Gynoid and android fat patterning in Japanese-American men: Body build and glucose metabolism

Association between the digit ratio (2D:4D) and body fat distribution in Mordovian students

BACKGROUND

The length ratio of the second to the fourth finger (2D:4D) is a possible biomarker of prenatal sex hormone levels, which play a significant role in determining sex-related body traits.

AIMS

To evaluate the value of the 2D:4D ratio in a Mordovian sample and to test the associations between the 2D:4D ratio and sexually dimorphic morphological traits, such as height and body weight, body mass index, waist and hip circumference, the waist-to-hip ratio, handgrip strength and the skinfold thickness.

SUBJECTS AND METHODS

The sample studied included 106 individuals of Mordovian ethnicity: 58 males and 48 females, 16-23 years old. The associations between the 2D:4D ratio and morphological traits were evaluated by multivariate regression analysis and correlation analysis.

RESULTS

The 2D:4D ratio in males was significantly lower than in females. Most of the associations of the 2D:4D ratio with morphological traits were statistically insignificant. The 2D:4D ratio is only significantly correlated with skinfold thickness of the forearm and the abdomen in females.

CONCLUSION

The association between the 2D:4D ratio and skinfold thickness is indicative of the role of prenatal sex hormones in shaping the body fat distribution in females, along with the significant impact of sex hormones at puberty.

Relation of subcutaneous fat distribution to percentage of Polynesian ancestry in native Hawaiian children

A semilongitudinal study of the growth of Hawaiian children from four cohorts was carried out with measurements taken at four consecutive annual visits. Each visit entailed an anthropometric battery, including skinfold measurements at six sites. Additionally, interviews with children and their families elicited information on socioeconomic status, other social conditions, and degree of identification with Hawaiian culture. Genealogies were completed to allow estimates of percentage of Polynesian ancestry (PPA) for the Hawaiian children, with estimates compressed into quartiles of PPA. A principal components analysis of the six skinfold measures for each child was carried out, deriving two components. Components relating to centrality of fat distribution were significantly higher among native Hawaiians than in non-Hawaiians, and the components were significantly related to PPA in analyses of covariance for preadolescent children. The relationship between socioeconomic variables and amount of body fatness appears to be stronger than the relationship between these variables and fat distribution. The results suggest a relatively greater role for Polynesian hereditary influence on fat distribution than on quantity of fat among contemporary native Hawaiian children. © 1993 Wiley-Liss, Inc.

Cigarette smoking, adiposity, non-insulin-dependent diabetes, and coronary heart disease in Japanese-American men

PURPOSE

Coronary heart disease has been described to be increased with both glucose intolerance and cigarette smoking. All three of these have also been reported to be associated with central adiposity (disproportionate deposition of fat on the trunk compared to the extremities). The purpose of this analysis was to determine the relationship of cigarette smoking to glucose intolerance and coronary heart disease, the relationship of cigarette smoking to risk factors such as adiposity, body fat distribution, and plasma lipoprotein and insulin levels, the relationship of cigarette smoking to these risk factors independent of disease status, and whether these risk factors could account for any of the relationship between cigarette smoking and disease status.

PATIENTS AND METHODS

The study design was cross-sectional. The study sample contained 219 middle-aged and elderly Japanese-American men: 77 with normal and 74 with impaired glucose tolerance and 68 with type II diabetes. There were 54 men with coronary heart disease. A detailed smoking history was obtained. Glucose tolerance status was established by medical history and a 75-g oral glucose tolerance test. Coronary heart disease was determined by medical history and a resting electrocardiogram. Adiposity and fat distribution measurements were body mass index (kg/m2), skinfold thicknesses, body circumferences, and cross-sectional fat areas by computed tomography. Levels of insulin, C-peptide, cholesterol (total, low-density lipoprotein [LDL], high-density lipoprotein [HDL], HDL2, HDL3, very-low-density lipoprotein [VLDL]), and triglyceride (total, VLDL) were measured in fasting blood specimens.

RESULTS

A central pattern of body fat was associated with both non-insulin-dependent diabetes mellitus and coronary heart disease. Smoking history was related to both adiposity and body fat distribution, and was strongly related to coronary heart disease but not to diabetes. Past smokers who had smoked up to a month ago were the heaviest while present smokers who were currently smoking or had smoked within the past month were the leanest. However, although present smokers had reduced amounts of fat, this was attributable to those present smokers without heart disease. Present smokers with heart disease were not as lean and had increased amounts of intra-abdominal fat. Past smokers had the greatest amount of central fat and this was attributable to those with heart disease. By two-way (smoking history and coronary heart disease status) analysis of covariance, smoking history was significantly related only to subcutaneous fat disposition on the chest and abdomen independent of coronary heart disease, while coronary heart disease status was strongly related to plasma levels of insulin C-peptide, VLDL, HDL, HDL2, and HDL3 cholesterol, and total and VLDL triglyceride, independent of smoking history. Further analysis showed that none of the body fat variables could account for the risk of coronary heart disease associated with smoking history. Higher fasting plasma C-peptide levels in past smokers accounted statistically for part of the risk of coronary heart disease associated with cigarette smoking. However, this effect was not mediated by any of the body fat measurements.

CONCLUSIONS

Disproportionately increased intra-abdominal fat is related to coronary heart disease but not to smoking history. Smoking history is related to coronary heart disease but not to diabetes. Weight gain is associated with smoking cessation and appears to be concentrated in the central subcutaneous regions, especially for those who have coronary heart disease. Weight gain associated with cessation of smoking appears to be unrelated to atherogenic changes in lipids, lipoproteins, or insulin. Other pathogenic processes must be considered in the association between smoking and coronary heart disease.