Optimal Cut-Off Values of Visceral Fat Area for Predicting Metabolic Syndrome Among Type 2 Diabetes Patients in Ningbo, China

Xi Yang,1,* Yi Lin,2,* Guo-dong Xu,3 Yan-shu Chen,4 Ye Zhou,4 Jing Sun,5 Li Li4 1Department of Nutrition, Ningbo First Hospital, Ningbo, Zhejiang Province, People’s Republic of China; 2Center for Health Economics, School of Economics, Faculty of Humanities and Social Sciences, University o...

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Autores principales:	Yang X, Lin Y, Xu G, Chen Y, Zhou Y, Sun J, Li L
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	abdominal obesity metabolic syndrome visceral fat area type 2 diabetes Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/29319a7b62fd4e5ba714fceaea7d5250
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spelling	oai:doaj.org-article:29319a7b62fd4e5ba714fceaea7d52502021-12-02T14:02:57ZOptimal Cut-Off Values of Visceral Fat Area for Predicting Metabolic Syndrome Among Type 2 Diabetes Patients in Ningbo, China1178-7007https://doaj.org/article/29319a7b62fd4e5ba714fceaea7d52502021-03-01T00:00:00Zhttps://www.dovepress.com/optimal-cut-off-values-of-visceral-fat-area-for-predicting-metabolic-s-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Xi Yang,1,* Yi Lin,2,* Guo-dong Xu,3 Yan-shu Chen,4 Ye Zhou,4 Jing Sun,5 Li Li4 1Department of Nutrition, Ningbo First Hospital, Ningbo, Zhejiang Province, People’s Republic of China; 2Center for Health Economics, School of Economics, Faculty of Humanities and Social Sciences, University of Nottingham, Ningbo, Zhejiang Province, People’s Republic of China; 3Department of Medical Records Statistics, Ningbo Medical Center Lihuili Hospital, Ningbo, Zhejiang Province, People’s Republic of China; 4Department of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, Zhejiang Province, People’s Republic of China; 5Menzies Health Institute Queensland and School of Medicine, Griffith University, Gold Coast, Queensland, Australia*These authors contributed equally to this workCorrespondence: Li LiDepartment of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, Zhejiang Province, People’s Republic of China  Tel +86 137 5742 6626Email lilyningbo@163.comObjective: To examine the optimal cut-off values of visceral fat area (VFA) for predicting metabolic syndrome (MetS) among type 2 diabetes (T2D) patients in Ningbo China.Methods: A total of 1017 subjects were selected from T2D patients who accepted standardized management by the National Standardized Metabolic Disease Management Center at Ningbo First Hospital from March 2018 to January 2020. Demography and medical information were collected through questionnaires. Regional adiposity was examined by a visceral fat analyzer using the dual bioelectrical impedance method.Results: Overall, 769 (75.6%) T2D patients were defined to have MetS. Patients with MetS had higher anthropometric values and biomarkers, compared to those without MetS. VFA was significantly correlated with risk factors of MetS. Further logistic regression models showed that VFA was significantly associated with MetS in men (OR=1.02) and in women (OR=1.03) (P< 0.001 for both genders) after controlling for related factors. Receiver-operating characteristic curve analysis demonstrated that the optimal cut-off values of VFA were 84.7 cm2 for men and 81.1 cm2 for women to predict MetS in T2D patients.Conclusion: VFA was associated with MetS and could be an independent predictor of MetS in T2D patients.Clinical Trial Registration: www.ClinicalTrials.gov, number: NCT03811470.Keywords: abdominal obesity, metabolic syndrome, visceral fat area, type 2 diabetesYang XLin YXu GChen YZhou YSun JLi LDove Medical Pressarticleabdominal obesitymetabolic syndromevisceral fat areatype 2 diabetesSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 1375-1383 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	abdominal obesity metabolic syndrome visceral fat area type 2 diabetes Specialties of internal medicine RC581-951
spellingShingle	abdominal obesity metabolic syndrome visceral fat area type 2 diabetes Specialties of internal medicine RC581-951 Yang X Lin Y Xu G Chen Y Zhou Y Sun J Li L Optimal Cut-Off Values of Visceral Fat Area for Predicting Metabolic Syndrome Among Type 2 Diabetes Patients in Ningbo, China
description	Xi Yang,1,* Yi Lin,2,* Guo-dong Xu,3 Yan-shu Chen,4 Ye Zhou,4 Jing Sun,5 Li Li4 1Department of Nutrition, Ningbo First Hospital, Ningbo, Zhejiang Province, People’s Republic of China; 2Center for Health Economics, School of Economics, Faculty of Humanities and Social Sciences, University of Nottingham, Ningbo, Zhejiang Province, People’s Republic of China; 3Department of Medical Records Statistics, Ningbo Medical Center Lihuili Hospital, Ningbo, Zhejiang Province, People’s Republic of China; 4Department of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, Zhejiang Province, People’s Republic of China; 5Menzies Health Institute Queensland and School of Medicine, Griffith University, Gold Coast, Queensland, Australia*These authors contributed equally to this workCorrespondence: Li LiDepartment of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, Zhejiang Province, People’s Republic of China  Tel +86 137 5742 6626Email lilyningbo@163.comObjective: To examine the optimal cut-off values of visceral fat area (VFA) for predicting metabolic syndrome (MetS) among type 2 diabetes (T2D) patients in Ningbo China.Methods: A total of 1017 subjects were selected from T2D patients who accepted standardized management by the National Standardized Metabolic Disease Management Center at Ningbo First Hospital from March 2018 to January 2020. Demography and medical information were collected through questionnaires. Regional adiposity was examined by a visceral fat analyzer using the dual bioelectrical impedance method.Results: Overall, 769 (75.6%) T2D patients were defined to have MetS. Patients with MetS had higher anthropometric values and biomarkers, compared to those without MetS. VFA was significantly correlated with risk factors of MetS. Further logistic regression models showed that VFA was significantly associated with MetS in men (OR=1.02) and in women (OR=1.03) (P< 0.001 for both genders) after controlling for related factors. Receiver-operating characteristic curve analysis demonstrated that the optimal cut-off values of VFA were 84.7 cm2 for men and 81.1 cm2 for women to predict MetS in T2D patients.Conclusion: VFA was associated with MetS and could be an independent predictor of MetS in T2D patients.Clinical Trial Registration: www.ClinicalTrials.gov, number: NCT03811470.Keywords: abdominal obesity, metabolic syndrome, visceral fat area, type 2 diabetes
format	article
author	Yang X Lin Y Xu G Chen Y Zhou Y Sun J Li L
author_facet	Yang X Lin Y Xu G Chen Y Zhou Y Sun J Li L
author_sort	Yang X
title	Optimal Cut-Off Values of Visceral Fat Area for Predicting Metabolic Syndrome Among Type 2 Diabetes Patients in Ningbo, China
title_short	Optimal Cut-Off Values of Visceral Fat Area for Predicting Metabolic Syndrome Among Type 2 Diabetes Patients in Ningbo, China
title_full	Optimal Cut-Off Values of Visceral Fat Area for Predicting Metabolic Syndrome Among Type 2 Diabetes Patients in Ningbo, China
title_fullStr	Optimal Cut-Off Values of Visceral Fat Area for Predicting Metabolic Syndrome Among Type 2 Diabetes Patients in Ningbo, China
title_full_unstemmed	Optimal Cut-Off Values of Visceral Fat Area for Predicting Metabolic Syndrome Among Type 2 Diabetes Patients in Ningbo, China
title_sort	optimal cut-off values of visceral fat area for predicting metabolic syndrome among type 2 diabetes patients in ningbo, china
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/29319a7b62fd4e5ba714fceaea7d5250
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Optimal Cut-Off Values of Visceral Fat Area for Predicting Metabolic Syndrome Among Type 2 Diabetes Patients in Ningbo, China

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