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Published on: September 29, 2017
Visceral fat is an independent predictor of all-cause mortality in men
Jennifer L Kuk1, Peter T Katzmarzyk, Milton Z Nichaman
1School of Physical and Health Education, Queen's University, Kingston, Ontario K7L 3N6, Canada.
Insights
Visceral fat is a significant predictor of mortality in men. Increased abdominal visceral fat, but not subcutaneous or liver fat, independently predicts all-cause mortality.
Area of Science:
- Metabolic health and longevity research
- Cardiovascular and metabolic disease risk factors
Background:
- Abdominal fat depots, including visceral and subcutaneous fat, and liver fat are increasingly recognized as significant contributors to metabolic dysfunction.
- Understanding the independent associations of these fat depots with mortality is crucial for public health and clinical risk assessment.
Purpose of the Study:
- To investigate the independent relationships between visceral fat, subcutaneous abdominal fat, and liver fat with all-cause mortality in men.
- To determine which abdominal fat measure is the strongest predictor of mortality.
Main Methods:
- A cohort of 291 men underwent computed tomography (CT) scans to quantify visceral, subcutaneous abdominal, and liver fat.
- Mortality follow-up was conducted over an average of 2.2 years.
- Logistic regression analysis was employed to assess the association between fat depots and all-cause mortality, controlling for relevant covariates.
Main Results:
- Visceral fat, abdominal subcutaneous fat, and waist circumference were individually associated with increased all-cause mortality.
- Liver fat showed an inverse association with mortality.
- In a multivariable model, only visceral fat remained a significant independent predictor of all-cause mortality.
Conclusions:
- Visceral fat is a potent and independent predictor of all-cause mortality in men.
- These findings highlight the critical role of visceral adiposity in determining long-term health outcomes.
Objective:
To examine the independent associations of abdominal fat (visceral and subcutaneous) and liver fat with all-cause mortality.
Research Methods And Procedures:
Participants included 291 men [97 decedents and 194 controls; mean age, 56.4 +/- 12.0 (SD) years] who received a computed tomography (CT) examination at the preventive medicine clinic in Dallas, TX, between 1995 and 1999, with a mean mortality follow-up of 2.2 +/- 1.3 years. Abdominal fat was determined using contiguous CT images from the L3-L4 to L4-L5 intervertebral space. Liver fat was assessed using the CT-determined liver attenuation value, which is inversely related to liver fat. Logistic regression was used to determine the independent association between the fat depots and all-cause mortality.
Results:
During the study, there were 97 deaths. Visceral fat [odds ratio (OR) per SD: 1.83; 95% CI: 1.23 to 2.73], abdominal subcutaneous fat (1.44; 1.02 to 2.03), liver fat (0.64; 0.46 to 0.87), and waist circumference (1.41; 1.01 to 1.98) were significant individual predictors of mortality after controlling for age and length of follow-up. In a model including all three fat measures (subcutaneous, visceral, and liver fat), age, and length of follow-up, only visceral fat (1.93; 1.15 to 3.23) was a significant predictor of mortality.
Discussion:
Visceral fat is a strong, independent predictor of all-cause mortality in men.
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