title: Assessment of measures for abdominal adiposity in persons with spinal cord injury.
abstract: Ultrasound may be a useful tool to assess abdominal adiposity, but it has not been validated in the spinal cord injury (SCI) population. This study evaluated associations between abdominal ultrasound and other methods to assess adiposity in 24 men with SCI and 20 able-bodied (AB) men. Waist (WC) and hip circumference (HC) and waist-to-hip ratio (WHR) were measured. Trunk (TRK%), android (A%) and waist fat (W%) were determined by dual energy x-ray absorptiometry (DXA); ultrasonography determined abdominal subcutaneous (SF) and visceral fat (VF). The SCI group had greater TRK% (40.0 ± 9.6 vs. 32.0 ± 10.3), W% (47.0 ± 9.7 vs. 40.6 ± 9.4), A% (43.0 ± 9.8 vs. 35.8 ± 10.6) and WHR (0.99 ± 0.1 vs. 0.92 ± 0.06) than the AB group. WC and WHR correlated with VF in the SCI group. These associations suggest that ultrasound may be a useful tool in clinical practice for the measurement of VF in weight loss programs and for the assessment of cardiometabolic disorders.
authors: Department of Veterans Affairs, Rehabilitation Research and Development Center of Excellence for the Medical Consequences of Spinal Cord Injury, James J. Peters VA Medical Center, Bronx, NY 10468, USA. racine.emmons@va.gov
authors: Racine R
authors: RR
authors: Emmons
authors: Carol Ewing
authors: CE
authors: Garber
authors: Christopher M
authors: CM
authors: Cirnigliaro
authors: Steven C
authors: SC
authors: Kirshblum
authors: Ann M
authors: AM
authors: Spungen
authors: William A
authors: WA
authors: Bauman
mesh_terms: D050154:Adiposity; D000328:Adult; D000368:Aged; D006801:Humans; D050152:Intra-Abdominal Fat / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000000981:diagnostic imaging*; D014463:Ultrasonography