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Rectus abdominis muscle thickness predicts metabolic syndrome in middle-aged males

21 Sep 2017

Rectus abdominis muscle thickness at the umbilical level (RAM) is significantly associated with metabolic syndrome in middle-aged males, a recent study from Korea has shown.

Computed tomography (CT) images at the umbilicus level were taken for 725 middle-aged Korean males, of which 251 had metabolic syndrome (MS; mean age 48.8±6.1 years) while the remaining 474 did not (mean age 49.5±6.5 years).

Images showed that RAM was significantly thinner for the patients with MS than for those without (2.46±0.01 vs 2.52±0.01; p<0.01).

Moreover, patients who had more MS components had significantly thinner RAM (p<0.01 for trend). Those with three or more MS components had significantly thinner RAM than those without any diagnostic criteria (2.46±0.01 vs 2.55±0.02; p<0.01). Patients meeting two or less MS criteria also had significantly thicker RAM than those with at least three criteria (p<0.01).

Stepwise multiple regression showed that RAM was an independent factor significantly correlated with MS (odds ratio, 0.860; 95 percent CI, 0.767 to 0.965; p=0.01) after adjusting for covariates such as total cholesterol, fasting glucose and creatinine.

Partial correlation showed that RAM was significantly positively correlated with body mass index (p<0.01), creatinine (p<0.01) and skeletal muscle index (p<0.01). On the other hand, significant negative correlations with RAM were observed for age (p<0.01), waist circumference (p<0.01), fasting glucose (p<0.01) and triglycerides (p<0.01).

Participants were recruited from the Health Promotion Centre of the Chung-ang University Hospital. Anthropometric and laboratory measurements, and CT images were obtained from the participants. Non-Koreans were excluded from the study.

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Most Read Articles
Pearl Toh, 6 days ago
A study finds no evidence that using pharmaceutical aids alone for smoking cessation helps improve the chances of successful quitting despite promising results in previous randomized trials and routine prescription of such drugs to help quit smoking.
Elvira Manzano, 3 days ago
Cancer patients at risk for recurrent venous thromboembolism (VTE) are less likely to experience recurrence with rivaroxaban compared with dalteparin, the Select-D trial has shown, ushering in a new standard of care (SoC) for cancer-related VTE.
2 days ago
Weight loss medications that have received the Food and Drug Administration (FDA) approval appear to confer only modest positive benefits for cardiometabolic risk profile, according to a study.
3 days ago
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