Anthropometric Markers, Visceral Adipocyte Index, Inflammation Markers and Bone Density in Reproductive Obese Women

M. Hendrianingtyas, Lisyani B.Suromo, T. Winarni
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Abstract

Background: Obesity has been associated with the risk of various diseases. The correlation between anthropometry and bone health is complex. Visceral adipocyte index (VAI) is one of the compositions of body fat compositions that mostly associated with proinflammatory cytokine, which can stimulate C- reactive protein (CRP) that affects bone density.Objectives: This study aimed to prove the correlation between VAI, CRP and BMD in Asian reproductive obese womenMaterials and Methods: A cross sectional study was conducted in November 2020 - February 2021 and a total of 134 women of reproductive age with obesity participated in this study. Weight, height, body mass index (BMI) and rate of visceral fat were measured by body composition analyzer. Waist (WC) and hip circumferences (HC) measured by using tape; lipid profile and CRP level were examined using a clinical chemistry automatic analyzer, and the examination of bone mineral density (BMD) using dual-energy x-ray absorptiometry. Waist to hip ratio (WHR)and VAI calculated manually. Pearson and Spearman test were used for statistical analysis.Results: There were positive weak correlations between weight, height, BMI, WC, HC, rate of visceral fat, WHR and VAI. There were weak positive correlations between HC, WHR and CRP. There were positive moderate correlations between weight, height, BMI, waist, visceral fat, WHR and CRP. Conclusion: Although there were correlations between anthropometric parameters and VAI and also CRP, but we did not found correlation between VAI and CRP to all BMD parameters.
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生殖肥胖妇女的人体测量指标、内脏脂肪细胞指数、炎症指标和骨密度
背景:肥胖与多种疾病的风险相关。人体测量和骨骼健康之间的关系是复杂的。内脏脂肪细胞指数(VAI)是机体脂肪成分中主要与促炎细胞因子相关的成分之一,可刺激C-反应蛋白(CRP),影响骨密度。目的:本研究旨在证明亚洲生殖性肥胖女性VAI、CRP和BMD之间的相关性。材料与方法:本研究于2020年11月至2021年2月进行横断面研究,共134名育龄肥胖女性参与了本研究。采用体成分分析仪测定体重、身高、体质指数(BMI)和内脏脂肪率。腰围(WC)和臀围(HC)用卷尺测量;采用临床化学自动分析仪检测血脂和CRP水平,采用双能x线骨密度仪检测骨密度。手动计算腰臀比(WHR)和VAI。采用Pearson和Spearman检验进行统计分析。结果:体重、身高、BMI、WC、HC、内脏脂肪率、WHR、VAI呈弱正相关。HC、WHR与CRP呈弱正相关。体重、身高、BMI、腰围、内脏脂肪、WHR、CRP呈正相关。结论:虽然人体测量参数与VAI和CRP有相关性,但我们没有发现VAI和CRP与所有BMD参数有相关性。
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