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Updated: Jul 28, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Studies on human body composition during the first 4 months of life using magnetic resonance imaging and isotope
Elisabeth Olhager1, Eva Flinke, Ulf Hannerstad
1Department of Molecular and Clinical Medicine, University of Linköping, S-581 85 Linköping, Sweden.
Insights
Infant body composition changes with age, showing significant increases in adipose tissue volume, particularly subcutaneous fat. These findings update reference data for healthy boys and girls during early development.
Area of Science:
- Pediatrics
- Human Physiology
- Body Composition Analysis
Background:
- Accurate infant body composition data is crucial for establishing reference standards.
- Existing reference data requires updates using advanced methodologies.
Purpose of the Study:
- To update and extend reference data for infant body composition.
- To utilize magnetic resonance imaging (MRI) for precise adipose tissue assessment.
Main Methods:
- MRI scans were performed on 46 healthy, full-term infants (4-131 days old).
- Adipose tissue volume (ATV), subcutaneous (s.c.) and non-s.c. AT were estimated.
- Total body water was measured using isotope dilution to calculate total body fat (TBF) and fat-free weight (FFW).
Main Results:
- Infant weight, TBF, and FFW increased with age, aligning with current references.
- Boys exhibited a slightly faster increase in % TBF compared to reference data.
- Significant age-related increases in both s.c. and non-s.c. ATV were observed in both sexes.
- Subcutaneous ATV constituted approximately 90.5-91.1% of total ATV.
Conclusions:
- Early life is characterized by substantial increases in total adipose tissue, predominantly subcutaneous.
- The study provides updated body composition data for the reference infant.
- Findings largely agree with existing reference data, with a noted exception in % TBF for boys.
Abstract:
Assessing body composition during infancy requires data for the so-called reference infant. Currently available data for this purpose need to be updated and extended using methods based on principles different from those used previously to define the reference infant. Thus, magnetic resonance imaging was applied to full-term healthy boys (n = 25) and girls (n = 21), 4-131 d old, to estimate adipose tissue volume (ATV) and the amounts of s.c. and non-s.c. adipose tissue (AT). Total body water was estimated using isotope dilution. Total body fat (TBF), fat free weight (FFW) and the degree of hydration in FFW were calculated. Increases in weight, TBF, and FFW with age agreed with current reference data, although when compared with the reference, a slightly more rapid increase in % TBF was observed for boys. The degree of hydration in FFW was 78.9 +/- 4.5% (n = 45). Both sexes showed significant increases with age in s.c. ATV (14.7 and 13.0 mL/d for boys and girls, respectively) and in non-s.c. ATV (1.58 and 1.26 mL/d, respectively). Subcutaneous ATV was 90.5 +/- 1.8% (boys) and 91.1 +/- 1.9% (girls) of total ATV. In conclusion, a pronounced increase with age in the amount of AT was demonstrated involving a considerable gain in s.c. fat during early life. Except for % TBF in boys, changes in body composition with age agreed with current reference data.
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