Abstract
Objective
To measure visceral fat (VF) in over nourished children (6–15 y) by ultrasonography (USG) and to find relation between anthropometric measurements (AM) and VF in these children. This case series included 113 children of 6–15 y with Body Mass Index (BMI) >85th centile who attended the nutrition clinic of a tertiary care centre in rural Kerala from January 2009 through June 2010.
Methods
After recording the base line demographic parameters and anthropometric measurements, VF was assessed by USG. Relation between VF and anthropometric measurements were assessed by correlation. Measurements which showed significant positive correlation were further analyzed by linear regression.
Results
The mean total VF was 145.63 (SD = 25.37) mm. Total VF increased with age. Significant positive correlation was found for weight, height, BMI, hip circumference (HC) and waist circumferences (WC). WC showed maximum correlation. The best predictor of VF was WC.
Conclusions
The total VF in over nourished children increases with age. Even though the most important predictor of visceral fat is WC, it has a low predictive power.
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References
Kvist H, Chowdhury B, Grangard U, Tylen U, Sjöström L. Total and visceral adipose-tissue volumes derived from measurements with computed tomography in adult men and women: predictive equations. Am J Clin Nutr. 1988;48:l35l–61l.
Ostman J, Arner P, Engfeldt P, Kager L. Regional differences in the control of lipolysis in human adipose tissue. Metab Clin Exp. 1979;28:1198–205.
Bjorntorp P. “Portal” adipose tissue as a generator of risk factors for cardiovascular disease and diabetes. Arteriosclerosis, thrombosis and vascular biology. 1990;10:493–6. Available from http://www.ncbi.nim.nih.gov/pubmed/2196039 on 11 Jan 2011.
Després JP, Prud’homme D, Pouliot MC, Tremblay A, Bouchard C. Estimation of deep abdominal adipose-tissue accumulation from simple anthropometric measurements in men. Am J Clin Nutr. 1991;54:471–7.
Goran MI, Kaskoun MC, Shuman WP. Intra-abdominal adipose tissue in young children. Int J Obes Relat Metab Disord. 1995;19:279–83. Available from http://www.ncbi.nlm.nih.gov/pubmed/7627253 on 20/01/2011.
Fox K, Peters D, Armstrong N, Sharpe P, Bell M. Abdominal fat deposition in 11-year-old children. Int J Obes Relat Metab Disord. 1993;17:11–6. Available from http://www.ncbi.nlm.nih.gov/pubmed/8383635 on 15/01/2009.
De Ridder CM, de Boer RW, Seidell JC, et al. Body fat distribution in pubertal girls quantified by magnetic resonance imaging. Int J Obes Relat Metab Disord. 1992;16:443–9. Available from http://www.ncbi.nlm.nih.gov/pubmed/1322870 on 15/01/200.
Growth charts- individual growth charts. 4 aug 2009: set-1 individual chart with all percentiles: body mass index-for-age percentiles (boys and girls 2 to 20 years). Downloaded from http://www.cdc/gov/growthcharts on 26th November 2009.
Lapidus L, Bengsson C, Larsson B, Pennert K, Rybo E, Sjostrom L. Distribution of adipose tissue and risk of cardiovascular disease and death: a 12 year follow up of the participants in the population study of woman in Gothenburg, Sweden. Br Med J. 1984;289:1257–61.
Hirooka M, Kumagi T, Kurose K, et al. A technique for measurement of visceral fat by ultrasonography: comparison of measurement by US and CT. Intern Med. 2005;44:794–9.
Goran MI and Gower BA. Relation between visceral fat and disease risk in children and adolescents. Am J Clin Nutr. 1999;70:149S–56S Available from http://www.ajcn.org by guest on December 27, 2010.
Satake E, Nakagawa Y, Kubota A, Saegusa H, Sano S, Ohzeki T. Age and sex differences in fat distribution in non-obese Japanese children. J Pediatr Endocrinol Metab. 2010;23:873–8.
Huang Terry T-K, Johnson MS, Figueroa-Colon R, Dwyer JH, Goran MI. Growth of visceral fat, subcutaneous abdominal fat, and total body fat in children. Obes Res. 2001;9:283–9.
Kytnarová J, Frühauf P, Moravcová A, Kunesová M, Hainer V. Ultrasound measurement of visceral fat in obese children. Cas Lek Cesk. 2004;143(11):766–9. Available from http://www.ncbi.nlm.nih.gov/pubmed/15628573 on 15/01/2010.
Seidell JC, Bouchard C. Visceral fat in relation to health: is it a major culprit or simply an innocent bystander? Int J Obes. 1997;21:626–31.
Acknowledgements
The authors gratefully acknowledge the cooperation of children and their guardians who participated in this study. They are also thankful to Dr Tony Lawrence, assistant professor, Department of preventive medicine, Govt. TDMC, Alappuzha, for his help in data analysis.
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Sankar, J., Mohan, G., Pariyarath, R. et al. Visceral Fat Assessment in Over Nourished Children by Ultrasonography and its Relation to Anthropometry. Indian J Pediatr 79, 1338–1341 (2012). https://doi.org/10.1007/s12098-011-0659-7
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DOI: https://doi.org/10.1007/s12098-011-0659-7