机构：[a]Department of Endocrinology, Capital Medical University, Beijing Tiantan Hospital, Beijing, China首都医科大学附属天坛医院[b]Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Columbia University, New York, New York, USA[c]Department of Radiology, Beijing Jishuitan Hospital, Beijing, China[d]Institute of Human Nutrition, Columbia University, New York, New York, USA
Purpose of reviewAbdominal obesity, especially the increase of visceral adipose tissue (VAT), is closely associated with increased mortality related to cardiovascular disease, diabetes, and fatty liver disease. This review provides an overview of the recent advances for abdominal obesity measurement.Recent findingsCompared to simple waist circumference, emerging three-dimensional (3D) body-scanning techniques also measure abdominal volume and shape. Abdominal dimension measures have been implemented in bioelectrical impedance analysis to improve accuracy when estimating VAT. Geometrical models have been applied in ultrasound to convert depth measurement into VAT area. Only computed tomography (CT) and MRI can provide direct measures of VAT. Recent advances in imaging allow for evaluating functional aspects of abdominal fat such as brown adipose tissue and fatty acid composition.SummaryWaist circumference is a simple, inexpensive method to measure abdominal obesity. CT and MRI are reference methods for measuring VAT. Further studies are needed to establish the accuracy for dual-energy X-ray absorptiometry in estimating longitudinal changes of VAT. Further studies are needed to establish whether bioelectrical impedance analysis, ultrasound, or 3D body scanning is consistently superior to waist circumference in estimating VAT in different populations.
基金：
Integrating Special Population Award on Body Composition after Bariatric Surgery [R01 AG045761, P30 DK26687, UL1TR000040]; Irving Pilot Imaging Award on Quantification of Brown Adipose Tissue [UL1TR000040]; Zuckerman Mind Brain Behavior Institute
第一作者机构：[a]Department of Endocrinology, Capital Medical University, Beijing Tiantan Hospital, Beijing, China[b]Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Columbia University, New York, New York, USA
通讯作者：
通讯机构：[b]Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Columbia University, New York, New York, USA[d]Institute of Human Nutrition, Columbia University, New York, New York, USA[*1]Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Columbia University and Institute of Human Nutrition, Columbia University, PH-17, 632 West 168th Street, New York, NY 10032, USA.
推荐引用方式(GB/T 7714)：
Hongjuan Fang,Elizabeth Berg,Xiaoguang Cheng,et al.How to best assess abdominal obesity[J].CURRENT OPINION IN CLINICAL NUTRITION AND METABOLIC CARE.2018,21(5):360-365.doi:10.1097/MCO.0000000000000485.
APA：
Hongjuan Fang,Elizabeth Berg,Xiaoguang Cheng&Wei Shen.(2018).How to best assess abdominal obesity.CURRENT OPINION IN CLINICAL NUTRITION AND METABOLIC CARE,21,(5)
MLA：
Hongjuan Fang,et al."How to best assess abdominal obesity".CURRENT OPINION IN CLINICAL NUTRITION AND METABOLIC CARE 21..5(2018):360-365
：