Waist circumference and sagittal diameter reflect total body fat better than visceral fat in older men and women. The Health, Aging and Body Composition Study

Tamara B. Harris, Marjolein Visser, James Everhart, Jane Cauley, Frances Tylavsky, Thomas Fuerst, Mauro Zamboni, Dennis Taaffe, Helaine E. Resnick, Ann Scherzinger, Michael Nevitt

Research output: Contribution to journalArticle

105 Citations (Scopus)

Abstract

The validity of waist circumference and sagittal diameter as surrogate measures of visceral fat were assessed using preliminary cross-sectional data from the Health, Aging and Body Composition Study, a cohort of 3075 men and women aged 70-79. Weight, body mass index, waist circumference, waist/thigh ratio, and sagittal diameter were compared by correlation, graphical analysis, and regression to total body fat as measured by dual-energy X-ray absorptiometry (Hologic 4500A), and to visceral fat area as measured by computerized tomography. We included 2830 persons, 1439 women and 1391 men with complete data on all measurements. For both men and women, all measurements were strongly correlated with both total body fat and visceral fat except the waist/thigh ratio. However waist circumference, sagittal diameter, weight, and body mass index were more closely related to total body fat than to visceral fat area (R2 for the linear regression of waist circumference on total body fat was 0.69 in women and men; R2 for linear regression of waist circumference on visceral fat area was 0.40 in women, and 0.49 in men). These data suggest that the contribution of visceral fat to health risks will be better assessed by directly measuring this fat depot.

Original languageEnglish (US)
Pages (from-to)462-473
Number of pages12
JournalAnnals of the New York Academy of Sciences
Volume904
StatePublished - Jan 1 2000

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Intra-Abdominal Fat
Waist Circumference
Body Composition
Adipose Tissue
Aging of materials
Fats
Health
Chemical analysis
Thigh
Linear Models
Body Mass Index
Weights and Measures
Photon Absorptiometry
Linear regression
Fat
Composition Studies
Cohort Studies
Tomography
Regression Analysis
Computerized tomography

All Science Journal Classification (ASJC) codes

  • Neuroscience(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • History and Philosophy of Science

Cite this

Waist circumference and sagittal diameter reflect total body fat better than visceral fat in older men and women. The Health, Aging and Body Composition Study. / Harris, Tamara B.; Visser, Marjolein; Everhart, James; Cauley, Jane; Tylavsky, Frances; Fuerst, Thomas; Zamboni, Mauro; Taaffe, Dennis; Resnick, Helaine E.; Scherzinger, Ann; Nevitt, Michael.

In: Annals of the New York Academy of Sciences, Vol. 904, 01.01.2000, p. 462-473.

Research output: Contribution to journalArticle

Harris, TB, Visser, M, Everhart, J, Cauley, J, Tylavsky, F, Fuerst, T, Zamboni, M, Taaffe, D, Resnick, HE, Scherzinger, A & Nevitt, M 2000, 'Waist circumference and sagittal diameter reflect total body fat better than visceral fat in older men and women. The Health, Aging and Body Composition Study', Annals of the New York Academy of Sciences, vol. 904, pp. 462-473.
Harris, Tamara B. ; Visser, Marjolein ; Everhart, James ; Cauley, Jane ; Tylavsky, Frances ; Fuerst, Thomas ; Zamboni, Mauro ; Taaffe, Dennis ; Resnick, Helaine E. ; Scherzinger, Ann ; Nevitt, Michael. / Waist circumference and sagittal diameter reflect total body fat better than visceral fat in older men and women. The Health, Aging and Body Composition Study. In: Annals of the New York Academy of Sciences. 2000 ; Vol. 904. pp. 462-473.
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