Ultrasound as a method to evaluate the distribution of abdominal fat in obese prepubertal children and the relationship between abdominal fat and metabolic alterations

Peçanha, Arine; Monteiro, Alexandra; Mussi, Fernanda Carneiro; Madeira, Isabel Rey; Bordallo, Maria Alice Neves; Carvalho, Cecília N. M.; Cavalini, Luciana Tricai

doi:10.1590/0100-3984.2016.0230

Cited by 8 publications

(3 citation statements)

References 20 publications

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“…Similar to our observation, some studies did not detect any association between WC or skin fold with cholesterol (26), whereas others reported a positive correlation between BMI and WC with dyslipidemia (27,28). Previous studies also reported a lack of association between abdominal SCF and lipid metabolism (29,30), similar to our results. Other researchers reported a significant correlation between visceral fat thickness measured by ultrasound with TGs positively and HDL‐c negatively (9,31).…”

Section: Discussionsupporting

confidence: 93%

“…Metabolically unhealthy children were characterized by higher BMI, WC, and body fat measurements when compared with metabolically healthy counterparts (33), which is similar to our results. On the other hand, studies that used the HOMA‐index to reflect metabolic derangement, found a significant correlation between abdominal SCF (30) and visceral fat thickness (9) using ultrasound, and insulin resistance in a similar group.…”

Section: Discussionmentioning

confidence: 99%

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Use of Anthropometry Versus Ultrasound for the Assessment of Body Fat and Comorbidities in Children With Obesity

El-Koofy

Soliman

ElBarbary

et al. 2020

J. pediatr. gastroenterol. nutr.

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Objectives: We aimed to examine the association between abdominal fat measured by ultrasound and anthropometric indices in children with obesity, and those with normal weight. We also examined the association between anthropometry and fat measures in the prediction of comorbidities in children with obesity. Methods: Forty children with body mass index of >95th percentile were included as cases, and a comparable group of 32 healthy average-weight peers were included as controls in this study. All children underwent clinical assessment, anthropometric measures, and evaluation of abdominal subcutaneous fat (SCF) and visceral fat by ultrasound. Fasting blood sugar, serum transaminases, and lipid profile of all the included children were also evaluated. Results: Children with obesity had a mean age of 8.7 ± 2.9 years (range 3–13). The SCF and intraperitoneal fat (IPF) values correlated well with each other and with anthropometric measurements in children with obesity. Among all the included cases, 90% were metabolically unhealthy, 70% had hypertension, 52.5% had dyslipidemia, and 22.5% had echogenic liver. Anthropometric measures, abdominal SCF and IPF were higher in children with complications. SCF was observed as a good predictor for hepatic echogenicity among the measured ultrasound parameters (P: 0.03, odds ratio 4.6). The best cutoff value for SCF in cases with hepatic echogenicity was 23.2 mm with an overall accuracy of 80%. Conclusions: In children with obesity, abdominal SCF and IPF correlated well with anthropometric measures and were higher in children with comorbidities. This finding, however, did not predict comorbidities apart from those with echogenic liver.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Use of Anthropometry Versus Ultrasound for the Assessment of Body Fat and Comorbidities in Children With Obesity

El-Koofy

Soliman

ElBarbary

et al. 2020

J. pediatr. gastroenterol. nutr.

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“…Imaging tests have recently been the focus of studies in the radiology literature (29)(30)(31)(32)(33)(34)(35) . Although there have been several studies on the radiological imaging of childhood tuberculosis, our study is comparable only to those that have used CT and have involved patients in the same age group.…”

Section: Discussionmentioning

confidence: 99%

Radiological aspects in computed tomography as determinants in the diagnosis of pulmonary tuberculosis in immunocompetent infants

et al. 2019

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Objective: To describe the chest computed tomography (CT) findings in immunocompetent children under 36 months of age with pulmonary tuberculosis. Materials and Methods: This was a descriptive case series conducted in the city of Rio de Janeiro, Brazil, between January 2004 and July 2013, involving 20 young children who underwent CT after undergoing chest X-rays that did not provide a definitive diagnosis. Results: All of the participants had lymph node enlargement and consolidations. In 15 cases (75%), the consolidations were accompanied by atelectasis. Pulmonary cavitation was seen in 10 cases (50%), and cavitation within consolidations was seen in 7 (35%). The areas of cavitation and parenchymal destruction were not seen on conventional chest X-rays. Conclusion: The radiological presentation of pulmonary tuberculosis in young children differs from that described in older children and adults. CT is an effective method for the early diagnosis of pulmonary tuberculosis in immunocompetent infants, allowing the rapid institution of specific treatment, which is crucial for halting disease progression, as well as for preventing local and systemic complications.

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Inflammatory markers in prepubertal children and their associations with abdominal fat

Queiroz,

Collett-Solberg,

Souza

et al. 2024

Jornal de Pediatria

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Ultrasound as a method to evaluate the distribution of abdominal fat in obese prepubertal children and the relationship between abdominal fat and metabolic alterations

Cited by 8 publications

References 20 publications

Use of Anthropometry Versus Ultrasound for the Assessment of Body Fat and Comorbidities in Children With Obesity

Use of Anthropometry Versus Ultrasound for the Assessment of Body Fat and Comorbidities in Children With Obesity

Radiological aspects in computed tomography as determinants in the diagnosis of pulmonary tuberculosis in immunocompetent infants

Inflammatory markers in prepubertal children and their associations with abdominal fat

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