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Prediction of Suitable Site to Measure Abdominal Skin Fold Thickness and Correlation among Obesity Indicators in Patients with Type 2 Diabetes Mellitus

제2형 당뇨병 환자에서 피부두겹두께의 측정부위 예측 및 비만지표들 간의 관련성

  • Received : 2019.10.17
  • Accepted : 2020.02.19
  • Published : 2020.02.29

Abstract

Purpose: The purpose of this study was to predict measuring site suited for abdominal skin fold thickness (ASFT) by measuring the distribution of abdominal subcutaneous fat thickness (AScFT) and ascertain the correlations among obesity indicators. Methods: The size of analysis materials was 124 secondary data measured by ultrasonic device, bioelectrical impedance analyzer and caliper. Data were analyzed using t-test, and Pearson's correlation. Results: The average of AScFT was 10.63± 6.79mm with its range 1.39-36.16 mm, and AScFT of female and of central parts were thicker than those of male and outer parts in the abdomen. The average of ASFT was 29.26±12.59 mm. Site 5 on Figure 1 was most similar to the average of AScFT in both sexes. Body mass index (BMI) and waist hip ratio (WHR) were 23.65±3.98 and 0.88±0.05 respectively. The body weight, BMI, WHR, visceral fat, ASFT vs AScFT revealed in significant correlation (r= .29, r= .55, r= .39, r= .33. r= .29). Conclusion: BMI and WHR seem more useful than other obesity indicators, when obesity control is necessary for Type 2 diabetes patients. Site 5 on Figure 1 is most suitable site to measure ASFT.

Keywords

References

  1. Korea Centers for Disease Control and Prevention. 2018 the present state and issue of chronic disease[Internet]. Cheongju: Korea Centers for Disease Control; 2016 (cited 2019 August 23) Available from: https://www.cdc.go.kr/board.es?mid=a20501000000&bid=0015&act=view&list_no=142134
  2. Korean Diabetes Association. 2019 Treatment guideline for diabetes [Internet]. Seoul: Korean Diabetes Association; 2019 May 10 [cited 2019 August 25]. Available from: http://www.diabetes.or.kr/pro/publish/guide.php?code=guide&mode=view&number=735
  3. Mensah GA, Mokdad AH, Ford E, Narayan KM, Giles WH, Vinicor F et al. Obesity, metabolic syndrome, and type 2 diabetes: emerging epidemics and their cardiovascular implications. Cardiology Clinics. 2004;22(4):485-504. https://doi.org/10.1016/j.ccl.2004.06.005
  4. Huxley R, Barzi F, Stolk R, Caterson I, Gill T, Lam TH, et al. Ethnic comparisons of obesity in the Asia-Pacific region: protocol for a collaborative overview of cross-sectional studies. Obesity Reviews. 2005;6(3):193-198. https://doi.org/10.1111/j.1467-789X.2005.00189.x
  5. Korean Society for the Study of Obesity. 2014 Clinical practice guideline for obesity[Internet]. Seoul: Korean Society for the Study of Obesity; 2014 Sep[cited 2019. August 10]. Available from: http://general.kosso.or.kr/html/
  6. Kim JI, Yang YM, Park JH, Shin HJ. Study on the relationship between skinfold thickness and geriatric depression in older adult woman. Journal of Korean Biological Nursing Science. 2015;17(1):44-49. https://doi.org/10.7586/jkbns.2015.17.1.44
  7. Oh BS. Relationships between waist-hip ratio, blood lipids and diabetes indicators in Korean elderly women. Journal of Sport and Leisure Studies. 2014;58(2): 901-912. https://doi.org/10.51979/KSSLS.2014.11.58.901
  8. Zheng Y, Sun Q, Chen K, Yan W, Pan C, Lu J. et al. Waist-to-Hip ratio, dyslipidemia, glycemic levels, blood pressure and depressive symptoms among diabetic and non diabetic chinese women: a cross sectional study. PLos One. 2014;9(10):e109765. https://doi.org/10.1371/journal.pone.0109765
  9. Lee EJ, Kim DK, Yoo SM, Kim KN, Lee SY. Association of visceral fat area measured by InBody 720 with the results measured by CT, DEXA and anthropometric measurement. Korean Journal of Family Medicine. 2010;31(3):190-197. https://doi.org/10.4082/kjfm.2010.31.3.190
  10. Kim YH, Ou SW, Kim YS, Chun JH, Yang YJ, Yoon YS, et al. The factors affecting the fat distribution in the abdomen of obese women. Journal of Obesity & Metabolic Syndrome. 2005;14(1):39-46.
  11. Wickramasinghe VP, Lamabadusuriya SP, Cleghorn GJ, Davies PS. Assessment of body composition in Sri Lankan children: validation of a skin fold thickness equation. The Ceylon Medical Journal. 2008;53(3):83-88. https://doi.org/10.4038/cmj.v53i3.247
  12. Shim KH, Hwang MS, Kim SY, Lee HM, Jang JY, Lee MK. The appropriateness of the length of insulin needles based on determination of skin and subcutaneous fat thickness in the abdomen and upper arm in patients with type 2 Diabetes. Diabetes and Metabolism Journal. 2014;38(2):120-133. https://doi.org/10.4093/dmj.2014.38.2.120
  13. Franz MJ, Boucher JL, Rutten-Ramos S, VanWormer JJ. Lifestyle weight-loss intervention outcomes in overweight and obese adults with type 2 diabetes: a systematic review and meta-analysis of randomized clinical trials. Journal of the Academy of Nutrition and Dietetics. 2015;115(9):1447-1463. https://doi.org/10.1016/j.jand.2015.02.031
  14. Jeong GH, Kim SK, Chung JO, Cho DH, Chung DJ, Chung MY. Association between ultrasonographic visceral fat indices and cardiovascular risk factors in type 2 diabetic patients. The Korean Journal of Medicine. 2007;73(6):618-630.
  15. Kim SH, Kim JH, Im IC. The relationship between bone mineral density and adipose tissue of postmenopausal women. Journal of Radiological Science and Technology, 2017;40(2):219-228. https://doi.org/10.17946/JRST.2017.40.2.06
  16. Gibney MA, Arce CH, Byron KJ, Hirsch LJ. Skin and subcutaneous adipose layer thickness in adults with diabetes at sites used for insulin injections: implications for needle length recommendations. Current Medical Research & Opinion. 2010;26(6):1519-1530. https://doi.org/10.1185/03007995.2010.481203
  17. Medical Information of Seoul National University Hospital. Obesity [Internet]. Seoul: Seoul National University Hospital; 2010 [cited 2019 August 23]. Available from http://www.snuh.org/health/compreDis/OT01/10.do
  18. Kreugel G, Keers JC, Kerstens MN, Wolffenbuttel BH. Randomized trial on the influence of the length of two insulin pen needles on glycemic control and patient preference in obese patients with diabetes. Diabetes Technology & Therapeutics. 2011;13(7):737-741. https://doi.org/10.1089/dia.2011.0010
  19. Lafontan M. Adipose tissue and adipocyte dysregulation. Diabetes & Metabolism. 2014;40(1):16-28. https://doi.org/10.1016/j.diabet.2013.08.002
  20. Shin JY, Hwang JH, Jeong JY, Kim SH, Moon JD, Roh SC, et al. The association of central obesity with type 2 diabetes among Koreans according to the serum gamma-glutamyl transferase level: Korean genome and epidemiology study. Journal of Preventive Medicine and Public Health. 2009;42(6):386-391. https://doi.org/10.3961/jpmph.2009.42.6.386
  21. Dhaliwal SS, Welborm T, Goh LG, Howat PA. Obesity as assessed by body adiposity index and multivariable cardiovascular disease risk. PLoS One, 2014;9(4):e94560. https://doi.org/10.1371/journal.pone.0094560
  22. Lee JH. The association of obesity indices and cardiovascular risk in Korean type 2 diabetes. Korean Journal of Obese. 2013;.22(4):212-214. https://doi.org/10.7570/kjo.2013.22.4.212
  23. Lee SY, Bae HS. Nutrient intake, the concentrations of leptin, adiponectin, cortisol & insulin by the body fat content of women. Korean Journal of Community Nutrition. 2012;17(6):714-723. https://doi.org/10.5720/kjcn.2012.17.6.714
  24. Park YW. Evaluation of abdominal obesity, Journal of Obesity & Metabolic Syndrome. 2001;10(4):297-305.
  25. Park HJ, Kim S, Kim EJ. Body fat distribution and blood pressure according to anthropometric change in Korean patients with non-insulin dependent diabetes mellitus. Journal of Korean Academy of Nursing. 2006;36(5):837-844. https://doi.org/10.4040/jkan.2006.36.5.837
  26. Jung HS. Effect of dance sport program on health-related physical fitness and change of skinfold thickness in obese middle-aged women. The Korea Journal of Sports Science. 2016;14(1):1-11.
  27. Kim YS, Ko BG, Kim KJ, Kim JH, Sung BJ Yeun SW et al. Manual of measurement and evaluation for physical strength. Final report. Seoul: Korean Institute of Sport Science: 2007 Dec. Report No: none.
  28. Cho CM. The analysis of relationship between abdominal adipose tissue distribution and health risk factors in adolescent obese man. Journal of Rehabilitation Welfare Engineering & Assistive Technology. 2017;11(3):239-245. https://doi.org/10.21288/resko.2017.11.3.239
  29. Kim YK, Han MS. The usefulness of visceral fat thickness measured by ultrasonography as an abdominal obesity Index. Journal of Radiological Science and Technology. 2008;31(3):249-257.