[ MRI beter dan BMI ]
Niet de totale hoeveelheid vet, maar locatie geeft indicatie hartproblemen
9 december 2009
Bij mensen met obesitas zegt de hoogte van de Body Mass Index
niets over de ophoping van vet op plaatsen waar het kwaad kan. Beter kun je hier de MRI-scanner voor inzetten, concluderen onderzoekers van Boston University School of Medicine in het tijdschrift Obesity
De Body Mass Index (BMI) is een ruwe maat om te bepalen of iemand te zwaar is. Deel het gewicht in kilogram door de lengte in meters in het kwadraat. Onder de 25 zit het wel snor, tussen de 25 en 30 is er sprake van overgewicht en een BMI boven de 30 duidt op obesitas. Er kleven echter nadelen aan deze methode, aangezien de BMI geen rekening met spiermassa houdt.
De onderzoekers namen 30 zwaarlijvige mensen onder de loep; allen met een hoge bloeddruk en/ of diabetes. Met MRI en proton MR spectroscopie werd bepaald waar in het lichaam en in welke mate vet zich ophoopt. Ook werden de patiënten aan een grondig medisch onderzoek onderworpen.
De analyse van de data wees uit dat de ophoping van vet rond het hart, de aorta en in de lever geassocieerd is met hartklachten. De hoogte van het BMI heeft hier niets mee te maken.
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