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Article

Fat Mass Index Better Identifies Metabolic Syndrome: Insights from Patients in Early Outpatient Cardiac Rehabilitation

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55905, USA
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Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(12), 2147; https://doi.org/10.3390/jcm8122147
Received: 30 October 2019 / Revised: 22 November 2019 / Accepted: 2 December 2019 / Published: 5 December 2019
(This article belongs to the Special Issue Cardiovascular Rehabilitation)
Body mass index (BMI) does not differentiate fat and lean mass or the distribution of adipose tissue. The purpose of this study was to examine the prevalence of metabolic syndrome (MetS) among patients entering outpatient cardiac rehabilitation (CR) across fat mass index (FMI) categories compared with BMI. This retrospective cross-sectional study evaluated dual-energy x-ray absorptiometry in 483 CR patients from 1 January 2014, through 31 December 2017. Clinical data were extracted from the electronic health record. Patients were grouped by FMI and BMI categories. Mean (SD) age of patients was 64.3 (14) years. The normal FMI category had 15 patients; excess fat, 74; and obese, 384. In contrast, 93, 174, and 216 were in the normal, overweight, and obese BMI categories, respectively. Prevalence of MetS was 0 (0%) in normal, 5 (1%) in excess fat, and 167 (54%) in obese FMI, with 97% in the obese category. MetS prevalence was 4 patients (0.8%) in normal, 39 (8%) in overweight, and 129 (27%) in obese BMI categories, with 75% of MetS in the obese category. FMI more accurately classified CR patients with metabolically abnormal fat (p < 0.001). FMI is a more sensitive index than BMI for metabolically abnormal fat of outpatient CR patients. View Full-Text
Keywords: body mass index; cardiac rehabilitation; fat mass index; metabolic syndrome body mass index; cardiac rehabilitation; fat mass index; metabolic syndrome
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MDPI and ACS Style

Bonikowske, A.R.; Barillas Lara, M.I.; Koepp, K.E.; Medina Inojosa, J.R.; Squires, R.W.; Lopez-Jimenez, F.; Olson, T.P. Fat Mass Index Better Identifies Metabolic Syndrome: Insights from Patients in Early Outpatient Cardiac Rehabilitation. J. Clin. Med. 2019, 8, 2147. https://doi.org/10.3390/jcm8122147

AMA Style

Bonikowske AR, Barillas Lara MI, Koepp KE, Medina Inojosa JR, Squires RW, Lopez-Jimenez F, Olson TP. Fat Mass Index Better Identifies Metabolic Syndrome: Insights from Patients in Early Outpatient Cardiac Rehabilitation. Journal of Clinical Medicine. 2019; 8(12):2147. https://doi.org/10.3390/jcm8122147

Chicago/Turabian Style

Bonikowske, Amanda R., Maria I. Barillas Lara, Katlyn E. Koepp, Jose R. Medina Inojosa, Ray W. Squires, Francisco Lopez-Jimenez, and Thomas P. Olson. 2019. "Fat Mass Index Better Identifies Metabolic Syndrome: Insights from Patients in Early Outpatient Cardiac Rehabilitation" Journal of Clinical Medicine 8, no. 12: 2147. https://doi.org/10.3390/jcm8122147

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