Journal List > Korean J Pediatr Gastroenterol Nutr > v.13(2) > 1043469

Korean J Pediatr Gastroenterol Nutr. 2010 Sep;13(2):172-179. Korean.
Published online September 30, 2010.  https://doi.org/10.5223/kjpgn.2010.13.2.172
Copyright © 2010 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Clinical Significance of Abdominal Fat Distribution in Korean Male Children and Adolescents
Yeoun Joo Lee, M.D., Kyung Mo Kim, M.D., Seak Hee Oh, M.D., Hye Soon Park, M.D.,* and Jun Pyo Myong, M.D.
Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan Medical School, Seoul, Korea.
*Department of Family Medicine, Asan Medical Center, University of Ulsan Medical School, Seoul, Korea.
Team of Health Promotion, Division of Health and Sanitation, Chungcheongbuk-do Provincial Government, Cheongju, Korea.

Corresponding author (Email: kmkim@amc.seoul.kr )
Received August 06, 2010; Revised August 10, 2010; Accepted September 08, 2010.

Abstract

Purpose

Visceral adipose tissue may be strongly linked to increased metabolic risks in adults. However, because little is known regarding the effect of visceral adipose tissue in children and adolescents, we performed this study to determine the association between abdominal fat distribution and metabolic risk factors in this population.

Methods

One hundred one children and adolescents (78 males and 23 females; mean age, 10.8±2.4 years) were enrolled. The anthropometric data and metabolic risk factors were evaluated. Theabdominal fat distribution was assessed according to the CT measurement. Age-adjusted, partial correlations were performed among the visceral adipose fat area (VFA), subcutaneous adiposefat area (SFA), metabolic risk factors, and anthropometrics.

Results

The SFA increased more rapidly than the VFA with advancing years in both genders. In males, the VFA and SFA were positively correlated with anthropometrics. The VFA was correlated with low HDL-cholesterol and the SFA was correlated with diastolic blood pressure (DBP). However, there was no statistical significance between the VFA, SFA, anthropometrics, and other metabolic risk factors. The VFA and SFA were strongly linked to a number of metabolic risk factors, such as other anthropometrics.

Conclusion

This study investigated how a low HDL-C was correlated with VFA and how a high DBP was associated with SFA in Korean male children and adolescents. Our results suggest that the correlation between the VFA, SFA, and metabolic risk factors was relatively weak compared to that reported in previous adult studies.

Keywords: Obesity; Children; Adolescents; Abdominal fat; Visceral fat; Subcutaneous fat; Metabolic syndrome

Figures


Fig. 1
Scatter plots showed the visceral fat area (VFA) and subcutaneous fat area (SFA) according to age and gender (left, male right, female). The SFA increased more rapidly compared to the VFA with advancing years in both genders.
Click for larger image


Fig. 2
Scatter plots showed a negative linear association between the visceral fat area (VFA) and HDL-cholesterol. Age-adjusted multivariate regression model identified R2 as 0.322 and p-value as <0.001 between logVFA and HDL-cholesterol.
Click for larger image

Tables


Table 1
Clinical Characteristics, Plasma Biochemistry and Radiologic Assessment of the VFA and SFA Volume of the Participants
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Table 2
Partial Correlations Adjusted for Age between the VFA, SFA and Anthropometrics
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Table 3
Partial Correlations Adjusted for Age between Radiologic Assessment of the VFA, SFA, Anthropometric Data and Metabolic Risk Factors in 66 Males*
Click for larger image

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