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Journal of Lipid Research, Vol. 44, 2356-2364, December 2003
Copyright © 2003 by American Society for Biochemistry and Molecular Biology






,
* Division of Cardiology, Cardiovascular Genome Center, Yonsei Medical Institute, Yonsei University, Seoul, 120-749 Korea
Yonsei University Research Institute of Science for Aging, Yonsei University, Seoul, 120-749 Korea
Department of Food & Nutrition, Yonsei University, Seoul, 120-749 Korea
** Food Ingredient Division, Foods R&D Center, CJ Corp., Seoul, Korea

Nutrition and Genomics Laboratory,, JM-USDA-HNRCA, Tufts University, Boston, MA 02111
1 To whom correspondence should be addressed. e-mail: jhleeb{at}yonsei.ac.kr
Visceral fat has been associated with multiple cardiovascular disease (CVD) risk factors. The aim of this study was to identify anthropometrical measures most closely associated with some well-known CVD risk factors. Because most Asians at risk have normal body mass index (BMI) according to Western standards, we studied healthy nonobese Korean males (n = 102; age: 36.5 ± 0.8 years, BMI: 23.8 ± 0.2 kg/m2). Visceral fat area (VFA) at the fourth lumbar vertebra was associated with increased postprandial triglyceride (TG) response (r = 0.53, P < 0.001) and with plasma malondialdehyde (MDA) (r = 0.36, P < 0.01) and PGF2
(r = 0.24, P < 0.05). When matched for BMI and age, men with high VFA (HVFA) (
100 cm2; n = 27) had higher blood pressure (P < 0.01), increased consumption of cigarettes (P < 0.01), and lower ratio of energy expenditure to calorie intake (P < 0.01) as compared with low VFA men (<100 cm2; n = 27). Men with HVFA showed higher TG, glucose, and insulin responses following fat and oral glucose tolerance tests respectively higher plasma concentrations of MDA (P < 0.001), urinary PGF2
(P < 0.05), and lymphocytes deoxyribonucleic acid tail moments (P < 0.01). Conversely, HVFA was associated with lower testosterone, insulin-like growth factor-1, and brachial artery flow-mediated dilation (P < 0.001).
In conclusion, our data indicate that visceral fat accumulation, even in nonobese men, is a major factor contributing to increased CVD risk.
Supplementary key words flow-mediated dilation body fat distribution glucose tolerance
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