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Updated: Mar 26, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Subcutaneous fat mass in infancy and cardiovascular risk factors at school-age: The generation R study
Susana Santos1,2, Romy Gaillard2,3,4, Andreia Oliveira1,5
1EPI-Unit, Institute of Public Health, University of Porto, Porto, Portugal.
Insights
Infant subcutaneous fat showed weak links to school-age cholesterol levels. Early fat stores may influence later cardiovascular health, warranting further investigation into infant body composition.
Area of Science:
- Pediatric endocrinology
- Cardiovascular health
- Developmental origins of health and disease (DOHaD)
Background:
- Infant body composition, specifically subcutaneous fat, may influence long-term cardiometabolic health.
- Understanding early life fat distribution is crucial for identifying potential cardiovascular risk factors later in life.
Purpose of the Study:
- To investigate the association between infant subcutaneous fat measures and cardiovascular risk factors at school-age.
- To determine if early adiposity predicts later lipid profiles, blood pressure, and insulin sensitivity.
Main Methods:
- A population-based prospective cohort study of 808 children.
- Measurement of total subcutaneous fat and central-to-total subcutaneous fat ratio at 1.5 and 24 months.
- Assessment of body mass index, blood pressure, cholesterol, triglycerides, and insulin levels at 6 years.
Main Results:
- Infant subcutaneous fat was not associated with childhood blood pressure, triglycerides, or insulin.
- Higher total subcutaneous fat at 1.5 months correlated with lower LDL-cholesterol at 6 years.
- Higher total subcutaneous fat at 24 months was linked to increased total-cholesterol and LDL-cholesterol at 6 years.
Conclusions:
- Infant total subcutaneous fat exhibits a weak association with school-age cholesterol levels.
- The timing of infant adiposity may differentially impact later cardiometabolic risk.
- Further research is essential to elucidate the long-term cardiometabolic implications of infant body fat accumulation.
Objective:
To examine the associations of infant subcutaneous fat with cardiovascular risk factors at school-age.
Methods:
In a population-based prospective cohort study among 808 children, total subcutaneous fat (sum of biceps, triceps, suprailiacal, and subscapular skinfold thicknesses) and central-to-total subcutaneous fat ratio (sum of suprailiacal and subscapular skinfold thicknesses/total subcutaneous fat) at 1.5 and 24 months were estimated. At 6 years, body mass index, blood pressure, cholesterol, triglycerides, and insulin levels were measured.
Results:
Infant subcutaneous fat measures were not associated with childhood blood pressure, triglycerides, or insulin levels. A 1-standard-deviation score (SDS) higher total subcutaneous fat at 1.5 months was, independently of body mass index, associated with lower low-density lipoprotein (LDL)-cholesterol levels at 6 years. In contrast, a 1-SDS higher total subcutaneous fat at 24 months was associated with higher total-cholesterol [difference 0.13 (95% confidence interval (CI) 0.03, 0.23) SDS] and LDL-cholesterol levels [difference 0.12 (95% CI 0.02, 0.21) SDS] at 6 years. There were no associations of central-to-total subcutaneous fat ratio with childhood cholesterol levels.
Conclusions:
These results suggest that infant total subcutaneous fat is weakly associated with cholesterol levels at school-age. Further studies are needed to assess the long-term cardiometabolic consequences of infant body fat.
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