Longitudinal associations of total and trunk fat in childhood and adolescence and risk of hepatic steatosis at 24 years.

Summary: Background: The importance of body fat distribution in the development of nonalcoholic fatty liver disease (NAFLD) is unclear. Objective: To examine whether total and truncal fat deposition patterns in childhood/adolescence are associated with NAFLD risk at 24 years. Methods: Data were from...

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Published in:Pediatric Obesity Vol. 16; no. 8; pp. 1 - 11
Main Authors: Cohen, Catherine C., Sekkarie, Ahlia, Figueroa, Janet, Gillespie, Scott E., Vos, Miriam B., Welsh, Jean A.
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Aug2021
Online Access:View this record in EBSCOhost
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      dt: Aug2021
      vid: 16
      iid: 8
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/ijpo.12773
        151353345
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        atl: Longitudinal associations of total and trunk fat in childhood and adolescence and risk of hepatic steatosis at 24 years.
      aug:
        au:
          Cohen, Catherine C.
          Sekkarie, Ahlia
          Figueroa, Janet
          Gillespie, Scott E.
          Vos, Miriam B.
          Welsh, Jean A.
        affil: Department of Pediatrics, Emory University School of Medicine, Atlanta Georgia, USA
      sug:
        subj:
          Torso
          Adipose Tissue Distribution Evaluation
          Adipose Tissue Distribution Evaluation
          Nonalcoholic Fatty Liver Disease Risk Factors
          Risk Assessment
          Human
          Prospective Studies
          Child
          Adolescence
          Adult
          Nonalcoholic Fatty Liver Disease In Adulthood
          Severity of Illness In Adulthood
          Absorptiometry, Photon
          Models, Statistical
          Descriptive Statistics
          Male
          Female
          Abdominal Fat
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Summary: Background: The importance of body fat distribution in the development of nonalcoholic fatty liver disease (NAFLD) is unclear. Objective: To examine whether total and truncal fat deposition patterns in childhood/adolescence are associated with NAFLD risk at 24 years. Methods: Data were from 1657 participants in the Avon Longitudinal Study of Parents and Children. Transient elastography was used to assess hepatic steatosis (low/moderate/severe) at 24 years and dual‐energy X‐ray absorptiometry was used to assess total body fat percent (TBF%) and trunk fat percent (TrF%) at 9, 13, 15, 17, and/or 24 years. Linear mixed models were constructed with quadratic age to examine trajectories of TBF% and TrF% by steatosis at 24 years, adjusting for confounders. Results: In both sexes, TBF% trajectories from 9 to 24 years followed a similar pattern based on steatosis group (P =.83 for boys and P =.14 for girls for age2*steatosis fixed effect). However, at all ages TBF% was higher for moderate/severe vs low steatosis at 24 years (P <.05). In contrast, TrF% trajectories diverged based on steatosis group (P =.001 for boys and P =.0002 for girls for age2*steatosis fixed effect), such that, in both sexes, participants with moderate/severe steatosis at 24 yrs exhibited less decline in TrF% from adolescence to adulthood compared to participants with low steatosis at 24 yrs. Similar to TBF%, TrF% was higher at nearly all ages for moderate/severe vs low steatosis. Results were similar after adjusting for BMI category at each age, except in boys some differences for TrF% were attenuated. Conclusions: These findings suggest that sex‐specific body fat distribution patterns in childhood/adolescence may help to identify those at risk of developing NAFLD in adulthood.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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