Insulin Resistance: A Marker for Fat-to-Lean Body Composition in Japanese Adults

We sought to investigate the relationship between insulin resistance (IR) and body composition as assessed by bioelectrical impedance analysis in Japanese health check-up recipients (1186 men and 1441 women). IR was defined as a Homeostasis Model Assessment of IR (HOMA-IR) ≥ 2.5. In body-composition...

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Main Authors: Masahiro Matsui, Akira Fukuda, Saori Onishi, Kosuke Ushiro, Tomohiro Nishikawa, Akira Asai, Soo Ki Kim, Hiroki Nishikawa
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/22/4724
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author Masahiro Matsui
Akira Fukuda
Saori Onishi
Kosuke Ushiro
Tomohiro Nishikawa
Akira Asai
Soo Ki Kim
Hiroki Nishikawa
author_facet Masahiro Matsui
Akira Fukuda
Saori Onishi
Kosuke Ushiro
Tomohiro Nishikawa
Akira Asai
Soo Ki Kim
Hiroki Nishikawa
author_sort Masahiro Matsui
collection DOAJ
description We sought to investigate the relationship between insulin resistance (IR) and body composition as assessed by bioelectrical impedance analysis in Japanese health check-up recipients (1186 men and 1441 women). IR was defined as a Homeostasis Model Assessment of IR (HOMA-IR) ≥ 2.5. In body-composition-related parameters, the fat mass index (F index) was defined as fat mass divided by the height squared (kg/m<sup>2</sup>). The fat-free mass index (FF index) was defined as fat-free mass divided by the height squared (kg/m<sup>2</sup>). The F index to FF index ratio (F-FF ratio) was defined as the F index divided by the FF index. Factors related to HOMA-IR were examined. The median HOMA-IR was 1.54 in men and 1.30 in women (<i>p</i> < 0.0001). The median F index was 4.9 kg/m<sup>2</sup> in men and 6.1 kg/m<sup>2</sup> in women (<i>p</i> < 0.0001). The median FF index was 18.2 kg/m<sup>2</sup> in men and 15.1 kg/m<sup>2</sup> in women (<i>p</i> < 0.0001). The median F-FF ratio was 0.272 in men and 0.405 in women (<i>p</i> < 0.0001). The F-FF ratio was an independent factor associated with HOMA-IR in the multivariate analysis in both genders, while the F index and FF index were not in both genders. In conclusion, fat and skeletal muscle balance can be controlled by IR in Japanese adults.
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spelling doaj.art-abdb74608bf342d093faffc25f11d00b2023-11-24T14:59:05ZengMDPI AGNutrients2072-66432023-11-011522472410.3390/nu15224724Insulin Resistance: A Marker for Fat-to-Lean Body Composition in Japanese AdultsMasahiro Matsui0Akira Fukuda1Saori Onishi2Kosuke Ushiro3Tomohiro Nishikawa4Akira Asai5Soo Ki Kim6Hiroki Nishikawa7Second Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki 569-8686, JapanHealth Science Clinic, Osaka Medical and Pharmaceutical University, Takatsuki 569-8686, JapanSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki 569-8686, JapanSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki 569-8686, JapanSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki 569-8686, JapanSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki 569-8686, JapanDepartment of Gastroenterology, Kobe Asahi Hospital, Kobe 653-8501, JapanSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki 569-8686, JapanWe sought to investigate the relationship between insulin resistance (IR) and body composition as assessed by bioelectrical impedance analysis in Japanese health check-up recipients (1186 men and 1441 women). IR was defined as a Homeostasis Model Assessment of IR (HOMA-IR) ≥ 2.5. In body-composition-related parameters, the fat mass index (F index) was defined as fat mass divided by the height squared (kg/m<sup>2</sup>). The fat-free mass index (FF index) was defined as fat-free mass divided by the height squared (kg/m<sup>2</sup>). The F index to FF index ratio (F-FF ratio) was defined as the F index divided by the FF index. Factors related to HOMA-IR were examined. The median HOMA-IR was 1.54 in men and 1.30 in women (<i>p</i> < 0.0001). The median F index was 4.9 kg/m<sup>2</sup> in men and 6.1 kg/m<sup>2</sup> in women (<i>p</i> < 0.0001). The median FF index was 18.2 kg/m<sup>2</sup> in men and 15.1 kg/m<sup>2</sup> in women (<i>p</i> < 0.0001). The median F-FF ratio was 0.272 in men and 0.405 in women (<i>p</i> < 0.0001). The F-FF ratio was an independent factor associated with HOMA-IR in the multivariate analysis in both genders, while the F index and FF index were not in both genders. In conclusion, fat and skeletal muscle balance can be controlled by IR in Japanese adults.https://www.mdpi.com/2072-6643/15/22/4724insulin resistancefatskeletal musclefat and muscle balanceJapanese adults
spellingShingle Masahiro Matsui
Akira Fukuda
Saori Onishi
Kosuke Ushiro
Tomohiro Nishikawa
Akira Asai
Soo Ki Kim
Hiroki Nishikawa
Insulin Resistance: A Marker for Fat-to-Lean Body Composition in Japanese Adults
Nutrients
insulin resistance
fat
skeletal muscle
fat and muscle balance
Japanese adults
title Insulin Resistance: A Marker for Fat-to-Lean Body Composition in Japanese Adults
title_full Insulin Resistance: A Marker for Fat-to-Lean Body Composition in Japanese Adults
title_fullStr Insulin Resistance: A Marker for Fat-to-Lean Body Composition in Japanese Adults
title_full_unstemmed Insulin Resistance: A Marker for Fat-to-Lean Body Composition in Japanese Adults
title_short Insulin Resistance: A Marker for Fat-to-Lean Body Composition in Japanese Adults
title_sort insulin resistance a marker for fat to lean body composition in japanese adults
topic insulin resistance
fat
skeletal muscle
fat and muscle balance
Japanese adults
url https://www.mdpi.com/2072-6643/15/22/4724
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