Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation
Nitin Kapoor,1,2 Stephen A Jiwanmall,3 Munaf B Nandyal,3 Dheeraj Kattula,3 Sandhiya Paravathareddy,1 Thomas V Paul,1 John Furler,4 Brian Oldenburg,2 Nihal Thomas1 1Department of Endocrinology, Diabetes and Metabolism Christian Medical College & Hospital, Vellore, Tamil Nadu, India; 2Non-Comm...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2020-09-01
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| Series: | Diabetes, Metabolic Syndrome and Obesity |
| Subjects: | |
| Online Access: | https://www.dovepress.com/metabolic-score-for-visceral-fat-mets-vf-estimation-ndash-a-novel-cost-peer-reviewed-article-DMSO |
| _version_ | 1811173777475633152 |
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| author | Kapoor N Jiwanmall SA Nandyal MB Kattula D Paravathareddy S Paul TV Furler J Oldenburg B Thomas N |
| author_facet | Kapoor N Jiwanmall SA Nandyal MB Kattula D Paravathareddy S Paul TV Furler J Oldenburg B Thomas N |
| author_sort | Kapoor N |
| collection | DOAJ |
| description | Nitin Kapoor,1,2 Stephen A Jiwanmall,3 Munaf B Nandyal,3 Dheeraj Kattula,3 Sandhiya Paravathareddy,1 Thomas V Paul,1 John Furler,4 Brian Oldenburg,2 Nihal Thomas1 1Department of Endocrinology, Diabetes and Metabolism Christian Medical College & Hospital, Vellore, Tamil Nadu, India; 2Non-Communicable Disease Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia; 3Department of Psychiatry, Christian Medical College & Hospital, Vellore, Tamil Nadu, India; 4Department of General Practice, University of Melbourne, Melbourne, AustraliaCorrespondence: Nitin Kapoor Email nitin.endocrine@gmail.comBackground: Visceral adipose tissue (VAT) assessment is limited in clinical practice due to expensive, time consuming and limited availability of MRI and DXA machines. We explored the utility of a recently developed Metabolic Score for Visceral Fat (METS-VF) to assess VAT in south Asian individuals with morbid obesity.Patients and Methods: Individuals with BMI ≥ 35 kg/m2 aged between 30 and 60 years were randomly selected from a database of individuals with morbid obesity, attending a multi-disciplinary bariatric clinic in a tertiary care teaching hospital in southern India. Body composition was assessed by using a Hologic Discovery A dual-energy X-ray absorptiometry (DXA) machine. METS-VF was used to estimate VAT by using a previously published algorithm.Results: The mean age and body mass index of the study subjects (N=350) were 38.2 years and 40.1 kg/m2. The MET-VF score performed satisfactorily (AUC of 0.78 (95% CI 0.72– 0.85)) for predicting an increased visceral adipose tissue (VAT area ≥ 163 cm2) as detected by DXA. A METS-VF value of 7.3 was found to have a good sensitivity and reasonable specificity in predicting elevated VAT in this population.Conclusion: This is the first study to validate the utility of METS-VF as a surrogate measure of visceral adiposity in south Indian individuals with morbid obesity. Given the simplicity, easy availability, reliability and inexpensive nature of this obesity indicator, it may find its widespread use in lower middle-income countries.Keywords: metabolic obesity, morbid obesity, visceral adipose tissue |
| first_indexed | 2024-04-10T17:53:36Z |
| format | Article |
| id | doaj.art-032ad0b7d18d4652a96fd08517075fa0 |
| institution | Directory Open Access Journal |
| issn | 1178-7007 |
| language | English |
| last_indexed | 2024-04-10T17:53:36Z |
| publishDate | 2020-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Diabetes, Metabolic Syndrome and Obesity |
| spelling | doaj.art-032ad0b7d18d4652a96fd08517075fa02023-02-02T19:27:54ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072020-09-01Volume 133261326757101Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue EstimationKapoor NJiwanmall SANandyal MBKattula DParavathareddy SPaul TVFurler JOldenburg BThomas NNitin Kapoor,1,2 Stephen A Jiwanmall,3 Munaf B Nandyal,3 Dheeraj Kattula,3 Sandhiya Paravathareddy,1 Thomas V Paul,1 John Furler,4 Brian Oldenburg,2 Nihal Thomas1 1Department of Endocrinology, Diabetes and Metabolism Christian Medical College & Hospital, Vellore, Tamil Nadu, India; 2Non-Communicable Disease Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia; 3Department of Psychiatry, Christian Medical College & Hospital, Vellore, Tamil Nadu, India; 4Department of General Practice, University of Melbourne, Melbourne, AustraliaCorrespondence: Nitin Kapoor Email nitin.endocrine@gmail.comBackground: Visceral adipose tissue (VAT) assessment is limited in clinical practice due to expensive, time consuming and limited availability of MRI and DXA machines. We explored the utility of a recently developed Metabolic Score for Visceral Fat (METS-VF) to assess VAT in south Asian individuals with morbid obesity.Patients and Methods: Individuals with BMI ≥ 35 kg/m2 aged between 30 and 60 years were randomly selected from a database of individuals with morbid obesity, attending a multi-disciplinary bariatric clinic in a tertiary care teaching hospital in southern India. Body composition was assessed by using a Hologic Discovery A dual-energy X-ray absorptiometry (DXA) machine. METS-VF was used to estimate VAT by using a previously published algorithm.Results: The mean age and body mass index of the study subjects (N=350) were 38.2 years and 40.1 kg/m2. The MET-VF score performed satisfactorily (AUC of 0.78 (95% CI 0.72– 0.85)) for predicting an increased visceral adipose tissue (VAT area ≥ 163 cm2) as detected by DXA. A METS-VF value of 7.3 was found to have a good sensitivity and reasonable specificity in predicting elevated VAT in this population.Conclusion: This is the first study to validate the utility of METS-VF as a surrogate measure of visceral adiposity in south Indian individuals with morbid obesity. Given the simplicity, easy availability, reliability and inexpensive nature of this obesity indicator, it may find its widespread use in lower middle-income countries.Keywords: metabolic obesity, morbid obesity, visceral adipose tissuehttps://www.dovepress.com/metabolic-score-for-visceral-fat-mets-vf-estimation-ndash-a-novel-cost-peer-reviewed-article-DMSOmetabolic obesitymorbid obesityvisceral adipose tissue |
| spellingShingle | Kapoor N Jiwanmall SA Nandyal MB Kattula D Paravathareddy S Paul TV Furler J Oldenburg B Thomas N Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation Diabetes, Metabolic Syndrome and Obesity metabolic obesity morbid obesity visceral adipose tissue |
| title | Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation |
| title_full | Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation |
| title_fullStr | Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation |
| title_full_unstemmed | Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation |
| title_short | Metabolic Score for Visceral Fat (METS-VF) Estimation – A Novel Cost-Effective Obesity Indicator for Visceral Adipose Tissue Estimation |
| title_sort | metabolic score for visceral fat mets vf estimation ndash a novel cost effective obesity indicator for visceral adipose tissue estimation |
| topic | metabolic obesity morbid obesity visceral adipose tissue |
| url | https://www.dovepress.com/metabolic-score-for-visceral-fat-mets-vf-estimation-ndash-a-novel-cost-peer-reviewed-article-DMSO |
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