Relationship between abdominal fat distribution and diabetes in middle-aged and old people

Q4 Nursing

中华临床营养杂志 Pub Date : 2018-06-30 DOI:10.3760/CMA.J.ISSN.1674-635X.2018.03.007

Xuefeng Ni, Wenbing Mou, L. Jiao, K. Yu

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Abstract

Objective A analyze the relation between abdominal fat and diabetes mellitus in elderly person aged 51-100. Methods According to the abdominal CT scan in 2015 to 2016 of 162 patients in Peking Union Medical College Hospital, the volume and distribution of their abdominal fat were measured to analyze the relationship between abdominal fat and diabetes mellitus. Results People aged 51-75, no abnormal glucose metabolism group compare with diabetes or fast hyperglycemia group, tend to have less abdominal visceral fat[(63.61±24.95)mm3vs.( 70.39±31.33)mm3t=-1.229, P=0.22], tend to have more abdominal subcutaneous fat[(89.03±32.94)mm3vs. (83.18±43.25)mm3, t=1.070, P=0.43), but both are not significant difference, total abdominal fat is similar between the two group[(152.64±46.84)mm3vs. (151.84±61.32)mm3 , t=0.076, P=0.94], abdominal visceral fat percentage is significantly lower[(41.8±10.9)% vs. (46.9±10.9)%, t=-2.346, P=0.02]. People aged 76-100, no abnormal glucose metabolism group compare with diabetes or fast hyperglycemia group, tend to have more abdominal visceral fat[(68.29±39.58)mm3vs. (51.56±25.89)mm3), abdominal subcutaneous fat[(84.65±41.30)mm3vs. (75.29±42.04)mm3], total abdominal fat[(152.96±69.92)mm3vs. (126.86±62.13)mm3], abdominal visceral fat percentage[(43.7±12)% vs. (41.1±11.8)%], all of them are not significant (t=1.885, 0.839, 1.479, 0.810, respectively; P=0.07, 0.40, 0.15, 0.42, respectively). Conclusions In people aged 51-75, those who had increased ratio of abdominal visceral fat to total abdominal fat were more prone to diabetes or fasting hyperglycemia. In people aged 76-100, no significant correlation was detected between abdominal fat and disorder of glucose metabolism. Key words: Diabetes mellitus, type 2; Obesity; Subcutaneous fat; Viscecal fat

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中老年人腹部脂肪分布与糖尿病的关系

目的分析51 ~ 100岁老年人腹部脂肪与糖尿病的关系。方法通过2015 ~ 2016年北京协和医院162例患者腹部CT扫描，测量腹部脂肪体积及分布，分析腹部脂肪与糖尿病的关系。结果51 ~ 75岁人群中，无糖代谢异常组与糖尿病或快速高血糖组相比，腹部内脏脂肪较少[(63.61±24.95)mm3vs]。(70.39±31.33)mm3t=-1.229, P=0.22)，腹部皮下脂肪较多[(89.03±32.94)mm3vs]。(83.18±43.25)mm3, t=1.070, P=0.43)，但两组间差异无统计学意义，两组间腹部总脂肪量相近[(152.64±46.84)mm3vs.]。(151.84±61.32)mm3, t=0.076, P=0.94]，腹部内脏脂肪百分比明显降低[(41.8±10.9)%比(46.9±10.9)%，t=-2.346, P=0.02]。76 ~ 100岁人群，无糖代谢异常组与糖尿病或快速高血糖组相比，腹部内脏脂肪较多[(68.29±39.58)mm3vs]。(51.56±25.89)mm3)，腹部皮下脂肪[(84.65±41.30)mm3];(75.29±42.04)mm3]，腹部总脂肪[(152.96±69.92)mm3];(126.86±62.13)mm3)、腹部内脏脂肪率[(43.7±12)% vs(41.1±11.8)%]，差异均无统计学意义(t分别=1.885、0.839、1.479、0.810;P=0.07, 0.40, 0.15, 0.42)。结论51-75岁人群中，腹部内脏脂肪与腹部总脂肪之比增高者更易患糖尿病或空腹高血糖。在76-100岁的人群中，腹部脂肪与葡萄糖代谢紊乱之间没有明显的相关性。关键词:糖尿病;2型;肥胖;皮下脂肪;Viscecal脂肪

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.