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英文誌(2004-)

Journal of Medical Ultrasonics

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1993 - Vol.20

Vol.20 No.10

Original Article(原著)

(0589 - 0595)

超音波検査による内臓脂肪の測定法−内臓脂肪指数(UVI)とその精度について−

Study on Ultrasonic Evaluation of the Abdominal Fat in Visceral Obesity -Ultrasonic Visceral Fat Index and Its Accuracy-

富沢 昌弘1, 蔵本 裕一1, 富沢 青子1, 松本 桂子1, 東 義孝2

Masahiro TOMIZAWA1, Yuichi KURAMOTO1, Seiko TOMIZAWA1, Keiko MATSUMOTO1, Yoshitaka HIGASHI2

1福岡大学医学部健康管理科, 2安永病院

1Department of Health Care and Department of Radiology, School of Medicine, Fukuoka University, 2Yasunaga Hospital

キーワード : Obesity, Ultrasonography, Visceral, Fat, Fat Distribution, Computed Tomography

To evaluate the accuracy of ultrasonography in the measurement of the abdominal visceral fat, the thicknesses of abdominal visceral fat and abdominal subcutaneous fat in a group of 41 obese subjects with a mean body mass index of 26.8±3.4 and a mean age of 49.5±8.9 were measured by ultrasonography and X-ray CT. subcutaneous fat thickness was measured along the median line (S1) and left mid-axillary line (S2) to the level of umbilicus, and visceral fat thickness from abdominal muscle to lumbar vertebrae (V1 and V2) was measured at the same sites by ultrasound. We named the ratio of visceral fat thickness (V1+V2)/subcutaneous fat thickness (S1+S2) as the “Ultrasonic Visceral Fat Index (UVI).”. In a comparison of the ratio of visceral fat area/subcutaneous fat area (V/S ratio) X-ray CT in 41 subjects, UVI showed a significant and positive correlation (r=0.73, P<0.01) with V/S ratio. Of the 35 subjects who were diagnosed as visceral fat obesity by their high V/S ratio (>0.4), 33 subjects (94.3%) also demonstrated high UVI (>3.0). In conclusion, the ultsasonographic measurement of abdominal visceral fat accumulation using UVI is a simple, noninvasive, and precise method, as is the V/S ratio by X-ray CT.