Nonlinear Relationship between Birth Weight and Visceral Fat in Adolescents - 24/06/16
, Mary Ellen Fain, BS 3, Jatinder Bhatia, MD 1, Bernard Gutin, PhD 4, Joshua T. Nguyen, BS 3, Norman K. Pollock, PhD 3, 5Abstract |
Objective |
To determine the association of birth weight with abdominal fat distribution and markers known to increase risk for cardiovascular disease and type 2 diabetes in adolescents.
Study design |
In 575 adolescents aged 14-18 years (52% female, 46% black), birth weight was obtained by parental recall. Fasting blood samples were measured for glucose, insulin, lipids, adiponectin, leptin, and C-reactive protein. Subcutaneous abdominal adipose tissue and visceral adipose tissue were assessed by magnetic resonance imaging.
Results |
When we compared markers of cardiometabolic risk across tertiles of birth weight, adjusting for age, sex, race, Tanner stage, physical activity, socioeconomic status, and body mass index, there were significant U-shaped trends for homeostasis model assessment of insulin resistance, leptin, and visceral adipose tissue (all Pquadratic < .05). A significant linear downward trend across tertiles of birth weight was observed for triglycerides (Plinear = .03). There were no differences in fasting glucose, blood pressure, total cholesterol, low-density lipoprotein-cholesterol, high-density lipoprotein-cholesterol, adiponectin, C-reactive protein, or subcutaneous abdominal adipose tissue across tertiles of birth weight.
Conclusions |
Our data suggest that both low and high birth weights are associated with greater visceral adiposity and biomarkers implicated in insulin resistance and inflammation in adolescents.
Le texte complet de cet article est disponible en PDF.Keywords : insulin resistance, obesity, metabolic syndrome, fetal origins
Abbreviations : BMI, CV, ELISA, HDL, LDL, MRI, SAAT, VAT
Plan
| Supported by the National Institutes of Health/National Heart, Lung, and Blood Institute (HL64157). The authors declare no conflicts of interest. |
Vol 174
P. 185-192 - juillet 2016 Retour au numéro
Article précédent
- Dietary Approaches to Stop Hypertension (DASH) Dietary Pattern Is Associated with Reduced Incidence of Metabolic Syndrome in Children and Adolescents
- Golaleh Asghari, Emad Yuzbashian, Parvin Mirmiran, Fatemeh Hooshmand, Reza Najafi, Fereidoun Azizi
- Impact of Tight Glycemic Control on Neurodevelopmental Outcomes at 1 Year of Age for Children with Congenital Heart Disease: A Randomized Controlled Trial
- Anjali Sadhwani, Lisa A. Asaro, Caren Goldberg, Janice Ware, Jennifer Butcher, Michael Gaies, Cynthia Smith, Jamin L. Alexander, David Wypij, Michael S.D. Agus
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?