Mediterranean Journal of Nutrition and Metabolism

, Volume 2, Issue 3, pp 187–195

Sagittal abdominal diameter: comparison with waist circumference and its prediction of metabolic syndrome

Authors

    • Department of Medical Physiopathology (Food Science Laboratory)“Sapienza” University of Rome
  • Luciano Scavone
    • Rehabilitation Clinical Institute “Villa delle Querce”
  • Claudia Savina
    • Rehabilitation Clinical Institute “Villa delle Querce”
  • Cecilia Coletti
    • Rehabilitation Clinical Institute “Villa delle Querce”
  • Maddalena Paolini
    • Rehabilitation Clinical Institute “Villa delle Querce”
  • Settimio Tempera
    • Department of Medical Physiopathology (Food Science Laboratory)“Sapienza” University of Rome
  • Barbara Neri
    • Department of Medical Physiopathology (Food Science Laboratory)“Sapienza” University of Rome
  • Maria Rosaria De Felice
    • Rehabilitation Clinical Institute “Villa delle Querce”
  • Alessandro Pinto
    • Department of Medical Physiopathology (Food Science Laboratory)“Sapienza” University of Rome
  • Carlo Cannella
    • Department of Medical Physiopathology (Food Science Laboratory)“Sapienza” University of Rome
Original Article

DOI: 10.1007/s12349-009-0067-y

Cite this article as:
Donini, L.M., Scavone, L., Savina, C. et al. Mediterr J Nutr Metab (2009) 2: 187. doi:10.1007/s12349-009-0067-y
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Abstract

Background

For an “in the field” estimate of visceral adiposity, simple, inexpensive, non-invasive and highly repetitive methods are needed. The anthropometric measurement most commonly used as an indicator for visceral fat deposits is waist circumference (W). Nevertheless, there are some doubts with regard to the anatomic landmark points where the evaluation needs to be carried out. Sagittal abdominal diameter (SAD) is another anthropometric measurement that has been proposed for the estimation of visceral fat.

Objective

The aims of the study are to evaluate intra- and inter-operator variability of the estimation of the SAD compared to W; correlate SAD to other anthropometric parameters and to factors involved in the metabolic syndrome (MS); and identify the values for the estimation of the SAD able to classify different risk levels with respect to the MS.

Methods

Ninety-five subjects at the Metabolic and Nutritional Rehabilitation Unit “Villa delle Querce” in Nemi were selected. Anthropometric and biochemical parameters were collected. The presence of a MS was detected. Intra- and inter-operator variability in the measurement of W and SAD and the predictive capacity of SAD in the estimation of the risk for MS were calculated.

Results

The main results achieved were reduced intra- and inter-operator variability in the measurement of SAD compared to W; confirmation of the correlations between SAD and the anthropometric parameters as indicators of a higher fat mass; and good predictive capacity of SAD towards MS (cut-off points: 22.2 cm for men and 19.5 cm for women).

Keywords

Nutritional statusMetabolic syndromeSagittal abdominal caliperWaist circumference

Copyright information

© Springer-Verlag Italia 2009