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Associations of DXA ‐measured abdominal adiposity with cardio‐metabolic risk and related markers in early adolescence in Project Viva
Author(s) -
Wu Allison J.,
RifasShiman Sheryl L.,
Taveras Elsie M.,
Oken Emily,
Hivert MarieFrance
Publication year - 2021
Publication title -
pediatric obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.226
H-Index - 69
eISSN - 2047-6310
pISSN - 2047-6302
DOI - 10.1111/ijpo.12704
Subject(s) - medicine , adiponectin , adipose tissue , leptin , insulin resistance , dyslipidemia , intra abdominal fat , metabolic syndrome , body mass index , endocrinology , abdominal obesity , cohort , obesity , visceral fat
Summary Background Increased visceral adipose tissue (VAT) precedes development of insulin resistance and dyslipidemia in adults. The associations of abdominal adiposity derived from dual‐energy X‐ray absorptiometry (DXA), including VAT, subcutaneous abdominal adipose tissue (SAAT) and total abdominal adipose tissue (TAAT) with cardio‐metabolic risk in adolescents are understudied. Objectives We examined the cross‐sectional associations of DXA‐measured abdominal adiposity with cardio‐metabolic risk and related markers in early adolescence (mean [SD] age 13.0 [0.7] years). Methods We collected data from 740 adolescents (374 girls and 366 boys) in Project Viva, a U.S. pre‐birth cohort. We used DXA estimates of VAT, SAAT and TAAT area. We conducted overall and sex‐stratified linear regression models, adjusting for age, sex (in overall models), race/ethnicity, puberty score and body mass index (BMI) z ‐score. Results Mean BMI z ‐score was 0.59 (1.28). After adjustment, greater VAT (per 1 SD score) was associated with higher metabolic risk z ‐score (β 0.14 units; 95% CI 0.08, 0.20), higher log high‐sensitivity C‐reactive protein (β 0.51 mg/L; 0.36, 0.66) and log leptin (β 0.36 ng/mL; 0.27, 0.44), and lower log adiponectin (β −0.08 ug/mL; −0.13, −0.02). SAAT and TAAT showed similar associations as VAT with comparable or greater effect sizes. Conclusion In early adolescence, DXA‐measured VAT, SAAT and TAAT are associated with cardio‐metabolic risk and related markers, independent of current BMI. Among two adolescents with the same BMI, there is an associated higher cardio‐metabolic risk in the adolescent with greater DXA‐measured abdominal adiposity.