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      [Bioelectrical impedance and visceral fat: a comparison with computed tomography in adults and elderly].

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          Abstract

          To evaluate the association between electrical bioimpedance analysis (BIA) and visceral fat (VF) in adult and elderly patients.

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          Can abdominal bioelectrical impedance refine the determination of visceral fat from waist circumference?

          Ryo et al (2005 Diabetes Care 28 451-3) reported a new method for measuring the visceral fat area (VFA) by combining abdominal bioelectrical impedance analysis (BIA) with measurement of waist circumference (WC), but very few methodological details were provided. Furthermore, the study did not test the use of WC alone as an indicator of VFA even though others had previously reported a strong correlation. We sought to determine the optimal measurement technique and analysis for measuring VFA by abdominal BIA and WC. 18 volunteers (age 23-64 years) underwent measurement of WC, abdominal impedance (Bodystat 500 four-electrode system) and a single cross-sectional CT scan at the umbilicus. VFA derived using WC(3) and measurements of abdominal impedance from electrode pairs sited at the flank predicted the value of VFA measured by CT with correlation r = 0.904 (p < 0.0001); the optimizing power of WC was 3.3 (r = 0.905). However, the use of WC(1.9) alone, without involving BIA at all, provided a similar correlation (r = 0.923). Our small preliminary study shows that abdominal BIA is potentially a practicable non-invasive technique for measurement of VFA but casts doubt on whether it adds any value to the use of WC alone. Larger studies are now required to test this finding.
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            Author and article information

            Journal
            Arq Bras Endocrinol Metabol
            Arquivos brasileiros de endocrinologia e metabologia
            FapUNIFESP (SciELO)
            1677-9487
            0004-2730
            Feb 2013
            : 57
            : 1
            Affiliations
            [1 ] Conselho Nacional de Desenvolvimento Científico e Tecnológico (CEIAE-CNPq), Centro de Estudos e Intervenção na Área do Envelhecimento, Universidade Federal da Bahia (UFBA), Salvador, BA, Brasil. mieickemberg@yahoo.com.br
            Article
            S0004-27302013000100004
            10.1590/s0004-27302013000100004
            23440096
            2cf17540-5d2d-4129-922e-bf653fab6eef
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