Waist-hip ratio is a poor predictor of changes in visceral fat

K van der Kooy, R Leenen, J C Seidell, P. Deurenberg, A. Droop, C J Bakker

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Magnetic resonance imaging was used to study the effect of weight loss on three fat depots: the visceral and subcutaneous abdominal depots and the subcutaneous depot at trochanter level. Changes in fat depots were compared with changes in circumference measures and the waist-hip ratio (WHR) in obese men (n = 38) and women (n = 40). Mean weight loss was (mean +/- SD) 12.9 +/- 3.5 kg (P < 0.001). The proportional reduction of fat was largest in the visceral depot (men 40%, women 33%). Less fat was lost subcutaneously, especially at trochanter level (men 29%, women 26%). WHR decreased significantly in both sexes (P < 0.001). Change in WHR was not significantly related to the absolute reduction in visceral fat. Total body-fat loss showed a stronger association with subcutaneous fat loss than with visceral fat loss. The findings suggest that fat distribution may change with weight loss, particularly by the loss of visceral fat, but changes in WHR are not appropriate for evaluating changes in this fat depot.

Original languageEnglish
Pages (from-to)327-33
Number of pages7
JournalThe American Journal of Clinical Nutrition
Volume57
Issue number3
DOIs
Publication statusPublished - Mar 1993

Keywords

  • Abdomen
  • Adipose Tissue
  • Adult
  • Anthropometry
  • Body Composition
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Obesity
  • Regression Analysis
  • Sex Characteristics
  • Weight Loss
  • Journal Article
  • Research Support, Non-U.S. Gov't

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