Anthropometric indices as surrogates for estimating abdominal visceral and subcutaneous adipose tissue: A meta-analysis with 16,129 participants

作者：Ping, Zhiguang^*; Pei, Xiaoting; Xia, Peige; Chen, Yuansi; Guo, Rui; Hu, Chenxi; Imam, Mustapha Umar; Chen, Yanzi; Sun, Panpan; Liu, Li^*

来源：Diabetes Research and Clinical Practice, 2018, 143: 310-319.

DOI：10.1016/j.diabres.2018.08.005

• Visceral adipose tissue
• Subcutaneous adipose tissue
• Waist circumference
• Body mass index
• Meta-analysis

Aim: To seek anthropometric indices that estimate visceral and subcutaneous adipose tissue (VAT and SAT) by meta-analysis and comparing the predictive efficacy based on different characteristics of participants.
Methods: PubMed, PubMed Central, Web of Science, China National Knowledge Infrastructure and Wanfang databases were searched for publications containing correlation coefficients of VAT and/or SAT with waist circumference (WC) and/or body mass index (BMI). The overall or subgroup pooled results were analyzed by meta and metafor packages of R with random effects model. MedCalc software was used to compare the correlation coefficients between groups.
Results: Twenty-nine publications were included in this meta-analysis. The correlation coefficients of VAT-WC, VAT-BMI, SAT-WC and SAT-BMI for total studies were between 0.640 and 0.785. The correlation of VAT with WC was larger than that with BMI (Z = 11.664, P < 0.001). Meanwhile, the correlation coefficients of VAT-WC were statistically different among different age groups, areas, ethnicities, body shapes, scanning levels, units and instruments of measuring VAT (P < 0.05). The overall correlation of SAT with BMI was larger than that with WC (Z = 3.805, P < 0.001). The subgroups' correlation coefficients of SAT-BMI showed statistical differences between genders, age groups, areas, ethnicities, body shapes, scanning levels, units (cm(2) and cm(3)) and instruments of measuring SAT (P < 0.05).
Conclusions: WC may be a common and simple surrogate for estimating VAT, and BMI for SAT, especially in Europeans, but not in the aged people.

• 出版日期2018-9
• 单位郑州大学