Key result
Visceral fat area was a significantly better predictor of metabolic syndrome than waist circumference in premenopausal women (AUC 0.76 vs 0.52, P<0.001), whereas both measures performed similarly in men and postmenopausal women.
Why the study?
Does visceral fat area or waist circumference better predict metabolic syndrome in Korean men and women?
Population
280 subjects aged 30-80 years from Korea. Key exclusion criteria: taking medications for hypertension…
Comparison
Measurement of visceral fat area by computed… vs Measurement of waist circumference (WC)
Design
Cross-sectional
Authors
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Waist circumference may suffice except in premenopausal women; hypothesis-generating and should not yet change screening practice.
Cross-Sectional (n=280)
Does visceral fat area or waist circumference better predict metabolic syndrome in Korean men and women?
Absolute Event Rate: 0.76% vs 0.52%
p-value: p=<0.001
Waist circumference is a useful surrogate for visceral fat area in predicting metabolic syndrome in men and postmenopausal women, but it is inferior to visceral fat area in premenopausal women.
Kim et al. (2011) conducted a cross-sectional in Metabolic Syndrome (n=280). Visceral fat area (VFA) vs. Waist circumference (WC) was evaluated on Area under ROC curve for predicting ≥2 non-adipose components of metabolic syndrome in premenopausal women (p=<0.001). Visceral fat area was a significantly better predictor of metabolic syndrome than waist circumference in premenopausal women (AUC 0.76 vs 0.52, P<0.001), whereas both measures performed similarly in men and postmenopausal women.
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