Dispersal of Abdominal Visceral; Subcutaneous, Visceral to Subcutaneous Adiposity Ratio and Metabolic Syndrome in A Sample of Obese Egyptians

Background: Visceral to subcutaneous adiposity ratio (VSR) may be more crucial than visceral and subcutaneous adipose tissue per se. It reflects relative distribution of abdominal adiposity which is a better indicator of cardio-meta­bolic risk. Aim: to examine if the VSR has diagnostic value in identifying metabolic syndrome (MS) compared with VAT and SAT among sample of obese Egyptians. Subjects and Methods: The over here study included 456 obese Egyptian adults (106 male and 350 female), ageing across 25- 55 years. All participants subjected to blood pressure and anthropometric assessment, abdominal ultrasound, and laboratory tests. Results: Males had quite high level of triglycerides and low HDL than females, who had significantly higher frequency of wide WC than men. There was insignificant sex difference in the frequency of MS. VAT and SAT were significantly higher in presence of wide WC and hypertension among both sexes. Also, VSR was significantly higher in presence of wide WC and hypertension among women only. While presence of MS led to significantly higher value of SAT among men, and VAT among women. Area under the curves (AUCs) for VAT, SAT and VSR; to predict MS; were 0.59, 0.63 and 0.46 among men and 0.63, 0.56 and 0.55 among women. Conclusion: Visceral and subcutaneous adipose tissue; not visceral/subcutaneous ratio; were significantly affected by the presence of MS in both sexes. SAT was significantly superior among men, while VAT was superior among women. VSR cannot be used as a predictor of MS.