51. Abdominal obesity and metabolic syndrome burden in adolescents--Penn State Children Cohort study.
- Author
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He F, Rodriguez-Colon S, Fernandez-Mendoza J, Vgontzas AN, Bixler EO, Berg A, Imamura Kawasawa Y, Sawyer MD, and Liao D
- Subjects
- Absorptiometry, Photon methods, Adolescent, Blood Glucose analysis, Body Fat Distribution methods, Cohort Studies, Cost of Illness, Female, Humans, Insulin Resistance, Intra-Abdominal Fat metabolism, Linear Models, Lipoproteins, HDL blood, Male, Risk Assessment, Risk Factors, Statistics as Topic, Triglycerides blood, United States epidemiology, Metabolic Syndrome epidemiology, Metabolic Syndrome etiology, Metabolic Syndrome metabolism, Obesity, Abdominal complications, Obesity, Abdominal diagnosis, Obesity, Abdominal epidemiology, Obesity, Abdominal metabolism
- Abstract
To investigate the association between abdominal obesity and metabolic syndrome (MetS) burden in a population-based sample of adolescents, we used data from 421 adolescents who completed the follow-up examination in the Penn State Children Cohort study. Dual-energy x-ray absorptiometry (DXA) was used to assess abdominal obesity, as measured by android/gynoid fat ratio (A/G ratio), android/whole body fat proportion (A/W proportion), visceral (VAT) and subcutaneous fat (SAT) areas. Continuous metabolic syndrome score (cMetS), calculated as the sum of the age and sex-adjusted standardized residual (Z-score) of five established MetS components, was used to assess the MetS burden. Linear regression models were used to analyze the impact of DXA measures on cMetS components. All models were adjusted for age, race, sex, and general obesity. We found abdominal obesity is significantly associated with increased cMetS. With 1 standard deviation (SD) increase in A/G ratio, A/W proportion, VAT area, and SAT area, cMetS increased by 1.34 (SE=0.17), 1.25 (SE=0.19), 1.67 (SE=0.17), and 1.84 (SE=0.20) units, respectively. At individual component level, strongest association was observed between abdominal obesity and insulin resistance (IR) than lipid-based or blood pressure-based components. VAT and SAT had a stronger impact on IR than android ratio-based DXA measurements. In conclusion, abdominal obesity is associated with higher MetS burden in adolescent population. The association between abdominal obesity and IR measure is the strongest, suggesting the key impact of abdominal obesity on IR in adolescents MetS burden., (Copyright © 2015 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.)
- Published
- 2015
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