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LetterLetters

Measuring visceral adiposity

Mohammed Abrahim
Canadian Family Physician August 2019, 65 (8) 531;
Mohammed Abrahim
Milton, Ont
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After reading the article “Normal-weight central obesity. Unique hazard of the toxic waist” in the June issue of Canadian Family Physician,1 I wanted to note that I find waist circumference to be an extremely inaccurate measure of visceral adiposity, which is located mostly in the anterior abdominal bulge, while “love handles” and subcutaneous adiposity cause very limited metabolic risk compared with visceral and ectopic fat. Short-2 and long-term3 effects on the metabolic profile (including inflammatory markers, blood pressure, plasma lipid profile, and insulin resistance) of large-volume liposuction (about 20% to 40% of excess body fat), mostly from the waist area, were no different after removing the large amounts of fat.

I think we should focus more on the anterior abdominal bulge than the whole waist circumference.

Footnotes

  • Competing interests

    None declared

  • Copyright© the College of Family Physicians of Canada

References

  1. 1.↵
    1. Bosomworth NJ
    . Normal-weight central obesity. Unique hazard of the toxic waist. Can Fam Physician 2019;65:399-408. (Eng), e251–60 (Fr).
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    1. Klein S,
    2. Fontana L,
    3. Young VL,
    4. Coggan AR,
    5. Kilo C,
    6. Patterson BW,
    7. et al
    . Absence of an effect of liposuction on insulin action and risk factors for coronary heart disease. N Engl J Med 2004;350(25):2549-57.
    OpenUrlCrossRefPubMed
  3. 3.↵
    1. Mohammed BS,
    2. Cohen S,
    3. Reeds D,
    4. Young VL,
    5. Klein S
    . Long-term effects of large-volume liposuction on metabolic risk factors for coronary heart disease. Obesity (Silver Spring) 2008;16(12):2648-51. Epub 2008 Sep 25.
    OpenUrlCrossRefPubMed
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Canadian Family Physician: 65 (8)
Canadian Family Physician
Vol. 65, Issue 8
1 Aug 2019
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Measuring visceral adiposity
Mohammed Abrahim
Canadian Family Physician Aug 2019, 65 (8) 531;

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