Cited by 198Body Composition Measurement TechniquesDiabetes, Cardiovascular Risks, and LipoproteinsCardiovascular Disease and Adiposity

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Android Fat Depot Is More Closely Associated with Metabolic Syndrome than Abdominal Visceral Fat in Elderly People

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Kang, Seon Mee, Yoon, Ji Won, Ahn, Hwa Young, Kim, So Yeon, Lee, Kyoung Ho, Shin, Hayley, Choi, Sung Hee, Park, Kyong Soo, Jang, Hak Chul, Lim, Soo·2011·PLoS ONE

DOI 10.1371/journal.pone.0027694PMC PMC3214067

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Abstract

BACKGROUND: Fat accumulation in android compartments may confer increased metabolic risk. The incremental utility of measuring regional fat deposition in association with metabolic syndrome (MS) has not been well described particularly in an elderly population. METHODS AND FINDINGS: As part of the Korean Longitudinal Study on Health and Aging, which is a community-based cohort study of people aged more than 65 years, subjects (287 male, 75.9±8.6 years and 278 female, 76.0±8.8 years) with regional body composition data using Dual energy X-ray absorptiometry for android/gynoid area, computed tomography for visceral/subcutaneous adipose tissue (VAT/SAT), and cardiometabolic markers including adiponectin and high-sensitivity CRP were enrolled. We investigated the relationship between regional body composition and MS in multivariate regression models. Mean VAT and SAT area was 131.4±65.5 cm(2) and 126.9±55.2 cm(2) in men (P = 0.045) and 120.0±46.7 cm(2) and 211.8±65.9 cm(2) in women (P<0.01). Mean android and gynoid fat amount was 1.8±0.8 kg and 2.5±0.8 kg in men and 2.0±0.6 kg and 3.3±0.8 kg in women, respectively (both P<0.01). VAT area and android fat amount was strongly correlated with most metabolic risk factors compared to SAT or gynoid fat. Furthermore, android fat amount was significantly associated with clustering of MS components after adjustment for multiple parameters including age, gender, adiponectin, hsCRP, a surrogate marker of insulin resistance, whole body fat mass and VAT area. CONCLUSIONS: Our findings are consistent with the hypothesized role of android fat as a pathogenic fat depot in the MS. Measurement of android fat may provide a more complete understanding of metabolic risk associated with variations in fat distribution.

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Authors: Kang, S. M., Yoon, J. W., Ahn, H. Y., Kim, S. Y., Lee, K. H., Shin, H., Choi, S. H., Park, K. S., Jang, H. C., & Lim, S.
Affiliations: Seoul National University (KR)
Johns Hopkins University (US)
Corresponding author: Lim, Soo
ORCID: Kang, Seon Mee
Yoon, Ji Won
Ahn, Hwa Young
Kim, So Yeon
Lee, Kyoung Ho
Choi, Sung Hee
Park, Kyong Soo
Jang, Hak Chul
Lim, Soo
Venue: PLoS ONE
Publisher: Public Library of Science (PLoS)
Published: 2011-11-11
Volume: 6
Issue: 11
Pages: e27694
ISSN: 1932-6203 (ISSN-L)
DOI: 10.1371/journal.pone.0027694
PMC: PMC3214067
OpenAlex: W2065997993
Cited by: 197
References: 47
Citations by year: 2026: 5 · 2025: 13 · 2024: 9 · 2023: 12 · 2022: 18 · 2021: 13 · 2020: 16 · 2019: 16 · 2018: 18 · 2017: 14 · 2016: 14 · 2015: 11 · 2014: 16 · 2013: 15 · 2012: 6
FWCI: 8.29
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0/ (unspecified)
Locations: PLoS ONE (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Figshare (submittedVersion, cc-by)
Funders: Korean Diabetes Association
Seoul National University Bundang Hospital
Seoul National University
Topics: Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
Keywords: android fat, gynoid fat, visceral adipose tissue, subcutaneous adipose tissue, metabolic syndrome, regional body composition, body fat distribution, older adults, adiponectin, high-sensitivity CRP, insulin resistance
MeSH terms: Adipose Tissue, Aged, Aged, 80 and over, Female, Humans, Male, Obesity, Absorptiometry, Photon, Coronary Stenosis, Metabolic Syndrome, Subcutaneous Fat, Intra-Abdominal Fat

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Android Fat Depot Is More Closely Associated with Metabolic Syndrome than Abdominal Visceral Fat in Elderly People

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