Type 2 & other diabetes

Accumulation in Visceral Adipose Tissue Over 6 Years Is Associated With Lower Paraspinal Muscle Density

J Clin Endocrinol MetabPublished Prospective cohort study

Errata to this article were published (J Clin Endocrinol Metab, 17 May 2023 ↗ · 18 Oct 2023 ↗)

Authors' conclusion

These results highlight that age-related accumulation of VAT in men and women is associated with lower muscle density. VAT may represent a modifiable risk factor for poor musculoskeletal outcomes with aging.

Study context

Population
Framingham Study third-generation cohort participants with quantitative CT scans of the spine at baseline and 6-year follow-up
Participants
1,145 participants
Exposure
Per 100-cm³ increase in visceral adipose tissue (VAT) over 6 years
Outcome
Paraspinal muscle density at follow-up
Follow-up
6-year follow-up
Methodological detailsFramingham Study third-generation cohort, 6-year follow-up, sex-stratified multiple regression
  • Framingham Study third-generation cohort
  • 6-year follow-up
  • Sex-stratified multiple regression

Main finding

As reported in the abstract

Paraspinal muscle density (HU) per 100-cm³ increase in VAT

Lower muscle density (HU) per 100-cm³ VAT increase, men

0.302

95% CI −0.380 to −0.224P < .001

Lower muscle density (HU) per 100-cm³ VAT increase, women

0.476

95% CI −0.598 to −0.354P < .001

Observational data: associations, not effects.

Original publication

Accumulation in Visceral Adipose Tissue Over 6 Years Is Associated With Lower Paraspinal Muscle Density. J Clin Endocrinol Metab. Published 22 December 2022. doi:10.1210/clinem/dgac744

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