Associations between Weight-Adjusted Waist Index and Abdominal Fat and Muscle Mass: Multi-Ethnic Study of Atherosclerosis

被引:117
作者
Kim, Ji Yoon [1 ]
Choi, Jimi [1 ]
Vella, Chantal A. [2 ]
Criqui, Michael H. [3 ]
Allison, Matthew A. [3 ]
Kim, Nam Hoon [1 ]
机构
[1] Korea Univ, Dept Internal Med, Div Endocrinol & Metab, Coll Med, 73 Inchon Ro, Seoul 02841, South Korea
[2] Univ Idaho, Coll Educ Hlth & Human Sci, Dept Movement Sci, Moscow, ID 83843 USA
[3] Univ Calif San Diego, Dept Family & Prevent Med, Div Prevent Med, La Jolla, CA USA
关键词
Anthropometry; Body composition; Obesity; Sarcopenia; BODY-FAT; CARDIOVASCULAR-DISEASE; OBESITY; RADIODENSITY; DEFINITION;
D O I
10.4093/dmj.2021.0294
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: The weight-adjusted waist index (WWI) reflected body compositional changes with aging. This study was to investigate the association of WWI with abdominal fat and muscle mass in a diverse race/ethnic population. Methods: Computed tomography (CT) data from 1,946 participants for abdominal fat and muscle areas from the Multi-Ethnic Study of Atherosclerosis (785 Whites, 252 Asians, 406 African American, and 503 Hispanics) were used. Among them, 595 participants underwent repeated CT. The WWI was calculated as waist circumference (cm) divided by the square root of body weight (kg). The associations of WWI with abdominal fat and muscle measures were examined, and longitudinal changes in abdominal composition measures were compared. Results: In all race/ethnic groups, WWI was positively correlated with total abdominal fat area (TFA), subcutaneous fat area, and visceral fat area, but negatively correlated with total abdominal muscle area (TMA) and abdominal muscle radiodensity (P<0.001 for all). WWI showed a linear increase with aging regardless of race and there were no significant differences in the WWI distribution between Whites, Asians, and African Americans. In longitudinal analyses, over 38.6 months of follow-up, all abdominal fat measures increased but muscle measures decreased, along with increase in WWI. The more the WWI increased, the more the TFA increased and the more the TMA decreased. Conclusion: WWI showed positive associations with abdominal fat mass and negative associations with abdominal muscle mass, which likely reflects the abdominal compositional changes with aging in a multi-ethnic population.
引用
收藏
页码:747 / 755
页数:9
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