Abdominal visceral and subcutaneous adipose tissues in association with cardiometabolic risk in children and adolescents: the China Child and Adolescent Cardiovascular Health (CCACH) study
Objective To investigate the association of abdominal visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) with cardiometabolic risk factors in children and adolescents.Research design and methods This cross-sectional study consisted of 8460 children and adolescents aged 6–18 years fr...
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BMJ Publishing Group
2019-05-01
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| Series: | BMJ Open Diabetes Research & Care |
| Online Access: | https://drc.bmj.com/content/7/1/e000824.full |
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| author | Ling Zhang Min Zhao Fang Liu Bo Xi Shaoke Chen Junting Liu Jinghui Sun Weili Yan Feng Xiong Wenqing Ding Guimin Huang Jie Mi Yi Zhang Lijun Wu Yinkun Yan Xiaoyuan Zhao Hong Cheng Hongbo Dong Dongqing Hou Fangfang Chen Linghui Meng Qin Liu Meixian Zhang Wenpeng Wang Xiaona Wang Yi Cheng Fang Cao Kai Mu Dayan Niu Gaohui Zhu Leina Jia |
| author_facet | Ling Zhang Min Zhao Fang Liu Bo Xi Shaoke Chen Junting Liu Jinghui Sun Weili Yan Feng Xiong Wenqing Ding Guimin Huang Jie Mi Yi Zhang Lijun Wu Yinkun Yan Xiaoyuan Zhao Hong Cheng Hongbo Dong Dongqing Hou Fangfang Chen Linghui Meng Qin Liu Meixian Zhang Wenpeng Wang Xiaona Wang Yi Cheng Fang Cao Kai Mu Dayan Niu Gaohui Zhu Leina Jia |
| author_sort | Ling Zhang |
| collection | DOAJ |
| description | Objective To investigate the association of abdominal visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) with cardiometabolic risk factors in children and adolescents.Research design and methods This cross-sectional study consisted of 8460 children and adolescents aged 6–18 years from Chinese urban areas who underwent dual-energy X-ray absorptiometry scan and had metabolic risk factors measured.Results In multivariate analysis adjusted for region, family income, age, puberty development, physical activity, and smoking, VAT and SAT were significantly associated with all metabolic risk factors for both sexes (all p<0.01). After additional adjustment for fat mass index, most of these associations remain significantly positive. In boys, SAT had greater ORs for all risk factors compared with VAT; in girls, however, SAT had greater odds for high triglycerides, smaller odds for high low-density lipid cholesterol, and similar odds for other risk factors compared with VAT. In addition, boys had greater magnitude of associations of SAT with high total cholesterol, high low-density lipid cholesterol, and low high-density lipid cholesterol compared with girls; no sex differences for VAT were observed.Conclusions Both abdominal VAT and SAT have adverse impacts on most of the cardiometabolic risk factors in youth. However, their relative contributions differ between sexes. |
| format | Article |
| id | doaj-art-d629ffdea34149b2995a2d102b015cd0 |
| institution | OA Journals |
| issn | 2052-4897 |
| language | English |
| publishDate | 2019-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Diabetes Research & Care |
| spelling | doaj-art-d629ffdea34149b2995a2d102b015cd02025-08-20T02:35:43ZengBMJ Publishing GroupBMJ Open Diabetes Research & Care2052-48972019-05-017110.1136/bmjdrc-2019-000824Abdominal visceral and subcutaneous adipose tissues in association with cardiometabolic risk in children and adolescents: the China Child and Adolescent Cardiovascular Health (CCACH) studyLing Zhang0Min Zhao1Fang Liu2Bo Xi3Shaoke ChenJunting Liu4Jinghui SunWeili Yan5Feng Xiong6Wenqing DingGuimin Huang7Jie Mi8Yi Zhang9Lijun Wu10Yinkun Yan11Xiaoyuan Zhao12Hong Cheng13Hongbo DongDongqing Hou14Fangfang Chen15Linghui Meng16Qin Liu17Meixian ZhangWenpeng WangXiaona Wang18Yi Cheng19Fang CaoKai MuDayan NiuGaohui ZhuLeina JiaCenter for Immuno-Oncology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA5 Department of Nutrition and Food Hygiene, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaSichuan University West China Hospital National Clinical Research Center for Geriatrics, Chengdu, Sichuan, China1 Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaDepartment of Epidemiology, Capital Institute of Pediatrics, Beijing, ChinaDepartment of Clinical Epidemiology, Clinical Trial Unit (CTU), Children’s Hospital of Fudan University, Shanghai, ChinaDepartment of Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan, PR ChinaDepartment of Epidemiology, Capital Institute of Pediatrics, Beijing, ChinaDepartment of Non-Communicable Disease Management, Beijing Children`s Hospital, Capital Medical University, National Center for Children`s Health, Beijing, ChinaDepartment of Psychiatry, Washington University School of Medicine in Saint Louis, St Louis, Missouri, USADepartment of Rheumatology and Immunology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, ChinaDepartment of Non-Communicable Disease Management, Beijing Children`s Hospital, Capital Medical University, National Center for Children`s Health, Beijing, ChinaDepartment of Epidemiology, Capital Institute of Pediatrics, Beijing, China1 The First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Ophthalmology, Chongqing Eye Institute, Chongqing Branch (Municipality Division) of National Clinical Research Center for Ocular Diseases, Chongqing, People`s Republic of ChinaDepartment of Epidemiology, Capital Institute of Pediatrics, Beijing, ChinaDepartment of Microbial and Biochemical Pharmacy, Sun Yat-sen University, Guangzhou, ChinaDepartment of Global Public Health, Karolinska Institutet, Stockholm, Swedenmasters studentKey Laboratory of Basic and Clinical Research of Heilongjiang Province, Eye Hospital, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaDepartment of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaObjective To investigate the association of abdominal visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) with cardiometabolic risk factors in children and adolescents.Research design and methods This cross-sectional study consisted of 8460 children and adolescents aged 6–18 years from Chinese urban areas who underwent dual-energy X-ray absorptiometry scan and had metabolic risk factors measured.Results In multivariate analysis adjusted for region, family income, age, puberty development, physical activity, and smoking, VAT and SAT were significantly associated with all metabolic risk factors for both sexes (all p<0.01). After additional adjustment for fat mass index, most of these associations remain significantly positive. In boys, SAT had greater ORs for all risk factors compared with VAT; in girls, however, SAT had greater odds for high triglycerides, smaller odds for high low-density lipid cholesterol, and similar odds for other risk factors compared with VAT. In addition, boys had greater magnitude of associations of SAT with high total cholesterol, high low-density lipid cholesterol, and low high-density lipid cholesterol compared with girls; no sex differences for VAT were observed.Conclusions Both abdominal VAT and SAT have adverse impacts on most of the cardiometabolic risk factors in youth. However, their relative contributions differ between sexes.https://drc.bmj.com/content/7/1/e000824.full |
| spellingShingle | Ling Zhang Min Zhao Fang Liu Bo Xi Shaoke Chen Junting Liu Jinghui Sun Weili Yan Feng Xiong Wenqing Ding Guimin Huang Jie Mi Yi Zhang Lijun Wu Yinkun Yan Xiaoyuan Zhao Hong Cheng Hongbo Dong Dongqing Hou Fangfang Chen Linghui Meng Qin Liu Meixian Zhang Wenpeng Wang Xiaona Wang Yi Cheng Fang Cao Kai Mu Dayan Niu Gaohui Zhu Leina Jia Abdominal visceral and subcutaneous adipose tissues in association with cardiometabolic risk in children and adolescents: the China Child and Adolescent Cardiovascular Health (CCACH) study BMJ Open Diabetes Research & Care |
| title | Abdominal visceral and subcutaneous adipose tissues in association with cardiometabolic risk in children and adolescents: the China Child and Adolescent Cardiovascular Health (CCACH) study |
| title_full | Abdominal visceral and subcutaneous adipose tissues in association with cardiometabolic risk in children and adolescents: the China Child and Adolescent Cardiovascular Health (CCACH) study |
| title_fullStr | Abdominal visceral and subcutaneous adipose tissues in association with cardiometabolic risk in children and adolescents: the China Child and Adolescent Cardiovascular Health (CCACH) study |
| title_full_unstemmed | Abdominal visceral and subcutaneous adipose tissues in association with cardiometabolic risk in children and adolescents: the China Child and Adolescent Cardiovascular Health (CCACH) study |
| title_short | Abdominal visceral and subcutaneous adipose tissues in association with cardiometabolic risk in children and adolescents: the China Child and Adolescent Cardiovascular Health (CCACH) study |
| title_sort | abdominal visceral and subcutaneous adipose tissues in association with cardiometabolic risk in children and adolescents the china child and adolescent cardiovascular health ccach study |
| url | https://drc.bmj.com/content/7/1/e000824.full |
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