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Obesity Estimation of Abdominal Fat by Using Computed Tomography : Influence of Breathing Motion on The Fat Measurement

전산화단층영상을 이용한 복부 지방 계측법에서 호흡운동이 비만도 측정에 미치는 영향

  • 성열훈 (청주대학교 방사선학과)
  • Received : 2011.11.22
  • Accepted : 2012.03.24
  • Published : 2012.03.30

Abstract

The purpose of this study was to evaluate how much effect to accuracy when measuring abdominal fat by Computed Tomography (CT) under different respiration movements. The study volunteer composed of 66 normal adults ($50.4{\pm}11.2$ years, 33 males, 33 females). We measured their obesity by using Broca index, body mass index (BMI) and CT and have investigated the correlation. The CT scanning for the obesity measurement have done in two ways, one was done in stopping breath after exhaling and the other was holding a breath after inhaling. The results showed no statistically significant difference among the three measuring techniques. And, the error in two ways of inhaling and exhaling was showed 24.2% of volunteers. The two ways of respiration movements made different result in visceral fat area (P = 0.044), subcutaneous fat area (P = 0.636) and abdominal obesity value (P = 0.012). This study demonstrates that the two ways of respiration movements when scanning CT makes change in accuracy in visceral fat area, and in abdominal obesity quantitative measure. Therefore, our study suggests that CT should take twice in two ways while a patient stops breath after exhaling and holds a breath after inhaling when measuring abdominal obesity using CT equipments.

Keywords

References

  1. T. Nakamura, K. Tokunaga, I. Shimomura, and et al., "Contribution of visceral fat accumulation to the development of coronary artery disease in non-obese men," Atheroscl., vol. 107, pp. 239-246, 1994. https://doi.org/10.1016/0021-9150(94)90025-6
  2. G. Plourde, "The Role of Radiologic Methods in Assessing Body Composition and Related Metabolic Parameters," Nutr. Rev., vol. 55(8), pp. 289-296, 1997.
  3. K. Tokunaga, and et al., "A novel technique for the determination of body fat by computed tomography," Int. J. Obes., vol. 7, pp. 437-445, 1983.
  4. T. Yoshizumi, and et al., "Abdominal fat. Standardize-technique for measurement at CT," Radiol., vol. 211, pp. 283-286, 1999. https://doi.org/10.1148/radiology.211.1.r99ap15283
  5. L. F. Donnelly, and B. J. Dardzinski, "Using a phantom to compare MR technique for determining the ratio of interabdominal to subcutaneous adipose tissue," AJR, vol. 180, pp. 993-998, 2003. https://doi.org/10.2214/ajr.180.4.1800993
  6. J.D. Yeo, and B.K. Jeon, "Analysis of CT, MRI, DITI for the Diagnosis of Abdominal Obesity and Clinical Usefulness," JKCA, vol. 6, pp. 252-259, 2011. https://doi.org/10.5392/JKCA.2011.11.6.252
  7. E.S. Kim, Y.S. Noh, K.S. Seo, S.B. Park, and H.R. Yoon, "The Novel Method of Segmental Bio-Impedance Measurement Based on Multi-Frequency for a Prediction of risk Factors Life-Style Disease of Obesity," J. Biomed. Eng. Res., vol. 31, pp. 375-384, 2010.
  8. J.M. Conway, C. Allard, A. Tremblay, J. Talbot, and C. Bouchard, "Evidence for a regional component of body fatness in the association with serum lipids in men and women," Metabol., vol. 61, pp. 7652-7771, 1995.
  9. H. Kvist, B. Chowdhury, U. Grangrad, U. Tylen, and L. Sjostrom, "Total and visceral adipose tissue volumes derived from measurements with computed tomography in adult men and women: predictive equations," Am. J. Clin. Nutr., vol. 48, pp. 1351-1361, 1988.
  10. J.M. Conway, S.Z. Yanovski, N.A. Avila, and V.S. Hubbard, "Visceral adipose tissue differences in black and white women," Am. J. Clin. Nutr., vol. 61, pp. 765-771, 1995. https://doi.org/10.1093/ajcn/61.4.765
  11. K. Kotani, "Sex difference in age-related changes of fat distribution in the obese," Int. J. obes. vol. 18, pp. 207-212, 1994.
  12. M.J. Williams, G.R. Hunter, T. Kekes-Szabo, M.S. Treuth, S. Snyder, L. Berland, and et al., "Intra-abdominal adipose tissue cut-points related to elevated cardiovascular risk in women," Int. J. Obes. vol. 20, pp. 613-617, 1996.
  13. G.R. Hunter, S.W. Snyder, T. Kekes-Szabo, C. Nicholson, and I. Berland, "Intra-abdominal adipose tissue variables associated with risk of possessing elevated blood lipids and blood pressure," Obes. Res. vol. 2, pp. 563-569, 1994. https://doi.org/10.1002/j.1550-8528.1994.tb00106.x
  14. J.P. Despres, and B. Lamarche, "Effects of diet and physical activity on adiposity and body fat distribution: implications for the prevention of cardiovascular disease," Nutr. Res. Rev. vol. 6, pp. 137-159, 1993. https://doi.org/10.1079/NRR19930010
  15. S.W. Oh, S.A. Shin, Y.H. Yun, T. Yoo, and B.Y. Huh, "Cut-off point of BMI and obesity-related cornorbidities and mortality in middle-aged Korean," Obes. Res. vol. 12, pp. 2031-2040, 2004. https://doi.org/10.1038/oby.2004.254
  16. B.M. Cho, "A study on the Modified Broca's Index to Estimate Standard Body Weight of Korea Adults," Korea J. Preventive Medicine., vol. 16(1), pp. 35-40, 1983.
  17. World Health Organization. Reducing Risks-Promoting Healthy Life. World Health Report 2002, Geneva, WHO 2002.
  18. Expert Panel on Detection, "Evalution, and Treatment of High Blood Cholesterol in Adults," Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP). JAMA vol. 285, pp. 2486-2496, 2001. https://doi.org/10.1001/jama.285.19.2486
  19. A.R. Folsom, S.A. Kaye, T.A. Sellers, C.P. Hong, J.R. Cerhan, J.D. Potter, and et al., "Body fat distribution and 5-year risk of death in older women," JAMA, vol. 269, pp. 483-487, 1993. https://doi.org/10.1001/jama.1993.03500040049035
  20. A.H. Kissebah, "Intra-abdominal fat: Is it a major factor in developing diabetes and coronary artery disease?" Diabetes Res. Clin. Pract. vol. 30, pp. 25-30, 1996. https://doi.org/10.1016/S0168-8227(96)80035-0
  21. O. Bosello, M. Zamboni, F. Armellini, and T. Todesco, "Biological and clinical aspects of regional body fat distribution," Diab. Nutr. Metab. vol. 6, pp. 163-171, 1993.
  22. J.P. Despres, "The insulin resistance dyslipidemic syndrome of visceral obesity: effect on patients risk," Obes. Res. vol. 6, pp. 8S-17S, 1998. https://doi.org/10.1002/j.1550-8528.1998.tb00683.x
  23. A. Must, J. Spadano, E.H. Coackley, A.E. Field, G. Colditz, and W.H. Dietz, "The disease burden associated with overweight and obesity," JAMA, vol. 282, pp. 1523-1529, 1999. https://doi.org/10.1001/jama.282.16.1523
  24. B. Laesson, K. Svardsudd, L. Welin, L. Wilhemsen, P. Bjorntorp, and G. Tibblin, "Abdominal adipose tissue distribution, obesity and risk of cardiovascular disease and death: 13 year follow-up of participants in the study of men born in 1913," Br. Med. J. vol. 288, pp. 1401-1404, 1984. https://doi.org/10.1136/bmj.288.6428.1401
  25. A.H. Kissebah, N. Vydelingum, R. Murray, and et al., "Relation of body fat distribution to metabolic complication of obesity," J. Clin. Endocrinol. Metab. vol. 54, pp. 254-260, 1982. https://doi.org/10.1210/jcem-54-2-254
  26. A.C. Perry, E.B. Applegate, M.L. Jackson, S. Deprima, R.B. Goldberg, R. Ross, and et al., "Racial difference in visceral adipose tissue but not anthropometric markers of healthrelated variables," J. Appl. Physiol. vol. 89, pp. 381-387, 2000.