CT-defined visceral adipose tissue thresholds for identifying metabolic complications: a cross-sectional study in the United Arab Emirates

Objectives Visceral adipose tissue (VAT) is closely related to obesity complications. We aimed to determine the optimal sex-specific and age-specific VAT thresholds for predicting metabolic complications among individuals living in the United Arab Emirates (UAE).Design Retrospective cross-sectional...

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Main Authors: Sunmi Yoo, Myung-Whun Sung, Hongdae Kim
Format: Article
Language:English
Published: BMJ Publishing Group 2020-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/8/e031181.full
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author Sunmi Yoo
Myung-Whun Sung
Hongdae Kim
author_facet Sunmi Yoo
Myung-Whun Sung
Hongdae Kim
author_sort Sunmi Yoo
collection DOAJ
description Objectives Visceral adipose tissue (VAT) is closely related to obesity complications. We aimed to determine the optimal sex-specific and age-specific VAT thresholds for predicting metabolic complications among individuals living in the United Arab Emirates (UAE).Design Retrospective cross-sectional study.Setting We reviewed medical records of adults who visited a hospital in the UAE.Participants A total of 369 subjects were included in the final analysis after application of inclusion and exclusion criteria.Primary outcome measures The prevalence of metabolic syndrome (MES).Results MES measures excluding waist circumference were present in 73.4% of women and 78.5% of men. VAT areas adjusted for age were significantly greater in the MES group compared with the non-MES group regardless of sex (p<0.05 for all relations); however, subcutaneous adipose tissue areas adjusted for age were not significantly different. Areas under the curve used to predict MES were statistically significant for VAT and visceral to subcutaneous fat ratios among both men and women. Identified cut-off values of VAT to predict MES were 132.0 cm2 in both sexes for individuals under the age of 50 years. For those over 50 years of age, VAT thresholds were greater in women compared with men (173 cm2 vs 124.3 cm2, respectively).Conclusions Optimal VAT cut-offs to predict MES were 132 cm2 for individuals under 50 years old living in the UAE. These measures are potential target visceral fat values that could be used to reduce obesity-related morbidity in populations with pre-existing metabolic complications.
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spelling doaj-art-09de4004b2a841b2917f5b06cd1bd0af2025-08-20T02:18:19ZengBMJ Publishing GroupBMJ Open2044-60552020-08-0110810.1136/bmjopen-2019-031181CT-defined visceral adipose tissue thresholds for identifying metabolic complications: a cross-sectional study in the United Arab EmiratesSunmi Yoo0Myung-Whun Sung1Hongdae Kim2Department of Family Medicine, Inje University Haeundae Paik Hospital, Busan, The Republic of KoreaDepartment of Otorhinolaryngology Head and Neck Surgery, Seoul National University College of Medicine, Seoul, The Republic of KoreaDepartment of Imaging and Laboratory, Sheikh Khalifa Specialty Hospital, Ras Al Khaimah, United Arab EmiratesObjectives Visceral adipose tissue (VAT) is closely related to obesity complications. We aimed to determine the optimal sex-specific and age-specific VAT thresholds for predicting metabolic complications among individuals living in the United Arab Emirates (UAE).Design Retrospective cross-sectional study.Setting We reviewed medical records of adults who visited a hospital in the UAE.Participants A total of 369 subjects were included in the final analysis after application of inclusion and exclusion criteria.Primary outcome measures The prevalence of metabolic syndrome (MES).Results MES measures excluding waist circumference were present in 73.4% of women and 78.5% of men. VAT areas adjusted for age were significantly greater in the MES group compared with the non-MES group regardless of sex (p<0.05 for all relations); however, subcutaneous adipose tissue areas adjusted for age were not significantly different. Areas under the curve used to predict MES were statistically significant for VAT and visceral to subcutaneous fat ratios among both men and women. Identified cut-off values of VAT to predict MES were 132.0 cm2 in both sexes for individuals under the age of 50 years. For those over 50 years of age, VAT thresholds were greater in women compared with men (173 cm2 vs 124.3 cm2, respectively).Conclusions Optimal VAT cut-offs to predict MES were 132 cm2 for individuals under 50 years old living in the UAE. These measures are potential target visceral fat values that could be used to reduce obesity-related morbidity in populations with pre-existing metabolic complications.https://bmjopen.bmj.com/content/10/8/e031181.full
spellingShingle Sunmi Yoo
Myung-Whun Sung
Hongdae Kim
CT-defined visceral adipose tissue thresholds for identifying metabolic complications: a cross-sectional study in the United Arab Emirates
BMJ Open
title CT-defined visceral adipose tissue thresholds for identifying metabolic complications: a cross-sectional study in the United Arab Emirates
title_full CT-defined visceral adipose tissue thresholds for identifying metabolic complications: a cross-sectional study in the United Arab Emirates
title_fullStr CT-defined visceral adipose tissue thresholds for identifying metabolic complications: a cross-sectional study in the United Arab Emirates
title_full_unstemmed CT-defined visceral adipose tissue thresholds for identifying metabolic complications: a cross-sectional study in the United Arab Emirates
title_short CT-defined visceral adipose tissue thresholds for identifying metabolic complications: a cross-sectional study in the United Arab Emirates
title_sort ct defined visceral adipose tissue thresholds for identifying metabolic complications a cross sectional study in the united arab emirates
url https://bmjopen.bmj.com/content/10/8/e031181.full
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AT hongdaekim ctdefinedvisceraladiposetissuethresholdsforidentifyingmetaboliccomplicationsacrosssectionalstudyintheunitedarabemirates