Ultrasonographic visceral fat thickness in the first trimester can predict metabolic syndrome and gestational diabetes mellitus

The aim of this study is to evaluate whether ultrasonographic visceral fat thickness measurement in the early gestational period is useful for predicting the development of gestational diabetes mellitus (GDM) and metabolic syndrome (MS). The visceral fat thickness and subcutaneous fat thickness were...

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Bibliographic Details
Published in:Endocrine 2014-11, Vol.47 (2), p.478-484
Main Authors: Gur, Esra Bahar, Ince, Ozlem, Turan, Guluzar Arzu, Karadeniz, Muammer, Tatar, Sumeyra, Celik, Esin, Yalcin, Murat, Guclu, Serkan
Format: Article
Language:English
Subjects:
Adolescent
Adult
Blood Glucose - metabolism
Blood Pressure - physiology
Body Mass Index
Diabetes
Diabetes, Gestational - diagnosis
Endocrinology
Female
Humanities and Social Sciences
Humans
Insulin Resistance - physiology
Internal Medicine
Intra-Abdominal Fat - diagnostic imaging
Medicine
Medicine & Public Health
Metabolic Syndrome - diagnosis
multidisciplinary
Original Article
Predictive Value of Tests
Pregnancy
Pregnancy Trimester, First
Risk Factors
Science
Ultrasonography
Waist Circumference
Young Adult
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Summary:The aim of this study is to evaluate whether ultrasonographic visceral fat thickness measurement in the early gestational period is useful for predicting the development of gestational diabetes mellitus (GDM) and metabolic syndrome (MS). The visceral fat thickness and subcutaneous fat thickness were measured via ultrasound at the first prenatal visit. The correlation between visceral and subcutaneous fat thickness and MS parameters, such as dyslipidemia, hypertension, and insulin resistance, was assessed. We also compared the use of visceral fat thickness measurement with body mass index (BMI) and waist circumference (WC) measurements for predicting the development of GDM. The subcutaneous fat thickness was found to be similar in the normal glucose metabolism and GDM groups at the first visit, whereas the visceral fat thickness was found to be considerably higher in the GDM groups ( p  = 0.04). The visceral fat thickness in the early stage of the gestation was correlated with hyperglycemia, dyslipidemia, high diastolic blood pressure, and insulin resistance. In contrast to subcutaneous fat thickness, BMI, and WC, only the visceral fat thickness was correlated with insulin resistance. The subcutaneous and visceral fat thicknesses at the first visit were significantly higher in the MS group ( p  = 0.02). There was a good correlation between visceral and subcutaneous fat thicknesses ( r  = 0.492, p  
ISSN:1355-008X
1559-0100
DOI:10.1007/s12020-013-0154-1