Related Experiment Video
Updated: May 27, 2025

Breakfast Habits among Schoolchildren in the City of Uruguaiana, Brazil
Published on: July 29, 2020
Influence of excess weight on metabolic risk factors in Argentinian preschool children
Agustina Malpeli1, Virginia Stallings2, Marisa Sala1
1Instituto de Desarrollo e Investigaciones Pediátricas (IDIP), HIAEP "Sor María Ludovica" de La Plata - Comisión de Investigaciones Científicas de La Provincia de Buenos Aires (CIC-PBA), La Plata, Buenos Aires, Argentina.
Insights
Mid-upper arm circumference (MUAC) may predict metabolic risk in preschool children. Excess weight in children is linked to higher metabolic risk factors, with notable sex differences requiring further study.
Area of Science:
- Pediatric Endocrinology
- Metabolic Health
- Childhood Obesity
Background:
- Childhood obesity is a growing concern with potential long-term metabolic consequences.
- Identifying early indicators of metabolic risk in preschool children is crucial for timely intervention.
Purpose of the Study:
- To compare metabolic risk factors between normal weight and excess weight preschool children.
- To investigate the association between anthropometric measures and metabolic risk indicators.
Main Methods:
- Evaluated 689 children aged 1-5.9 years.
- Measured Body Mass Index (BMI), waist circumference (WC), mid-upper arm circumference (MUAC), total body fat (TBF), blood pressure, fasting glucose, insulin, HOMA-IR, and lipid profiles (TC, LDL-C, HDL-C, TG).
Main Results:
- Children with excess weight (OWG) exhibited higher MUAC, WC, TBF, and HOMA-IR compared to normal weight peers (NWG).
- OWG girls showed significantly higher values for these parameters than OWG boys.
- Positive correlations were observed between diastolic blood pressure, insulin, HOMA-IR, and anthropometric measures (WC, MUAC, TBF, BMI z-score).
Conclusions:
- Mid-upper arm circumference (MUAC) shows potential as a predictive indicator for metabolic risk in children.
- The findings highlight the need for further research into sex-specific differences in metabolic risk among preschool children.
Objectives:
Evaluate the differences in metabolic risk factors in preschool children with normal weight (NWG) or with some degree of excess weight (OWG).
Methods:
Body mass index (BMI), umbilical waist circumference (WC), mid-upper arm circumference (MUAC) and total body fat (TBF) in children aged 1-5.9 years. The following metabolic risk factors were measured: blood pressure, fasting glycaemia, fasting serum insulin, HOMA IR Index, total cholesterol (TC), LDL cholesterol (LDL-C) HDL cholesterol (HDL-C) and triacylglycerol (TG).
Results:
In population evaluated (n=689) MUAC, WC, TBF, HOMA IR were higher in OWG compared to NWG and significantly higher in OWG girls compared to boys (two ways ANOVA). Positive associations were found between diastolic blood pressure, insulin and HOMA-IR and WC, MUAC, TBF, BMI z score in the adjusted and unadjusted model.
Conclusions:
MUAC may emerge as an indicator with predictive power for metabolic risk and would be very useful to measure in many setting. There is a need for in-depth research into sex difference.
Related Concept Videos
Obesity
Nature and Nurture
Overview of Lipid Metabolism
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Lung Capacity
Diabetes Mellitus: Type 2 and Gestational

