title: Relationship of anterior and posterior subcutaneous abdominal fat to insulin sensitivity in nondiabetic men.
abstract: Recent studies from our reveal that adipose tissue (AT) in the subcutaneous abdominal region is the most important determinant of peripheral and hepatic insulin sensitivity. Because of different anatomic and physiologic characteristics of anterior and posterior subcutaneous abdominal AT, we investigated the relationship of the masses of each compartment, as determined by magnetic resonance imaging, to insulin sensitivity (using euglycemic hyperinsulinemic glucose clamp technique), and other anthropometric variables. Thirty-four healthy men with varying ranges of obesity were recruited for the study. The mass of posterior subcutaneous abdominal AT was approximately 1.6 times more than that of the anterior compartment, and these masses accounted for 12.9% and 8.2% of the total body fat mass, respectively. All anthropometric variables, including body mass index (BMI), waist-to-hip circumference ratio (WHR), skin-fold thicknesses, and intraperitoneal AT mass were more significantly related to the posterior than the anterior subcutaneous abdominal AT mass. Compared to the anterior compartment mass, the posterior compartment mass displayed stronger relationship with insulin-mediated glucose disposal (Rd) (r = -0.44, p = 0.009, and r = -0.76, p = 0.0001, respectively) as well as with residual hepatic glucose output during the 40 mU.m-2.min-1 insulin infusion (r = 0.39, p = 0.02, and r = 0.53, p = 0.001, respectively). After adjusting for total body fat, the Rd values showed a significant partial correlation with the posterior subcutaneous abdominal AT mass (r = 0.52, p = 0.002). To conclude, posterior subcutaneous abdominal AT mass is more important determinant of peripheral and hepatic insulin sensitivity than the anterior subcutaneous abdominal AT.
authors.affiliation: Center for Human Nutrition, University of Texas Southwestern Medical Center at Dallas 75235-9052, USA.
authors.forename: A
authors.initials: A
authors.lastname: Misra
authors.forename: A
authors.initials: A
authors.lastname: Garg
authors.forename: N
authors.initials: N
authors.lastname: Abate
authors.forename: R M
authors.initials: RM
authors.lastname: Peshock
authors.forename: J
authors.initials: J
authors.lastname: Stray-Gundersen
authors.forename: S M
authors.initials: SM
authors.lastname: Grundy
mesh_terms: D000273:Adipose Tissue / Q000033:anatomy & histology* / Q000502:physiology*; D000328:Adult; D000886:Anthropometry; D001823:Body Composition / Q000502:physiology*; D001824:Body Constitution; D015992:Body Mass Index; D005947:Glucose / Q000378:metabolism; D006801:Humans; D007333:Insulin Resistance / Q000502:physiology*; D008099:Liver / Q000378:metabolism; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000473:pathology / Q000503:physiopathology; D012044:Regression Analysis; D012885:Skinfold Thickness
chemical_list: D005947:Glucose