Preperitoneal fat thickness in childhood obesity: Association with serum insulin concentration

Tamura, Akiho; Mori, Tetsuo; Hara, Yoshiko; Komiyama, Atsushi

doi:10.1046/j.1442-200x.2000.01197.x

Cited by 27 publications

(27 citation statements)

References 22 publications

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“…Pmax and Smin were measured directly from the screen with electronic calipers. Pmax and Smin were both related with visceral fat accumulation and subcutaneous fat accumulation in the upper abdomen as reported in a previous study (21).…”

Section: Anthropometric Measurementssupporting

confidence: 84%

“…On the other hand, serum adiponectin levels were not correlated with POW, PBF or Smin. Waist circumference and Pmax were related with visceral fat accumulation, and Smin was related with subcutaneous fat accumulation as reported in previous studies (21,24). Nishina et al revealed a significant relationship between visceral fat accumulation and insulin in obese Japanese children (25).…”

Section: Discussionsupporting

confidence: 68%

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Usefulness of Serum Adiponectin Level as a Diagnostic Marker of Metabolic Syndrome in Obese Japanese Children

et al. 2005

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Section: Anthropometric Measurementssupporting

confidence: 84%

Section: Discussionsupporting

confidence: 68%

Usefulness of Serum Adiponectin Level as a Diagnostic Marker of Metabolic Syndrome in Obese Japanese Children

et al. 2005

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“…[33][34][35][36][37][38][39] Thus, the main prognostic problem in obesity is to estimate accurately the quantity and distribution of fat in the body. Both CT and MRI have been used in children and adolescents for this purpose.…”

Section: Discussionmentioning

confidence: 99%

Comparison of ultrasonographic and anthropometric methods to assess body fat in childhood obesity

2006

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Background: Pattern of fat distribution rather than obesity is of importance for cardiovascular morbidity and mortality. The accurate measurement of total and regional fat mass requires sophisticated and often expensive methods that have limited applicability in the clinical setting. Objective: The aim of this study is to evaluate body fat distributions by ultrasound (US) as a gold standard method for measuring visceral, preperitoneal and subcutaneous fat layers and comparing with anthropometric results, and then to find the most reliable anthropometric measurement in childhood obesity. Materials and methods: Study group of 51 obese children (21 F, 30 M) (mean age7s.d.: 11.572.6 years) and control group of 33 non-obese children (17 F, 16 M) (mean age7s.d.: 12.272.7 years) were recruited for this study. Anthropometric measurements as body mass index (BMI), waist circumference (WC), waist/hip ratio (WHR), triceps and subscapular skinfold thicknesses were taken from all the participants. Abdominal preperitoneal (P), subcutaneous (S) fat at their maximum (max) and minimum (min) thickness sites, visceral (V), triceps (TrUS) and subscapular (SsUS) fat thicknesses were also measured ultrasonographically. Results: In the obese group, BMI was significantly correlated with US measurements of fat thicknesses, except Pmin and SsUS, whereas in the control group, BMI was significantly correlated with all US fat measurements. The relation of US measurements with skinfold thickness and WC was more significant in the control than in the obese group. No relation between WHR and US fat thickness measurements was found in both groups. Multiple regression analysis, using V as the dependent variable and anthropometric parameters, gender and the group as the independent variables, revealed BMI was the best single predictor of V (R 2 : 0.53). Conclusion: This study suggests that the validity of the anthropometric skinfold thickness in the obese children is low. Despite the limitations reported in the literature, in our study, BMI provides the best estimate of body fat. WHR in children and adolescents is not a good index to show intra-abdominal fat deposition.

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“…The probe was applied lightly to the skin in order to avoid compression of the fat layer. Maximum preperitoneal fat thickness (Pmax) and minimum subcutaneous fat thickness (Smin) were measured directly from the screen using electronic calipers (16). Birth weight and gestational weeks were obtained from maternal and child health handbooks.…”

Section: Methodsmentioning

confidence: 99%

Lower Birth Weight Associated with Current Overweight Status Is Related with the Metabolic Syndrome in Obese Japanese Children

et al. 2007

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The purpose of this study was to clarify the relationship between lower birth weight and current overweight status and to examine the involvement of these factors in the development of the metabolic syndrome (MS) in obese Japanese children. We examined 97 obese boys (mean age 11.3 years; mean percentage overweight [POW] 52.4%) and 29 obese girls (mean age 11.1 years; mean POW 58.3%). The anthropometric measurements, blood pressure, fasting serum insulin and blood glucose, liver enzymes, lipids and lipoproteins were measured. Birth weight and gestational weeks were also recorded. The subjects were divided into either an MS group or a Non-MS group using criteria proposed for Japanese children. We compared the weight parameters (birth weight, current weight and current weight-to-birth weight ratio [WBWR]) between the two groups and analyzed the relationships between the weight parameters and metabolic derangements.There were no significant differences in age or anthropometric measurements between the two groups.However, birth weight in the MS group was lower than that in the Non-MS group, while WBWR of the MS group was higher than that in the Non-MS group. Blood pressure and serum insulin correlated positively with WBWR. These findings suggested that lower birth weight with current overweight status was associated with the MS in obese Japanese children. We were unable to clarify whether subjects with lower birth weight who achieved proper weight gains had the same risk as subjects with appropriate birth weight. However, they should be assisted to grow adequately to prevent future metabolic derangements. (Hypertens Res 2007; 30: 627-634)

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Preperitoneal fat thickness in childhood obesity: Association with serum insulin concentration

Cited by 27 publications

References 22 publications

Usefulness of Serum Adiponectin Level as a Diagnostic Marker of Metabolic Syndrome in Obese Japanese Children

Usefulness of Serum Adiponectin Level as a Diagnostic Marker of Metabolic Syndrome in Obese Japanese Children

Comparison of ultrasonographic and anthropometric methods to assess body fat in childhood obesity

Lower Birth Weight Associated with Current Overweight Status Is Related with the Metabolic Syndrome in Obese Japanese Children

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