scholarly journals Body fat distribution in trunk and legs are associated with cardiometabolic risk clustering among Chinese adolescents aged 10–18 years old

Author(s):  
Qingmei Yang ◽  
Ping Ma ◽  
Hao Zhang ◽  
Rongrong Cai ◽  
Yangyang Dong ◽  
...  

Abstract Objectives The aim of the present study was to evaluate the association of body fat distribution with cardiometabolic risk factors clustering among Chinese adolescents. Methods In this cross sectional study a total of 1,175 adolescents aged 10–18 years underwent a comprehensive assessment of cardimetabolic risk factors. Body fat analysis was performed with bioelectrical impedance analysis (BIA). Results Individuals with the CVRFs≥1 or CVRFs≥2 had higher indices of body fat distribution such as body fat mass (BFM) compared to those with normal CVRFs (all p<0.001). The prevalence of CVRFs≥1, CVRFs≥2 increased with increasing of the quartile of BFM, TBFM, ABFM, LBFM, PBF, VFL compared to normal subjects. After adjusted for age and sex, the study indicated an linear relationship between TBFM (β = 0.693, 95% CI:0.363, 1.023), LBFM (β = −1.471, 95% CI:−2.768, −0.175) and CVRFs z-score. Logistic regression models suggested TBFM was associated with CVRFs≥1 and CVRFs≥2 by higher odds. Lower odds of LBFM was associated with CVRFs≥2. Conclusions The contribution of the fat mass in specific region on the cardiovascular risk factors clustering is different among adolescents. The trunk fat is associated with higher clustered cardiometabolic risk, while leg fat mass is the protective factor.

2020 ◽  
Author(s):  
Qingmei Yang ◽  
Ping Ma ◽  
Hao Zhang ◽  
Rongrong Cai ◽  
Yangyang Dong ◽  
...  

Abstract Background: The association between total fat, body fat distribution and cardiometabolic risk factors are highly controversial among adolescents. The aim of the present study was to evaluate the association of body fat distribution with cardiometabolic risk factors clustering among Chinese adolescents.Methods: In this cross-sectional study a total of 1175 adolescents aged 10 to 18 years underwent a comprehensive assessment of cardimetabolic risk factors. Body fat analysis was performed with Bioelectrical impedance analysis. Results: Individuals with the CVRFs ≥1 or CVRFs ≥2 had higher indices of body fat distribution such as body fat mass(BFM) compared to those with normal CVRFs (all P<0.001). The prevalence of CVRFs ≥1, CVRFs ≥2 increased with increasing of the quartile of BFM, TBFM, ABFM, LBFM, PBF, VFL compared to normal subjects. After adjusted for age and sex, the study indicated an linear relationship between TBFM(β=0.693, 95%CI:0.363,1.023), LBFM(β=-1.471, 95%CI:-2.768,-0.175) and CVRFs z-score. Logistic regression models suggested TBFM was associated with CVRFs≥1 and CVRFs≥2 by higher odds. Lower odds of LBFM was associated with CVRFs≥2. Conclusions A significant association between body fat mass of trunk(TBFM), body fat mass of leg(LBFM) and cluster of cardiometabolic risk factors was showed in the study. It suggested to reduce body fat mass of trunk and increase body fat mass of leg were essential for adolescents to prevent cardiovascular risk factors clustering.


PLoS ONE ◽  
2017 ◽  
Vol 12 (9) ◽  
pp. e0185403 ◽  
Author(s):  
Theodora W. Elffers ◽  
Renée de Mutsert ◽  
Hildo J. Lamb ◽  
Albert de Roos ◽  
Ko Willems van Dijk ◽  
...  

2017 ◽  
Vol 263 ◽  
pp. e175 ◽  
Author(s):  
T.(Dorine) W. Elffers ◽  
Renée De Mutsert ◽  
Hildo J. Lamb ◽  
Albert De Roos ◽  
J.A.P.(Ko) Willems Van Dijk ◽  
...  

2021 ◽  
pp. 1-13
Author(s):  
Roberta Fernanda Da Silva ◽  
Juliana Marques Iwamoto ◽  
Dalton Müller Pessôa Filho ◽  
Henrique Luiz Monteiro ◽  
Rodrigo Villar ◽  
...  

2018 ◽  
Vol 7 (12) ◽  
pp. 528 ◽  
Author(s):  
Robinson Ramírez-Vélez ◽  
Mikel Izquierdo ◽  
Jorge Correa-Bautista ◽  
María Correa-Rodríguez ◽  
Jacqueline Schmidt-RioValle ◽  
...  

This study had two main objectives: To examine the association between body fat distribution and non-alcoholic fatty liver disease (NAFLD) and liver fat content, and to determine whether the relationship between NAFLD and regional body fat distribution, with respect to liver fat content in youths with excess adiposity, is independent of cardiorespiratory fitness (CRF) and a healthy diet. Liver fat content (controlled attenuation parameter (CAP)), body fat distribution (body mass index (BMI) z-score, waist circumference, waist-to-height ratio, fat mass/height, body fat percentage, total fat mass, android-to-gynoid fat mass ratio, visceral adipose tissue (VAT), and lean mass index, determined by dual-energy X-ray absorptiometry (DXA)), CRF (20-m shuttle-run test), and healthy diet (adherence to the Mediterranean diet by KIDMED questionnaire) were measured in 126 adolescents (66% girls) aged between 11 and 17 years. Participants were assigned to two groups according to the presence or absence of hepatic steatosis (CAP values ≥225 dB/m or <225 dB/m of liver fat, respectively). Considering the similar total fat values for the two groups (>30% by DXA), youths with NAFLD had higher fat distribution parameters than those without NAFLD, regardless of sex, age, puberty stage, lean mass index, CRF, and healthy diet (p < 0.01). In the non-NAFLD group, the association between hepatic fat and fat distribution parameters presented a similar pattern, although the association was statistically insignificant after adjusting for a potential confounding variable (ps > 0.05), except for the case of VAT. Body fat distribution parameters were higher in youths with NAFLD compared to those without NAFLD. Additionally, body fat distribution showed a significant association with liver fat content as assessed by CAP in youths with NAFLD independent of CRF and adherence to the Mediterranean diet, supporting the notion that upper body fat distribution might play a pivotal role in the development of NAFLD in adolescents. These results may have implications for the clinical management of youths with excess adiposity given the high prevalence of NAFLD in children and young adults.


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