Evaluation of Metabolic Syndrome with Respect to the Waist Circumference and Visceral Fat Area

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  • 腹囲と内臓脂肪面積からみたメタボリックシンドロームの検討
  • フクイ ト ナイゾウ シボウ メンセキ カラ ミタ メタボリック シンドローム ノ ケントウ

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Objective: Metabolic syndrome (MS) causes arteriosclerotic disorders via visceral fat accumulation. In Japan, a diagnostic criteria for MS include waist circumference of 85cm or more in males and 90cm or more in females. This is because a visceral fat area of 100cm2 or more is considered to correspond to the above waist circumference. In this study, we investigated the association between waist circumference and visceral fat area based on health check-up results of persons who consulted our clinic. Methods: The subjects were 176males who underwent abdominal CT in our clinic between October and December 2006. We examined the correlation between visceral fat area obtained from CT image and waist circumference. Results: In the males, there was a positive correlation between waist circumference and visceral fat area, suggesting the usefulness of the former. In 20% of these, visceral fat area was 100cm2 or more despite waist circumference of less than 85cm. Furthermore,23% showed waist circumference exceeding 85cm despite visceral fat area of less than 100cm2. Conclusions: Waist circumference, of 85cm or more, as a diagnostic criterion for MS in males, was statistically equivalent to visceral fat area of 100cm2 or more. However, it should be considered that 20% of patients are overlooked.

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