Application of Visceral Adiposity Index and Anthropometry to Identify Preclinical Atherosclerosis in Menopausal Status Women
Tongdee, P.; Loyd, R.A.; Winwan, K.; Nimkuntod, P.
Journal of the Medical Association of Thailand 99(Suppl 7): S30-S35
2016
ISSN/ISBN: 0125-2208 PMID: 29901383 Document Number: 8954
Obesity is associated with a major prevalence of cardiovascular risk factors and high risk of cardiovascular events and contributes to the increase in cardiovascular morbidity and mortality worldwide. Abdominal obesity is a main predictive factor of the metabolic syndrome, so it is certain that it represents a preferable marker of cardiovascular risk than generalized obesity. Visceral adiposity index (VAI) has recently been suggested to be used as a surrogate of visceral adiposity. We compared the predictive abilities of the VAI with those of simple anthropometric measures in preclinical This is observational cross-sectional study involving 130 menopausal status women voluntarily recruited from Suranaree University of Technology Hospital, Thailand. Body mass index (BMI), waist circumference (WC), waist-hip ratio (WHR), waist-height ratio (WHtR) and lipid profile were determined. VAI was calculated. CIMT was assessed using a high-resolution B mode ultrasound system. Total 114/130 menopausal status participants, 16 participants were excluded from morbid obesity and high triglyceride >400 mg/dL. About 22.3% had preclinical atherosclerosis on carotid ultrasound. Positive correlation was found between CIMT and WC (r = 0.20, p = 0.04), and WHR (r = 0.25, <0.01) and WHtR (r = 0.24, p = 0.01). However, there was no correlation between VAI and CIMT. Using VAI instead of simple anthropometric measures may lead to loss of much information needed for