Visceral fat thickness predicts fatty liver in Koreans with type 2 diabetes mellitus

Jin Kim Hai, Ho Cho Min, Suk Park Jong, Sun Nam Ji, Seok Kang Eun, Woo Ahn Chul, Soo Cha Bong, Eunjig Lee, Sungkil Lim, Rae Kim Kyung, Chul Lee Hyun, Bum Huh Kap

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Our aim was to study whether visceral adiposity is a predictor of diabetic fatty liver in Korean type 2 diabetes mellitus. In this study, abdominal ultrasonography was used to assess the presence of fatty liver in 1,898 patients with type 2 diabetes. We measured visceral fat thickness by high-resolutional ultrasonography and insulin resistance by Kitt. Half of the cohort had a fatty liver (50.2%). High visceral fat thickness had the highest odds ratio for developing fatty liver in both sexes (odds ratio [S.D]: 3.14 [2.24-4.69], p<0.00 in male, 2.84 [2.04-3.93], p<0.00 in female). In addition, visceral fat thickness of 42.45 and 37.7 mm in men and women, respectively, were chosen as the discriminating value to predict the presence of fatty liver with a sensitivity of 71% and 73% and a specificity of 70% and 70% in men and women, respectively. The area under the receiver-operating characteristics curve was 0.759 in men and 0.764 in women. Therefore we could conclude that the degree of visceral adiposity predicts the presence of fatty liver type 2 diabetes mellitus, whether centrally obese or not, suggesting that hepatic fat accumulation in a diabetic fatty liver may be influenced by visceral fat accumulation regardless of waist circumference.

Original languageEnglish
Pages (from-to)256-261
Number of pages6
JournalJournal of Korean Medical Science
Volume23
Issue number2
DOIs
Publication statusPublished - 2008 Apr 1

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Intra-Abdominal Fat
Fatty Liver
Type 2 Diabetes Mellitus
Adiposity
Ultrasonography
Odds Ratio
Sex Ratio
Waist Circumference
ROC Curve
Insulin Resistance
Fats
Liver

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Hai, J. K., Min, H. C., Jong, S. P., Ji, S. N., Eun, S. K., Chul, W. A., ... Kap, B. H. (2008). Visceral fat thickness predicts fatty liver in Koreans with type 2 diabetes mellitus. Journal of Korean Medical Science, 23(2), 256-261. https://doi.org/10.3346/jkms.2008.23.2.256
Hai, Jin Kim ; Min, Ho Cho ; Jong, Suk Park ; Ji, Sun Nam ; Eun, Seok Kang ; Chul, Woo Ahn ; Bong, Soo Cha ; Lee, Eunjig ; Lim, Sungkil ; Kyung, Rae Kim ; Hyun, Chul Lee ; Kap, Bum Huh. / Visceral fat thickness predicts fatty liver in Koreans with type 2 diabetes mellitus. In: Journal of Korean Medical Science. 2008 ; Vol. 23, No. 2. pp. 256-261.
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abstract = "Our aim was to study whether visceral adiposity is a predictor of diabetic fatty liver in Korean type 2 diabetes mellitus. In this study, abdominal ultrasonography was used to assess the presence of fatty liver in 1,898 patients with type 2 diabetes. We measured visceral fat thickness by high-resolutional ultrasonography and insulin resistance by Kitt. Half of the cohort had a fatty liver (50.2{\%}). High visceral fat thickness had the highest odds ratio for developing fatty liver in both sexes (odds ratio [S.D]: 3.14 [2.24-4.69], p<0.00 in male, 2.84 [2.04-3.93], p<0.00 in female). In addition, visceral fat thickness of 42.45 and 37.7 mm in men and women, respectively, were chosen as the discriminating value to predict the presence of fatty liver with a sensitivity of 71{\%} and 73{\%} and a specificity of 70{\%} and 70{\%} in men and women, respectively. The area under the receiver-operating characteristics curve was 0.759 in men and 0.764 in women. Therefore we could conclude that the degree of visceral adiposity predicts the presence of fatty liver type 2 diabetes mellitus, whether centrally obese or not, suggesting that hepatic fat accumulation in a diabetic fatty liver may be influenced by visceral fat accumulation regardless of waist circumference.",
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Hai, JK, Min, HC, Jong, SP, Ji, SN, Eun, SK, Chul, WA, Bong, SC, Lee, E, Lim, S, Kyung, RK, Hyun, CL & Kap, BH 2008, 'Visceral fat thickness predicts fatty liver in Koreans with type 2 diabetes mellitus', Journal of Korean Medical Science, vol. 23, no. 2, pp. 256-261. https://doi.org/10.3346/jkms.2008.23.2.256

Visceral fat thickness predicts fatty liver in Koreans with type 2 diabetes mellitus. / Hai, Jin Kim; Min, Ho Cho; Jong, Suk Park; Ji, Sun Nam; Eun, Seok Kang; Chul, Woo Ahn; Bong, Soo Cha; Lee, Eunjig; Lim, Sungkil; Kyung, Rae Kim; Hyun, Chul Lee; Kap, Bum Huh.

In: Journal of Korean Medical Science, Vol. 23, No. 2, 01.04.2008, p. 256-261.

Research output: Contribution to journalArticle

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AU - Hai, Jin Kim

AU - Min, Ho Cho

AU - Jong, Suk Park

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AU - Eun, Seok Kang

AU - Chul, Woo Ahn

AU - Bong, Soo Cha

AU - Lee, Eunjig

AU - Lim, Sungkil

AU - Kyung, Rae Kim

AU - Hyun, Chul Lee

AU - Kap, Bum Huh

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N2 - Our aim was to study whether visceral adiposity is a predictor of diabetic fatty liver in Korean type 2 diabetes mellitus. In this study, abdominal ultrasonography was used to assess the presence of fatty liver in 1,898 patients with type 2 diabetes. We measured visceral fat thickness by high-resolutional ultrasonography and insulin resistance by Kitt. Half of the cohort had a fatty liver (50.2%). High visceral fat thickness had the highest odds ratio for developing fatty liver in both sexes (odds ratio [S.D]: 3.14 [2.24-4.69], p<0.00 in male, 2.84 [2.04-3.93], p<0.00 in female). In addition, visceral fat thickness of 42.45 and 37.7 mm in men and women, respectively, were chosen as the discriminating value to predict the presence of fatty liver with a sensitivity of 71% and 73% and a specificity of 70% and 70% in men and women, respectively. The area under the receiver-operating characteristics curve was 0.759 in men and 0.764 in women. Therefore we could conclude that the degree of visceral adiposity predicts the presence of fatty liver type 2 diabetes mellitus, whether centrally obese or not, suggesting that hepatic fat accumulation in a diabetic fatty liver may be influenced by visceral fat accumulation regardless of waist circumference.

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