Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation

Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation

Nitin Kapoor,1,2 Stephen A Jiwanmall,3 Munaf B Nandyal,3 Dheeraj Kattula,3 Sandhiya Paravathareddy,1 Thomas V Paul,1 John Furler,4 Brian Oldenburg,2 Nihal Thomas1 1Department of Endocrinology, Diabetes and Metabolism Christian Medical College & Hospital, Vellore, Tamil Nadu, India; 2Non-Comm...

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Autores principales: Kapoor N, Jiwanmall SA, Nandyal MB, Kattula D, Paravathareddy S, Paul TV, Furler J, Oldenburg B, Thomas N
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2020
Materias:
metabolic obesity
morbid obesity
visceral adipose tissue
Specialties of internal medicine
RC581-951
Acceso en línea:https://doaj.org/article/032ad0b7d18d4652a96fd08517075fa0
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spelling oai:doaj.org-article:032ad0b7d18d4652a96fd08517075fa02021-12-02T11:05:58ZMetabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation1178-7007https://doaj.org/article/032ad0b7d18d4652a96fd08517075fa02020-09-01T00:00:00Zhttps://www.dovepress.com/metabolic-score-for-visceral-fat-mets-vf-estimation-ndash-a-novel-cost-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Nitin Kapoor,1,2 Stephen A Jiwanmall,3 Munaf B Nandyal,3 Dheeraj Kattula,3 Sandhiya Paravathareddy,1 Thomas V Paul,1 John Furler,4 Brian Oldenburg,2 Nihal Thomas1 1Department of Endocrinology, Diabetes and Metabolism Christian Medical College & Hospital, Vellore, Tamil Nadu, India; 2Non-Communicable Disease Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia; 3Department of Psychiatry, Christian Medical College & Hospital, Vellore, Tamil Nadu, India; 4Department of General Practice, University of Melbourne, Melbourne, AustraliaCorrespondence: Nitin Kapoor Email nitin.endocrine@gmail.comBackground: Visceral adipose tissue (VAT) assessment is limited in clinical practice due to expensive, time consuming and limited availability of MRI and DXA machines. We explored the utility of a recently developed Metabolic Score for Visceral Fat (METS-VF) to assess VAT in south Asian individuals with morbid obesity.Patients and Methods: Individuals with BMI ≥ 35 kg/m2 aged between 30 and 60 years were randomly selected from a database of individuals with morbid obesity, attending a multi-disciplinary bariatric clinic in a tertiary care teaching hospital in southern India. Body composition was assessed by using a Hologic Discovery A dual-energy X-ray absorptiometry (DXA) machine. METS-VF was used to estimate VAT by using a previously published algorithm.Results: The mean age and body mass index of the study subjects (N=350) were 38.2 years and 40.1 kg/m2. The MET-VF score performed satisfactorily (AUC of 0.78 (95% CI 0.72– 0.85)) for predicting an increased visceral adipose tissue (VAT area ≥ 163 cm2) as detected by DXA. A METS-VF value of 7.3 was found to have a good sensitivity and reasonable specificity in predicting elevated VAT in this population.Conclusion: This is the first study to validate the utility of METS-VF as a surrogate measure of visceral adiposity in south Indian individuals with morbid obesity. Given the simplicity, easy availability, reliability and inexpensive nature of this obesity indicator, it may find its widespread use in lower middle-income countries.Keywords: metabolic obesity, morbid obesity, visceral adipose tissueKapoor NJiwanmall SANandyal MBKattula DParavathareddy SPaul TVFurler JOldenburg BThomas NDove Medical Pressarticlemetabolic obesitymorbid obesityvisceral adipose tissueSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 3261-3267 (2020)
institution DOAJ
collection DOAJ
language EN
topic metabolic obesity
morbid obesity
visceral adipose tissue
Specialties of internal medicine
RC581-951
spellingShingle metabolic obesity
morbid obesity
visceral adipose tissue
Specialties of internal medicine
RC581-951
Kapoor N
Jiwanmall SA
Nandyal MB
Kattula D
Paravathareddy S
Paul TV
Furler J
Oldenburg B
Thomas N
Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation
description Nitin Kapoor,1,2 Stephen A Jiwanmall,3 Munaf B Nandyal,3 Dheeraj Kattula,3 Sandhiya Paravathareddy,1 Thomas V Paul,1 John Furler,4 Brian Oldenburg,2 Nihal Thomas1 1Department of Endocrinology, Diabetes and Metabolism Christian Medical College & Hospital, Vellore, Tamil Nadu, India; 2Non-Communicable Disease Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia; 3Department of Psychiatry, Christian Medical College & Hospital, Vellore, Tamil Nadu, India; 4Department of General Practice, University of Melbourne, Melbourne, AustraliaCorrespondence: Nitin Kapoor Email nitin.endocrine@gmail.comBackground: Visceral adipose tissue (VAT) assessment is limited in clinical practice due to expensive, time consuming and limited availability of MRI and DXA machines. We explored the utility of a recently developed Metabolic Score for Visceral Fat (METS-VF) to assess VAT in south Asian individuals with morbid obesity.Patients and Methods: Individuals with BMI ≥ 35 kg/m2 aged between 30 and 60 years were randomly selected from a database of individuals with morbid obesity, attending a multi-disciplinary bariatric clinic in a tertiary care teaching hospital in southern India. Body composition was assessed by using a Hologic Discovery A dual-energy X-ray absorptiometry (DXA) machine. METS-VF was used to estimate VAT by using a previously published algorithm.Results: The mean age and body mass index of the study subjects (N=350) were 38.2 years and 40.1 kg/m2. The MET-VF score performed satisfactorily (AUC of 0.78 (95% CI 0.72– 0.85)) for predicting an increased visceral adipose tissue (VAT area ≥ 163 cm2) as detected by DXA. A METS-VF value of 7.3 was found to have a good sensitivity and reasonable specificity in predicting elevated VAT in this population.Conclusion: This is the first study to validate the utility of METS-VF as a surrogate measure of visceral adiposity in south Indian individuals with morbid obesity. Given the simplicity, easy availability, reliability and inexpensive nature of this obesity indicator, it may find its widespread use in lower middle-income countries.Keywords: metabolic obesity, morbid obesity, visceral adipose tissue
format article
author Kapoor N
Jiwanmall SA
Nandyal MB
Kattula D
Paravathareddy S
Paul TV
Furler J
Oldenburg B
Thomas N
author_facet Kapoor N
Jiwanmall SA
Nandyal MB
Kattula D
Paravathareddy S
Paul TV
Furler J
Oldenburg B
Thomas N
author_sort Kapoor N
title Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation
title_short Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation
title_full Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation
title_fullStr Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation
title_full_unstemmed Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation
title_sort metabolic score for visceral fat (mets-vf) estimation – a novel cost-effective obesity indicator for visceral adipose tissue estimation
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/032ad0b7d18d4652a96fd08517075fa0
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