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Gender differences in subcutaneous and perirenal fat distribution
Brian H Eisner1, Javaad Zargooshi, Aaron D Berger
1Department of Urology, GRB 1102, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA. beisner@partners.org
Gender influences fat distribution: women have more subcutaneous fat, while men have more perirenal fat. Body mass index (BMI) correlates with subcutaneous fat but not proportionally with perirenal fat, impacting kidney surgery approaches.
Area of Science:
- Urology
- Radiology
- Surgical Oncology
Background:
- Body mass index (BMI) is a known factor affecting surgical outcomes.
- Understanding fat distribution is crucial for surgical planning, particularly in nephrectomy procedures.
Purpose of the Study:
- To investigate the relationship between BMI, gender, and the distribution of subcutaneous and perirenal fat.
- To determine how gender influences fat deposition in specific anatomical locations relevant to kidney surgery.
Main Methods:
- Retrospective review of 123 patients undergoing radical or partial nephrectomy.
- Analysis of preoperative CT scans to measure subcutaneous and perirenal fat.
- Statistical analysis using Student's t test and Pearson's correlation coefficient.
Main Results:
- Females exhibited significantly greater anterior and right posterolateral subcutaneous fat compared to males.
- Males showed greater perirenal fat distribution around both kidneys compared to females.
- BMI strongly correlated with subcutaneous fat but only weakly with perirenal fat.
Conclusions:
- Significant gender-based differences exist in subcutaneous and perirenal fat distribution.
- High BMI in obese patients is associated with increased subcutaneous fat, but not necessarily proportionally increased perirenal fat.
- These findings have implications for surgical approaches and potential complications in kidney surgery.
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