The Correlations between Extremity Circumferences with Total and Regional Amounts of Skeletal Muscle and Muscle Strength in Obese Women with Type 2 Diabetes
Open Access
- 1 January 2011
- journal article
- Published by Korean Diabetes Association in Diabetes & Metabolism Journal
- Vol. 35 (4), 374-383
- https://doi.org/10.4093/dmj.2011.35.4.374
Abstract
Insulin resistance is related to central obesity and the amount of skeletal muscle. A simple and practical anthropometric marker for muscle mass is not known, although waist circumference (WC) is used as an indicator of abdominal obesity. The aims of this study were to investigate whether arm (AC) and thigh circumferences (TC) can be used as an indicator of muscle mass and if they are related to muscle strength. A total of 110 obese (body mass index [BMI]≥25 kg/m2) women with type 2 diabetes were enrolled, and WC, AC, and TC were measured. Abdominal visceral fat (AVF), subcutaneous fat (ASF), and total fat (ATF) were assessed by computed tomography, regional muscle (MM), and fat mass by dual-energy X-ray absorptiometry, muscle strength by one repetition maximum (1RM) of both extremities (chest and leg press) and insulin resistance by KITT. The mean age was 56.2±7.3 years, duration of diabetes was 4.2±4.4 years, and BMI was 27.2±2.8 kg/m2. WC was correlated with ATF, AVF, and ASF (r=0.728, P<0.001; r=0.515, P<0.001; r=0.608, P<0.001, respectively). Arm MM was correlated with AC (r=0.500, P<0.001), and leg MM with TC (r=0.291, P=0.002). Upper 1RM was related to AC/WC ratio (r=0.359, P<0.001), and lower 1RM was to TC/WC ratio (r=0.286, P=0.003). Insulin resistance had significant relations with AVF, WC, and total MM (r=-0.262, P=0.008; r=-0.217, P=0.029; r=0.160, P=0.031, respectively). The muscle mass was related to extremity circumferences, and muscle strength was to extremity/waist circumference ratio in obese women with type 2 diabetes.Keywords
This publication has 24 references indexed in Scilit:
- Harmonizing the Metabolic SyndromeCirculation, 2009
- Prevalence of the Metabolic Syndrome in Type 2 Diabetic PatientsKorean Diabetes Journal, 2009
- Relationship of Maximal Muscle Strength with Body Mass Index and Aerobics Capacity in Type 2 Diabetic PatientsKorean Diabetes Journal, 2009
- Maximal Muscle Strength Deteriorates with Age in Subjects with Type 2 Diabetes MellitusKorean Diabetes Journal, 2009
- The Correlation Between Visceral Fat Distance Measured by Ultrasonography and Visceral Fat Amount by Computed Tomography in Type 2 DiabetesKorean Diabetes Journal, 2008
- Muscle-Strengthening Activity and Its Association With Insulin SensitivityDiabetes Care, 2007
- Correlation Between Midthigh Low- Density Muscle and Insulin Resistance in Obese Nondiabetic Patients in KoreaDiabetes Care, 2003
- Selection of anthropometric indicators for classification of abdominal fatness— a critical reviewInternational Journal of Obesity, 1998
- DIET AND RISK FACTORS FOR CORONARY HEART DISEASE IN ASIANS IN NORTHWEST LONDONThe Lancet, 1985
- THE GLUCOSE FATTY ACID CYCLE IN OBESITY AND MATURITY ONSET DIABETES MELLITUSAnnals of the New York Academy of Sciences, 1965