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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Body Composition and Cardiovascular Risk Factors in a Paediatric Population
Sonja Golob Jančič1, Mirjam Močnik1, Marjetka Švigelj2
1Department of Paediatrics, University Medical Centre Maribor, Ljubljanska 5, 2000 Maribor, Slovenia.
Insights
Body composition in children is linked to various clinical factors, including blood pressure and liver function. These findings highlight body composition
Area of Science:
- Pediatrics
- Clinical Medicine
- Body Composition Analysis
Background:
- Body composition is increasingly recognized as a crucial factor in pediatric health.
- Understanding its relationship with clinical parameters is vital for early risk identification.
Purpose of the Study:
- To evaluate associations between body composition parameters and various clinical parameters in children and adolescents.
- To explore how body composition relates to anthropometric measurements, blood pressure, and metabolic markers.
Main Methods:
- Prospective study including 206 children and adolescents.
- Body impedance measurement for body composition assessment.
- Correlation analysis with clinical parameters including anthropometrics, laboratory tests, and ultrasound findings.
Main Results:
- Significant associations found between body composition and anthropometrics, systolic blood pressure, insulin, creatinine, urate, liver function tests, lipids, homocysteine, vitamin D, and urinary proteins.
- Body composition varied by gender, presence of hepatic steatosis, and left ventricular hypertrophy.
- No correlation observed with diastolic blood pressure, pulse wave velocity, or intima media thickness.
Conclusions:
- Clinical parameters are significantly associated with body composition in children.
- Obesity and body composition are key in developing cardiovascular risk factors, not solely dependent on fat mass.
- Body composition metrics may aid in cardiovascular risk determination.
Abstract:
The aim of our study was to evaluate associations between body composition parameters and several clinical parameters. A total of 206 children and adolescents (120 male, 86 female) were prospectively included. Body impedance measurement was performed in all participants. During the hospital work-up, several clinical parameters such as anthropometric measurements and laboratory and ultrasound findings were obtained and correlated to body composition parameters. There was a significant association between body composition parameters and anthropometric measurements, systolic blood pressure, insulin levels, serum creatinine, urate, liver function tests, triglycerides, cholesterols and apolipoproteins, homocysteine, vitamin D and proteins in 24-h urine. Body composition differed by gender, between participants with and without hepatic steatosis and between patients with and without left ventricular hypertrophy. Interestingly, body composition did not correlate with diastolic blood pressure, pulse wave velocity and intima media thickness. This study showed that several clinical parameters are associated with body composition in children. Obesity and body composition play an important role in the development of other cardiovascular risk factors and are not dependent on fat mass alone, and the latter might be used for cardiovascular risk determination.
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