Increase in visceral adipose tissue (VAT) is an independent risk for mortality and other health related comorbidities.
To examine the gender differences in VAT and subcutaneous adipose tissue (SAT) cross-sectional areas (CSA) between men and women with chronic spinal cord injury (SCI). The differences in the distribution of central adiposity were used to determine the association of VAT and SAT to metabolic dysfunction after SCI.
cross-sectional design SETTING: hospital based study PARTICIPANTS: Sixteen individuals [8 men and 8 women] with motor complete SCI were matched based on age, time since injury and level of injury.
Anthropometrics, dual energy x-ray absorptiometry (DXA) and magnetic resonance imaging were captured to measure lean mass, fat mass (FM), percentage FM, VAT and SAT CSAs. Basal metabolic rate, intravenous glucose tolerance test and lipid panel were measured.
VAT, SAT and Metabolic Profile RESULTS: SAT CSA was 1.6 -1.75 times greater in upper and lower trunks in women compared to men with SCI (P<.05). VAT CSA was 1.8-2.6 times greater in upper and lower trunks in men compared to women with SCI (P<.05). VAT adjusted to body weight was greater in men compared to women with SCI. HDL- C was positively related to SAT and negatively related to VAT. Glucose effectiveness was negatively related to lower trunk SAT (r=-0.60, P=.02). Cholesterol: HDL-C ratio and TG were positively related to upper VAT, lower VAT and VAT: SAT ratio.
MRI demonstrated that there is a gender dimorphism in central adiposity in persons with chronic SCI. This gender dimorphism in central adipose tissue distribution may explain the higher prevalence of metabolic dysfunction in men with SCI, especially, the decrease in the HDL-C profile.
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 May 2018.
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