Anthropometrically predicted visceral adipose tissue and blood-based biomarkers: a cross-sectional analysis.

Anthropometrically predicted visceral adipose tissue and blood-based biomarkers: a cross-sectional analysis.
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人体测量预测内脏脂肪组织和血液生物标志物:横断面分析。

DOI:
10.1007/s00394-016-1308-8
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发表时间:
2018-03
影响因子:
5
通讯作者:
Harhay MN
Harhay MN
中科院分区:
医学2区
文献类型:
--
作者:
Brown JC;Harhay MO;Harhay MN

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我们假设人体测量预测的内脏脂肪组织(apVAT)比体重指数(BMI)、腰围(WC)以及BMI和WC的组合(BMI+WC)更能解释葡萄糖稳态、炎症和脂质代谢的血液生物标志物的变化。这是对参加第三次全国健康和营养调查(NHANES III; 1988-1994)的10,624名男性和女性的横断面分析。根据经验证的回归方程(包括年龄、身高、体重、腰围和大腿围)预测apVAT。使用自举线性回归模型比较由apVAT、BMI、WC和BMI+WC解释的生物标志物的方差比例(R2)。与BMI(Δ R2=8.4−11.8%; P<0.001)、WC(Δ R2=5.5−8.4%; P<0.001)和BMI+WC(Δ R2 =5.1−7.7%; P<0.001)相比,apVAT解释了葡萄糖稳态生物标志物的更多变异。apVAT比BMI(Δ R2=3.8%; P<0.001)、WC(Δ R2=3.1%; P<0.001)和BMI+WC(Δ R2=2.9%; P<0.001)更能解释炎症生物标志物的变异。与BMI(Δ R2=2.9−9.2%; P<0.001)、WC(Δ R2= 2.9−5.2%; P<0.001)和BMI+WC(Δ R2=2.4−4.1%:P≤0.01)相比,apVAT对脂质代谢生物标志物变异的解释更大。采用简单且广泛使用的人体测量方法估计的apVAT比BMI、WC和BMI+WC更能解释基于血液的生物标志物的差异。临床医生和研究人员可以考虑利用apVAT来表征心脏代谢健康,特别是在成像和实验室数据有限的情况下。
We hypothesized that anthropometrically-predicted visceral adipose tissue (apVAT) accounts for more variance in blood-based biomarkers of glucose homeostasis, inflammation, and lipid metabolism than body mass index (BMI), waist circumference (WC), and the combination of BMI and WC (BMI+WC). This was a cross-sectional analysis of 10,624 males and females who participated in the Third National Health and Nutrition Survey (NHANES III; 1988–1994). apVAT was predicted from a validated regression equation that included age, height, weight, waist and thigh circumferences. Bootstrapped linear regression models were used to compare the proportion of variance (R2) in biomarkers explained by apVAT, BMI, WC, and BMI+WC. apVAT accounted for more variance in biomarkers of glucose homeostasis than BMI (Δ R2=8.4−11.8%; P<0.001), WC (Δ R2=5.5−8.4%; P<0.001), and BMI+WC (Δ R2=5.1−7.7%; P<0.001). apVAT accounted for more variance in biomarkers of inflammation than BMI (Δ R2=3.8%; P<0.001), WC (Δ R2=3.1%; P<0.001), and BMI+WC (Δ R2=2.9%; P<0.001). apVAT accounted for more variance in biomarkers of lipid metabolism than BMI (Δ R2=2.9−9.2%; P<0.001), WC (Δ R2= 2.9−5.2%; P<0.001), and BMI+WC (Δ R2=2.4−4.1%: P≤0.01). apVAT, estimated with simple and widely used anthropometric measures, accounts for more variance in blood-based biomarkers than BMI, WC, and BMI+WC. Clinicians and researchers may consider utilizing apVAT to characterize cardio-metabolic health, particularly in settings with limited availability of imaging and laboratory data.
DOI: 10.1161/01.cir.102.2.179
发表时间: 2000-07-11
期刊: CIRCULATION
影响因子: 37.8
作者:
Lemieux, I;Pascot, A;Després, JP
通讯作者: Després, JP
DOI: 10.1038/sj.ijo.0800929
发表时间: 1999-08-01
影响因子: 4.9
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DOI: 10.1002/ajhb.22898
发表时间: 2017-01
期刊: American journal of human biology : the official journal of the Human Biology Council
影响因子: --
作者:
Brown JC;Harhay MO;Harhay MN
通讯作者: Harhay MN
DOI: 10.1161/01.atv.16.3.351
发表时间: 1996-03-01
影响因子: 8.7
作者:
Benderly, M;Graff, E;Goldbourt, U
通讯作者: Goldbourt, U
DOI: 10.1093/jn/120.suppl_11.1451
发表时间: 1990-11-01
影响因子: 4.2
作者:
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通讯作者: MCQUILLAN, G