[Relation between the abdominal sagittal diameter, fat tissue distribution and metabolic complications]

Numerous epidemiological and clinical studies point to association of android type of obesity with metabolic complications, such as glyco-regulation, hyperlipoproteinemia, accelerated atherosclerosis which all lead to cardiovascular diseases. As the waist-hip ratio did not prove to be specific enough for determining association between fat tissue distribution and risk from development of obesity complications, measurement of the sagittal abdominal diameter has been established. Studies carried out up to now reveal that there is a better connection between these measurements and obesity complications. A group of 45 women was examined: 30 obese and 15 healthy non-obese women being the control group. The following was measured: body height, body weight, waist and hip circumferences, blood pressure, body mass index (BMI), waist-hip ratio (WHR) and a special caliper was used to measure the sagittal abdominal diameter. In order to study glyco-regulation all obese women underwent GTT (Glucose tolerance test) with determination of insulinemia; in regard to lipidic parameters total cholesterol, high-density lipoproteins (HDL) and low-density lipoproteins (LDL) cholesterol and index of atherosclerosis were determined. Gathered results show that in the group of obese women values of sagittal abdominal diameter were significantly higher than in the control group, while metabolic parameters show that in these patients there is a metabolism disorder of lipids and lipoproteins as well as hyperinsulinemia and reactive hyperinsulinemia and higher values of systolic and diastolic blood pressure. Our results of examination in the group of android obese women show that there is a significant association among values of sagittal abdominal diameter and lipid disorders, disorders of glycoregulation, especially hyperinsulinism and insulin resistance.