Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Nonlinear relationships between visceral fat area and percent regional fat mass in the trunk and the lower limbs in Japanese adults

Abstract

Objective:

The present study aimed to examine the relationship between visceral fat area (VFA) and regional fat mass (RFM) or its distribution characteristics and to compare these characteristics between normal and visceral obesity Japanese adults.

Subjects/Methods:

Nonobese and nonvisceral obese Japanese adults (control group (CG): 44 men and 47 women), obese but nonvisceral obese (obesity group (OG): 15 men and 21 women) and visceral obese group (VOG, 80 men and 17 women). Obesity and visceral obesity were defined as body mass index 25 kg m−2 and VFA 100 cm2, respectively, based on the criteria of the examination committee of criteria for obesity disease in Japan. RFM of the both arms, trunk and both legs were measured by DEXA, and we calculated the percent RFM (%RFM). The VFA and subcutaneous fat area were measured at the umbilicus level using CT scans. We examined the relationship between VFA and RFM or %RFM in the Japanese adult population.

Results:

Although linear relationships were found between VFA and each RFM, nonlinear relationships were found between VFA and each %RFM. In CG, %RFM of the trunk increases and %RFM of the leg decreases with accumulating VFA, but these relationships declined in VOG.

Conclusion:

These results may suggest that the relationship between %RFM and VFA changes between different visceral obese levels, and for Japanese adults this is found at reaching a 100 cm2 VFA, which corresponds to the criteria for visceral obesity.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

Similar content being viewed by others

References

  • Abe T, Kawakami Y, Fukunaga T (1993). Validity of anthropometrical methods for measuring visceral fat mass in young women. Med Sci Sports Exerc 25 (Suppl), S58.

    Article  Google Scholar 

  • Abe T, Kawakami Y, Sugita M, Yoshikawa K, Fukunaga T (1995). Use of B-mode ultrasound for visceral fat mass evaluation: comparisons with magnetic resonance imaging. J Physiol Anthropol Appl Human Sci 14, 133–139.

    Article  CAS  Google Scholar 

  • Abe T, Sakurai T, Kurata J, Kawakami Y, Fukunaga T (1996). Subcutaneous and visceral fat distribution and daily physical activity: comparison between young and middle aged women. Br J Sports Med 30, 297–300.

    Article  CAS  Google Scholar 

  • Bacha F, Saad R, Gungor N, Janosky J, Arslanian SA (2003). Obesity, regional fat distribution, and syndrome X in obese black versus white adolescents: race differential in diabetogenic and atherogenic risk factors. J Clin Endocrinol Metab 88, 2534–2540.

    Article  CAS  Google Scholar 

  • Borkan GA, Hults DE, Gerzof SG, Burrows BA, Robbins AH (1983). Relationships between computed tomography tissue areas, thickness and total body composition. Ann Hum Biol 10, 537–546.

    Article  CAS  Google Scholar 

  • Brochu M, Starling RD, Tchernof A, Matthews DE, Garcia-Rubi E, Poehlman T (2000). Visceral adipose tissue is an independent correlate of glucose disposal in older obese postmenopausal women. J Clin Endocrinol Metab 85, 2378–2384.

    CAS  Google Scholar 

  • Davies PS, Jones PRM, Norgan NG (1986). The distribution of subcutaneous and internal fat in man. Ann Hum Biol 13, 189–192.

    Article  CAS  Google Scholar 

  • Denino WF, Ades PA, Tchernof AT, Sites CK, Dionne IJ, Poehlman ET et al. (2001). Contribution of abdominal adiposity to age-related differences in insulin sensitivity and plasma lipids in healthy nonobese women. Diabetes Care 24, 925–932.

    Article  CAS  Google Scholar 

  • Examination Committee of Criteria for ‘Obesity Disease’ in Japan, Japan Society for the Study of Obesity (2002). New criteria for ‘obesity disease’ in Japan. Circ J 66, 987–992.

    Article  Google Scholar 

  • Hara M, Saikawa T, Kurokawa M, Sakata T, Yoshimatsu H (2004). Leg fat percentage correlates negatively with coronary atherosclerosis. Circ J 68, 1173–1178.

    Article  Google Scholar 

  • Hattori K, Numata N, Ikoma M, Matsuzaka A, Danielson RR (1991). Sex differences in the distribution of subcutaneous and internal fat. Hum Biol 63, 53–63.

    CAS  PubMed  Google Scholar 

  • Kobayashi H, Nakamura T, Miyaoka K, Nishida M, Funahashi T, Yamashita S et al. (2001). Visceral fat accumulation contributes to insulin resistance, small-sized low-density lipoprotein, and progression of coronary artery disease in middle-aged non-obese Japanese men. Jpn Circ J 65, 193–199.

    Article  CAS  Google Scholar 

  • Kurioka S, Murakami Y, Nishiki M, Sohmiya M, Koshimura K, Kato Y (2002). Relationship between visceral fat accumulation and anti-lipolytic action of insulin in patients with type 2 diabetes mellitus. Endocrine Journal 49, 459–464.

    Article  CAS  Google Scholar 

  • Lemieux S, Prud'home D, Bouchard C, Tremblay A, Despres JP (1993). Sex differences in the relation of visceral adipose tissue accumulation to total body fatness. Am J Clin Nutr 58, 463–467.

    Article  CAS  Google Scholar 

  • Pascot A, Despres JP, Lemieux I, Almeras N, Bergeron J, Nadeau A et al. (2001). Deterioration of the metabolic risk profile in women. Diabetes Care 24, 902–908.

    Article  CAS  Google Scholar 

  • Pascot A, Despres JP, Lemieux I, Bergeron J, Nadeau A, Prud'homme D et al. (2000). Contribution of visceral obesity to the deterioration of the metabolic risk profile in men with impaired glucose tolerance. Diabetologia 43, 1126–1135.

    Article  CAS  Google Scholar 

  • Raji A, Seely EW, Arky RA, Simonson DC (2001). Body fat distribution and insulin resistance in healthy Asian Indians and Caucasians. J Clin Endocrinol Metab 86, 5366–5371.

    Article  CAS  Google Scholar 

  • Yoshizumi T, Nakamura T, Yamane M, Islam AH, Menju M, Yamasaki K et al. (1999). Abdominal fat: standardized technique for measurement at CT. Radiology 211, 283–286.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S Sato.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Demura, S., Sato, S. Nonlinear relationships between visceral fat area and percent regional fat mass in the trunk and the lower limbs in Japanese adults. Eur J Clin Nutr 62, 1395–1404 (2008). https://doi.org/10.1038/sj.ejcn.1602887

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue date:

  • DOI: https://doi.org/10.1038/sj.ejcn.1602887

Keywords

This article is cited by

Search

Quick links