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Metabolic implications of low muscle mass in the pediatric population: a critical review
Camila E Orsso1, Jenneffer R B Tibaes2, Daniela A Rubin3
1Department of Agricultural, Food and Nutritional Science, 4-002 Li Ka Shing Centre for Health and Research, University of Alberta, Edmonton, AB T6G 2E1, Canada.
Insights
Low muscle mass in children may increase metabolic risks, but evidence is conflicting. More research is needed to understand the link between pediatric body composition and metabolic health.
Area of Science:
- Pediatric Endocrinology
- Metabolic Health
- Body Composition Analysis
Background:
- Skeletal muscle plays a crucial role in glucose and lipid metabolism.
- Low muscle mass is linked to metabolic disorders in adults, but its role in children is less understood.
Purpose of the Study:
- To review the association between low muscle mass and metabolic dysregulation in the pediatric population.
- To evaluate if body composition phenotypes predict metabolic health in children and adolescents.
Main Methods:
- A critical evaluation of fifteen original articles was performed.
- Studies examined the relationship between muscle mass measures and metabolic risk factors in pediatric populations.
Main Results:
- Evidence suggests low muscle mass may be a risk factor for metabolic health in children and adolescents.
- Conflicting associations were reported, potentially due to variations in methodology and assessment techniques.
Conclusions:
- The current evidence is inconsistent regarding low muscle mass as a risk factor for pediatric metabolic health.
- Further research with standardized, precise methods is required to clarify these associations and control for confounders.
Abstract:
Skeletal muscle is recognized as a tissue with high metabolic capacity given its key roles in glucose and lipid metabolism. Although low muscle mass has been associated with metabolic disorders in adults, it is not clear if this body composition phenotype is related to metabolic health status earlier in life. In this review, we aim to clarify whether having low muscle mass is associated with increased risk of metabolic dysregulation in the pediatric population. Fifteen original articles investigating the relationship between body composition measures of muscle mass and single or clustered metabolic risk factors in children and adolescents were critically evaluated. Despite a growing body of evidence supporting low muscle mass as a risk factor for metabolic health in children and adolescents, conflicting associations were reported. Differences in body composition techniques, muscle mass indices, and clinical methods used to assess metabolic biomarkers may have contributed to a lack of a consistent conclusion. Moreover, most studies did not control for potential biological and lifestyle confounders. Future studies using precise, reproducible techniques to evaluate body composition and metabolic biomarkers are required to determine the implications of low muscle mass on metabolic health during childhood and adolescence.
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