-04-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101132995     Medline TA:  Aging Clin Exp Res     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  349-52     Citation Subset:  IM    
Division of Preventive Medicine, Clinical Research Institute for Endocrine and Metabolic Disease, National Hospital Organization Kyoto Medical Center, 1-1 Mukaihata-cho, Fushimi-ku, Kyoto 612-8555, Japan.
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MeSH Terms
Abdominal Wall / anatomy & histology*
Adipose Tissue / anatomy & histology*
Aged, 80 and over
Atherosclerosis / epidemiology
Blood Glucose / metabolism
Blood Pressure / physiology*
Body Mass Index*
Cholesterol / blood
Diastole / physiology
Risk Factors
Systole / physiology
Triglycerides / blood
Reg. No./Substance:
0/Blood Glucose; 0/Triglycerides; 57-88-5/Cholesterol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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