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Updated: May 13, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Sleep and birthweight predict visceral adiposity in overweight/obese children
N Sokolovic1, R Kuriyan, A V Kurpad
1Harvard College, Cambridge, MA, USA.
Insights
Higher birthweight and longer sleep duration in childhood may prevent visceral fat accumulation. These factors are crucial for managing obesity and preventing related health issues in children.
Area of Science:
- Pediatric Endocrinology
- Obesity Research
- Public Health
Background:
- Visceral adiposity is linked to adverse long-term health outcomes.
- Preventing visceral fat deposition is crucial for overall well-being.
- Understanding factors influencing fat distribution is essential.
Purpose of the Study:
- To determine factors associated with varied fat distribution in overweight and obese children.
- To investigate the relationship between demographic, dietary, and lifestyle factors and visceral adipose tissue.
Main Methods:
- Study included overweight/obese South-Indian children aged 3-16 years.
- Visceral obesity diagnosed using waist-to-height ratio (WHtR) ≥ 0.5.
- Logistic regression analysis identified predictors of visceral adiposity.
Main Results:
- Higher birthweight (OR 1.30) and increased sleep duration (OR 1.26) were significant predictors of a healthy WHtR.
- Statistical analyses identified key exposure variables differentiating WHtR categories.
- Logistic regression model effectively predicted visceral adiposity.
Conclusions:
- Early life factors, including birthweight, influence childhood obesity.
- Inadequate sleep may contribute to visceral fat storage in overweight/obese children.
- Addressing birthweight and sleep duration could be key strategies for preventing childhood visceral obesity.
Background:
Visceral adiposity poses significant consequences for long-term health and it is important to identify methods that can be used to prevent fat deposition in visceral adipose tissue.
Objective:
To identify the factors contributing to differential fat distribution in overweight/obese children.
Methods:
Demographic, dietary and lifestyle factors potentially associated with increased visceral adipose tissue in overweight and obese South-Indian children aged 3 to 16 years. The diagnosis of visceral obesity was based on the waist-to-height ratio (WHtR) cut-off value of 0.5.
Results:
Exposure variables with statistically different distributions in the two WHtR categories, when examined by Mann-Whitney and chi-square tests, were used to develop a binary logistic regression model of visceral adiposity. Increased birthweight and higher sleep duration were significant predictors of having a healthy WHtR, with odds ratios of 1.30 and 1.26 respectively.
Conclusions:
Early programming effects associated with low birthweight and current sleep deprivation could promote the storage of excess fat as visceral adipose tissue in overweight and obese children.
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