Measurement of Visceral Fat: Should We Include Retroperitoneal Fat?

doi:10.1371/journal.pone.0112355

CNU IR > College of Sustainable Environment and Recreation > Dept. of Occupational Safety > Periodical Articles > Item 310902800/28619

Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/28619

Title:	Measurement of Visceral Fat: Should We Include Retroperitoneal Fat?
Authors:	Hung, Chi-Sheng Lee, Jen-Kuang Yang, Chung-Yi Hsieh, Hung-Ren Ma, Wen-Ya Lin, Mao-Shin Liu, Pi-Hua Shih, Shyang-Rong Liou, Jyh-Ming Chuang, Lee-Ming Chen, Ming-Fong Lin, Jou-Wei Wei, Jung-Nan Li, Hung-Yuan
Contributors:	職業安全衛生系
Keywords:	METABOLIC SYNDROME INSULIN-RESISTANCE PORTAL THEORY OBESE MEN ADIPOSITY RISK ASSOCIATION DEFINITION STATEMENT PROGRAM
Date:	2014-11
Issue Date:	2015-05-06 21:22:45 (UTC+8)
Publisher:	Public Library Science
Abstract:	Objective: Whether retroperitoneal fat should be included in the measurement of visceral fat remains controversial. We compared the relationships of fat areas in peritoneal, retroperitoneal, and subcutaneous compartments to metabolic syndrome, adipokines, and incident hypertension and diabetes. Methods: We enrolled 432 adult participants (153 men and 279 women) in a community-based cohort study. Computed tomography at the umbilicus level was used to measure the fat areas. Results: Retroperitoneal fat correlated significantly with metabolic syndrome (adjusted odds ratio (OR), 5.651, p < 0.05) and the number of metabolic abnormalities (p < 0.05). Retroperitoneal fat area was significantly associated with blood pressure, plasma glycemic indices, lipid profile, C-reactive protein, adiponectin (r = -0.244, p < 0.05), and leptin (r = 0.323, p < 0.05), but not plasma renin or aldosterone concentrations. During the 2.94 +/- 0.84 years of follow-up, 32 participants developed incident hypertension. Retroperitoneal fat area (hazard ration (HR) 1.62, p = 0.003) and peritoneal fat area (HR 1.62, p = 0.009), but not subcutaneous fat area (p = 0.14) were associated with incident hypertension. Neither retroperitoneal fat area, peritoneal fat area, nor subcutaneous fat areas was associated with incident diabetes after adjustment. Conclusions: Retroperitoneal fat is similar to peritoneal fat, but differs from subcutaneous fat, in terms of its relationship with metabolic syndrome and incident hypertension. Retroperitoneal fat area should be included in the measurement of visceral fat for cardio-metabolic studies in human.
Relation:	Plos One, v.9 n.11, e772355
Appears in Collections:	[Dept. of Occupational Safety] Periodical Articles

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