Choosing the Optimal Ultrasound Method for the Measurement of the Amount of Visceral Adipose Tissue
https://doi.org/10.51523/2708-6011.2019-16-4-21
Abstract
The aim of the study was to determine the best options for the ultrasound (US) evaluation of the amount of visceral adipose tissue (VAT), taking into account the time spent on these investigations, availability of visualization of anatomical landmarks, reproducibility of methods and correlation of the measurement results with data obtained by computed tomography (CT), as well as the operational characteristics of the ROC analysis of the boundary values of the VAT amount in metabolic syndrome, arterial hypertension, coronary heart disease (CHD), and erectile dysfunction (ED).
The ultrasound measurement of VAT of various localization was performed in 337 patients aged 18-65. The selection of the optimal options for the ultrasound measurement of VAT was based on the qualimetric analysis.
For the ultrasound diagnosis of VAT, taking into account the integrative assessment of ranks, it seems optimal to measure the area of the lower part of perinephric adipose tissue, as well as the distance between the inner surface of the rectus abdominis muscle and the anterior or posterior wall of the aorta. Increased thickness of epicardial and pericardial VAT is typical for patients with CHD and ED.
About the Authors
S. I. Pimanov
Vitebsk State Order of Peoples’ Friendship Medical University
Belarus
Belarus
Pimanov S.I., doctor of medical sciences, Professor, Head of the Chair of Internal Medicine No.2 of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University
V. M. Bondarenko
Vitebsk State Order of Peoples’ Friendship Medical University
Belarus
Belarus
Bondarenko V.M., postgraduate of the Chair of Internal Medicine No.2 of the Faculty for Advanced Training & Retraining, senior lecturer of the Chair of Hospital Surgery with the courses of Urology & Pediatric Surgery, Vitebsk State Order of Peoples’ Friendship Medical University
E. V. Makarenko
Vitebsk State Order of Peoples’ Friendship Medical University
Belarus
Belarus
Makarenko E.V., doctor of medical sciences, Professor of the Chair of Internal Medicine No.2 of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University
References
1. Goyal A, Nimmakayala KR, Zonszein J. Is there a paradox in obesity? Cardiol Rev. 2014 Jul-Aug;22(4):163-70. doi: 10.1097/CRD.0000000000000004.
2. Blüher M. Adipose tissue dysfunction contributes to obesity related metabolic diseases. Best Pract Res Clin Endocrinol Metab. 2013 Apr;27(2):163-77. doi: 10.1016/j.beem.2013.02.005.
3. Wozniak SE, Gee LL, Wachtel MS, Frezza EE. Adipose Tissue: The New Endocrine Organ? A Review Article. Dig Dis Sci. 2009 Sep;54(9):1847-56. doi: 10.1007/s10620-008-0585-3.
4. Cornier MA, Després JP, Davis N, Grossniklaus DA, Klein S, B Lamarche, Lopez-Jimenez F. [et al.] Assessing Adiposity: A Scientific Statement From the American Heart Association. Circulation. 2011 Nov 1;124(18):1996-2019. doi: 10.1161/CIR. 0b013e318233bc6a.
5. Пиманов СИ. Ультразвуковая диагностика в гастроэнтерологии. М; РФ: Практическая медицина, 2016. 416 с.
6. Пиманов СИ, Бондаренко ВМ, Марчук ВП, Михайлова НА, Сапего АЛ, Макаренко ЕВ. Оценка результатов измерения количества висцеральной жировой ткани при ультразвуковом исследовании и компьютерной томографии. Ультразвуковая и Функциональная Диагностика. 2016;4:59-72.
7. Бондаренко ВМ, Пиманов СИ. Воспроизводимость ультразвуковых методов определения количества висцеральной жировой ткани. Вестник ВГМУ. 2017;16(3):73-81. doi: 10.22263/2312-4156.2017.3.73.
8. Stolk RP, Wink O, Zelissen PM, Meijer R, van Gils AP, Grobbee DE. Validity and reproducibility of ultrasonography for the measurement of intra-abdominal adipose tissue. Int J Obes Relat Metab Disord. 2001;25(9):1346-51. doi: 10.1038/sj.ijo.0801734.
9. Gong W, Ren H, Tong H, Shen X, Luo J, Chen S, Lai J, Chen X, Chen H, Yu W. A comparison of ultrasound and magnetic resonance imaging to assess visceral fat in the metabolic syndrome. Asia Pac J Clin Nutr. 2007;16 Suppl 1:339-45.
10. Квалиметрия: методы количественного оценивания качества различных объектов (курс лекций и практических занятий): учеб. пособие / под общ. и науч. ред. д.э.н., профессора Г.В. Астратовой. Сургут: РИО СурГПУ, 2014. 160 с.
11. Schober P, Boer C, Schwarte LA. Correlation Coefficients: Appropriate Use and Interpretation. Anesth Analg. 2018 May;126(5):1763-68. doi: 10.1213/ANE.0000000000002864.
12. Cohen J, A coefficient of agreement for nominal scales. Educ Psychol Meas. 1960;20:37-46. doi: 10.1177/ 001316446002000104.
13. Suzuki R, Watanabe S, Hirai Y, Akiyama K, Nishide T, Matsushima Y, Murayama H, Ohshima H, Shinomiya M, Shirai K. [et al.] Abdominal wall fat index, estimated by ultrasonography, for assessment of the ratio of visceral fat to subcutaneous fat in the abdomen. Am J Med. 1993 Sep;95(3):309-14. doi: 10.1016/0002-9343(93)90284-v.
14. Hirooka M, Kumagi T, Kurose K, Nakanishi S, Michitaka K, Matsuura B, Horiike N, Onji M. A technique for the measurement of visceral fat by ultrasonography: comparison of measurements by ultrasonography and computed tomography. Intern Med. 2005 Aug;44(8):794-99. doi: 10.2169/internalmedicine.44.794.
15. Koda M, Senda M, Kamba M, Kimura K, Murawaki Y. Sonographic subcutaneous and visceral fat indices represent the distribution of body fat volume. Abdom Imaging. 2007 May-Jun;32(3):387-92. doi: 10.1007/s00261-006-9082-3.
Review
For citations:
Pimanov S.I., Bondarenko V.M., Makarenko E.V. Choosing the Optimal Ultrasound Method for the Measurement of the Amount of Visceral Adipose Tissue. Health and Ecology Issues. 2019;(4):105-113. (In Russ.) https://doi.org/10.51523/2708-6011.2019-16-4-21
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