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Patterns of Abdominal Fat Distribution

Open access
Pou, Karla M., Massaro, Joseph M., Hoffmann, Udo, Lieb, Kathrin, Vasan, Ramachandran S., O'Donnell, Christopher J., Fox, Caroline S.·2009·Diabetes Care

Abstract

OBJECTIVE—The prevalence of abdominal obesity exceeds that of general obesity. We sought to determine the prevalence of abdominal subcutaneous and visceral obesity and to characterize the different patterns of fat distribution in a community-based sample. RESEARCH DESIGN AND METHODS—Participants from the Framingham Heart Study (n = 3,348, 48% women, mean age 52 years) underwent multidetector computed tomography; subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT) volumes were assessed. Sex-specific high SAT and VAT definitions were based on 90th percentile cut points from a healthy referent sample. Metabolic risk factors were examined in subgroups with elevated SAT and VAT. RESULTS—The prevalence of high SAT was 30% (women) and 31% (men) and that for high VAT was 44% (women) and 42% (men). Overall, 27.8% of the sample was discordant for high SAT and high VAT: 19.9% had SAT less than but VAT equal to or greater than the 90th percentile, and 7.9% had SAT greater than but VAT less than the 90th percentile. The prevalence of metabolic syndrome was higher among women and men with SAT less than the 90th percentile and high VAT than in those with high SAT but VAT less than the 90th percentile, despite lower BMI and waist circumference. Findings were similar for hypertension, elevated triglycerides, and low HDL cholesterol. CONCLUSIONS—Nearly one-third of our sample has abdominal subcutaneous obesity, and >40% have visceral obesity. Clinical measures of BMI and waist circumference may misclassify individuals in terms of VAT and metabolic risk.

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Metadata

Authors
Pou, K. M., Massaro, J. M., Hoffmann, U., Lieb, K., Vasan, R. S., O'Donnell, C. J., & Fox, C. S.
Venue
Diabetes Care
Published
2009-03-01
Volume
32
Issue
3
Pages
481-485
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
OpenAlex
W2063294161
Cited by
171
References
4
FWCI
8.28
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Patterns of Abdominal Fat Distribution. https://app.cochat.ai/papers/10.2337/dc08-1359
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Pou, K. M., Massaro, J. M., Hoffmann, U., Lieb, K., Vasan, R. S., O'Donnell, C. J., & Fox, C. S. (2009). Patterns of Abdominal Fat Distribution. Diabetes Care. https://doi.org/10.2337/dc08-1359

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