The DOI matches its Crossref record.
Intra‐abdominal pressure, sagittal abdominal diameter and obesity comorbidity
Open accessAbstract
Objectives. To determine relationship of intraabdominal pressure to central obesity and the comorbidity of obesity. Design. Non‐randomized, prospective. Setting. University hospital, operating room. Subjects. Eighty‐four anaesthetized consecutive patients prior to gastric bypass for morbid obesity and five non‐obese patients before colectomy for ulcerative colitis. Main outcome measures. Weight, body mass index (BMI), co‐morbid history, sagittal abdominal diameter, waist:hip (W∶H) ratio and urinary bladder pressure, as an estimate of intra‐abdominal pressure. Results. Urinary bladder pressure was greater in the obese than the non‐obese (18±0.7 vs. 7±1.6 cm H 2 O, P < 0.001), correlated with sagittal abdominal diameter (r = +0.67, P < 0.001) and was greater (P < 0.05) in patients with, than those without, morbidity probably (hypoventilation, gastroesophageal reflux, venous stasis, stress incontinence, incisional hernia) or possibly (hypertension, diabetes) due to increased abdominal pressure. W∶H ratio correlated with urinary bladder pressure in men (r = +0.6, P < 0.05) but not women (r = −0.3). Conclusions. Increased sagittal abdominal diameter was associated with increased intraabdominal pressure which contributed to obesity‐related comorbidity. W∶H ratio was not a reliable indicator of intraabdominal pressure for women who often have both peripheral and central obesity. Further studies are needed to evaluate the relationship between intraabdominal pressure and Type II diabetes and hypertension.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“In patients with visceral obesity, intra-abdominal pressure rises in proportion to sagittal abdominal diameter, reaching levels as high as 35–40 mmHg27.”
From Obesity-Induced Hypertension: Interaction of Neurohumoral and Renal Mechanisms (2015) · cites this paper as [27]
Experimental — accuracy not yet measuredIn the citing paper
“Pressure in the abdominal cavity may be elevated to >40 cm H20 in patients with large sagittal abdominal diameters52.”
From Obesity, kidney dysfunction and hypertension: mechanistic links (2019) · cites this paper as [52]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
The publisher hasn’t deposited this paper’s reference list.
Research works printed but not linked: 36
- Folsom AR, Kaye SA, Sellers TA, Hong CP, Cerhan JR, Potier JD, Prineas RJ. Body fat distribution and 5-year risk of death in older women. JAMA 1993 ; 269 : 483-7.
- Gillum RF. The association of body fat distribution with hypertension, hypertensive heart disease, coronary heart disease, diabetes and cardiovascular risk factors in men and women aged 18-79 years. J Chronic Dis 1987 ; 40 : 421-8.
- Micciolo R, Bosello O, Ferrari P, Armellini F. The association of body fat location with haemodynamic and metabolic status in men and women aged 21-60 years. J Clin Epidemiol 1991 ; 44 : 591-608.
- Bjo$ rntorp P. Abdominal obesity and the metabolic syndrome. Ann Med 1992 ; 24 : 465-8.
- Johnson D, Prud'homme D, De! spre! s J-P, Nadeau A, Tremblay A, Bouchard C. Relation of abdominal obesity to hyper- insulinemia and high blood pressure in men. Int J Obes 1992 ; 16 : 881-90.
- Mauriege P, De! spre! s JP, Marcotte M, Ferland M, Tremblay A, Nadeau A, et al. Abdominal fat cell lipolysis, body fat distribution, and metabolic variables in premenopausal women. J Clin Endocrinol Metab 1990 ; 71 : 1028-35.
- Hackney JD, Crane MG, Collier CC, Rokaw S, Griggs DE. Syndrome of extreme obesity and hypoventilation : studies of etiology. Ann Intern Med 1959 ; 51 : 541-52.
- Dent J, Dodds WJ, Hogan WJ, Toouli J. Factors that influence induction of gastroesophageal reflux in normal human sub- jects. Dig Dis Sci 1988 ; 33 : 270-5.
- Nagler R, Spiro HM. Heartburn in late pregnancy : manometric studies of esophageal motor function. J Clin Invest 1961 ; 40 : 954-70.
- Lind JF, Smith AM, McIver DK, Coopland AT, Crispin JS. Heartburn in pregnancy-a manometric study. Can Med Assoc J 1968 ; 98 : 571-4.
- Jones MJ, Mitchell RW, Hindocha N. Effect of increased intraabdominal pressure during laparoscopy on the lower esophageal sphincter. Anesth Analg 1989 ; 68 : 63-5. # 1997 Blackwell Science Ltd Journal of Internal Medicine 241 : 71-79 13652796, 1997, 1, Downloaded from https://onlinelibrary.wiley.com/doi/10.1046/j.1365-2796.1997.89104000.x by Mount Vernon Nazarene University, Wiley Online Library on [17/08/2026]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License · DOI
- McClennan CE. Antecubital and femoral venous pressure in normal and toxemic pregnancy. Am J Obstet Gynecol 1943 ; 45 : 568-91.
- Skudder PA, Farrington DT. Venous conditions associated with pregnancy. Semin Dermatol 1993 ; 12 : 72-7.
- Bump RC, Sugerman HJ, Fantl JA, McClish DK. Obesity and lower urinary tract function in women : effect of surgically induced weight loss. Am J Obstet Gynecol 1992 ; 167 : 392-9.
- Sugerman HJ, Kellum JM, Reines HD, DeMaria EJ, Newsome HH, Lowry JW. Greater risk of incisional hernia with morbidly obese than steroid dependent patients and low recurrence with prefascial polypropylene mesh. Am J Surg 1966 ; 171 : 80-4.
- Metropolitan height and weight tables. Stat Bull Metrop Insur Co 1983 ; 64 : 2-9.
- Ridings PC, Bloomfield GL, Blocher CR, Sugerman HJ. Cardio- pulmonary effects of raised intraabdominal pressure before and after volume expansion. J Trauma 1995 ; 39 : 1071-5.
- Harman PK, Kron IL, McLachlan HD, Freedlander AE, Nolan SP. Elevated intraabdominal pressure and renal function. Ann Surg 1982 ; 196 : 594-7.
- Iberti TJ, Lieber CE, Benjamin E. Determination of intra- abdominal pressure using a transurethral bladder catheter : clinical validation of the technique. Anesthesiology 1989 ; 70 : 47-50.
- Platell CF, Hall J, Clarke G, Lawrence-Brown M. Intra- abdominal pressure and renal function after surgery to the abdominal aorta. Aust N S J Surg 1990 ; 60 : 213-6.
- Cullen DJ, Coyle JP, Teplick R, Long MC. Cardiovascular, pulmonary, and renal effects of massively increased intra- abdominal pressure in critically ill patients. Crit Care Med 1989 ; 17 : 118-21.
- Smith JH, Merrell RC, Raffin TA. Reversal of postoperative anuria by decompressive celiotomy. Arch Intern Med 1985 ; 145 : 553-4.
- O = stlund RE, Sta/ ten M, Kohrt WM, Shultz J, Malley M. The ratio of waist-to-hip circumference, plasma insulin level and glucose intolerance as independent predictors of HDL # -chol- esterol level in older adults. N Engl J Med 1990 ; 322 : 229-34.
- Kvist H, Chowdhury B, Granga/ rd U, Tyle! n U, Sjo$ stro$ m L. Total and visceral adipose-tissue volumes derived from measure- ments with computed tomography in adult men and women : predictive equations. Am J Clin Nutr 1988 ; 48 : 1351-61. 27 Sjo$ stro$ m L. A computer-tomography based multicompartment body composition technique and anthropometric predictions of lean body mass, total and subcutaneous adipose tissue. Int J Obes 1991 ; 15(Suppl. 2) : 19-30.
- Sugerman HJ, Fairman RP, Sood RK, Engle K, Wolfe L, Kellum JM. Long-term effects of gastric bypass surgery for treating respiratory insufficiency of obesity. Am J Clin Nutr 1992 ; 55 : 597S-601S.
- Mutoh T, Lamm WJE, Embree LJ, Hildebrandt J, Albert RK. Abdominal distension alters regional pleural pressures and chest wall mechanics in pigs in vivo. J Appl Physiol 1991 ; 70 : 2611-8.
- Bloomfield GL, Blocher CR, Fahkry IF, Sica DA, Sugerman HJ. Elevated intraabdominal pressure upregulates the renin- angiotensin-aldosterone system. J Trauma 1996 ; 40 : 193 (abstract).
- Weisinger JR, Kempson RL, Eldridge FL, Swenson RS. The nephrotic syndrome : a complication of massive obesity. Ann Intern Med 1974 ; 81 : 440-7.
- Valensi P, Assayag M, Busby M, Paries J, Lormeau B, Attali J- R. Microalbuminuria in obese patients with or without hypertension. Int J Obesity Related Metabol Disorders 1996 ; 20 : 574-9.
- Foley RF, Benotti PN, Borlase BC, Hollingshead J, Blackburn GL. Impact of gastric restrictive surgery on hypertension in the morbidly obese. Am J Surg 1992 ; 163 : 294-7.
- Carson JL, Ruddy ME, Duff AE, Holmes NJ, Cody RP, Brolin RE. The effect of gastric bypass surgery on hypertension in morbidly obese patients. Arch Int Med 1994 ; 154 : 193-200.
- Diebel LN, Wilson RF, Dulchavsky SA, Saxe J. Effect of increased intraabdominal pressure on hepatic arterial, portal venous, and hepatic microcirculatory blood flow. J Trauma 1992 ; 33 : 279-82.
- Sugerman HJ, Felton WL, Sismanis A, Salvant JB, Kellum JM. Effects of surgically induced weight loss on pseudotumor cerebri in morbid obesity. Neurology 1995 ; 45 : 1655-9.
- Josephs LG, Este-McDonald JR, Birkett DH, Hirsch EF. Di- agnostic laparoscopy increases intracranial pressure. J Trauma 1994 ; 36 : 815-9.
- Bloomfield GL, Ridings PC, Blocher CS, Marmarou A, Suger- man HJ. Effects of increased intraabdominal pressure upon intracranial and cerebral perfusion pressure before and after volume expansion. J Trauma 1996 ; 40 : 936-43.
- Bloomfield GL, Ridings PC, Blocher CR, Sugerman HJ. In- creased pleural pressure mediates the effects of elevated intraabdominal pressure upon the central nervous and car- diovascular systems. Crit Care Med (in press).
Cited by
Sorted by citations
Bariatric Surgery: A Systematic Review and Meta-analysis
Buchwald, H., Avidor, Y., Braunwald, E., Jensen, M. D., Pories, W., Fahrbach, K., & Schoelles, K. (2004) · JAMA · doi:10.1001/jama.292.14.1724 · Cited by 6,800
Malbrain, M. L. N. G., Cheatham, M. L., Kirkpatrick, A. W., Sugrue, M., Parr, M. J., Waele, J. J. D., Balogh, Z. J., Leppäniemi, A. K., Olvera, C., Ivatury, R. R., et al. (2006) · Intensive Care Medicine · doi:10.1007/s00134-006-0349-5 · Cited by 1,524
“associated with chronic IAP elevations of 10–15 mmHg to which the patient has adapted with an absence of significant pathophysiology [70, 71, 72, 73, 74, 75, 76, 77].”
BackgroundObesity-Induced Hypertension: Interaction of Neurohumoral and Renal Mechanisms
Hall, J. E., do Carmo, J. M., da Silva, A. A., Wang, Z., & Hall, M. E. (2015) · Circulation Research · doi:10.1161/circresaha.116.305697 · Cited by 1,360
European Resuscitation Council Guidelines for Resuscitation 2015
Perkins, G. D., Handley, A. J., Koster, R. W., Castrén, M. K., Smyth, M. A., Olasveengen, T. M., Monsieurs, K. G., Raffay, V. I., Gräsner, J., Wenzel, V., et al. (2015) · Resuscitation · doi:10.1016/j.resuscitation.2015.07.015 · Cited by 1,339
The effect of obesity on lung function
Dixon, A. E., & Peters, U. (2018) · Expert Review of Respiratory Medicine · doi:10.1080/17476348.2018.1506331 · Cited by 889
Metadata
- Authors
- SUGERMAN, H., WINDSOR, A., BESSOS, M., & WOLFE, L.
- Affiliations
- Virginia Commonwealth University (US)
- Corresponding author
- SUGERMAN, H.
- ORCID
- WINDSOR, A.
- Venue
- Journal of Internal Medicine
- Publisher
- Wiley
- Published
- 1997-01
- Volume
- 241
- Issue
- 1
- Pages
- 71-79
- ISSN
- 0954-6820 (ISSN-L)
- 1365-2796
- OpenAlex
- W1976707172
- Cited by
- 486
- References
- 0
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 13 · 2023: 15 · 2022: 9 · 2021: 25 · 2020: 14 · 2019: 16 · 2018: 19 · 2017: 18 · 2016: 20 · 2015: 30 · 2014: 19 · 2013: 16 · 2012: 21
- FWCI
- 11.11
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Abdominal Surgery and Complications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- intra-abdominal pressure, sagittal abdominal diameter, obesity-related comorbidities, abdominal obesity, bladder pressure, waist-to-hip ratio, morbid obesity, gastric bypass, ulcerative colitis, colectomy, obesity-related morbidity, sex differences
- MeSH terms
- Abdomen, Adult, Urinary Bladder, Female, Humans, Male, Obesity, Morbid, Prospective Studies
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
