日本学龄儿童腹部生物电阻抗分析测量的内脏脂肪面积

Visceral Fat Area Measured by Abdominal Bioelectrical Impedance Analysis in School-Aged Japanese Children.

作者信息

Abe Yuriko, Tonouchi Ryousuke, Hara Mitsuhiko, Okada Tomoo, Jego Eric H, Taniguchi Tetsuya, Koshinaga Tsugumichi, Morioka Ichiro

机构信息

Division of Medical Education, Nihon University School of Medicine, Tokyo 173-8610, Japan.

Medical Education Center, Nihon University School of Medicine, Tokyo 173-8610, Japan.

出版信息

J Clin Med. 2022 Jul 17;11(14):4148. doi: 10.3390/jcm11144148.

Abstract

Abdominal bioelectrical impedance analysis (aBIA) has been in use to measure visceral fat area (VFA) in adults. Accurately measuring visceral fat using aBIA in children is challenging. Forty-six school-aged Japanese children aged 6-17 years (25 boys and 21 girls) were included in this study. All were measured, and their VFA obtained using aBIA (VFA-aBIA) and abdominal computed tomography (CT) (VFA-CT) were compared. VFA-aBIA was corrected using the Passing-Bablok method (corrected VFA-aBIA). The relationships between corrected VFA-aBIA and obesity-related clinical factors were analyzed, including non-alcoholic fatty liver disease (NAFLD) and serum leptin and adiponectin levels. Boys had higher VFA-CT than girls ( = 0.042), although no significant differences were found in their waist circumference, waist-to-height ratio, and body mass index. The corrected VFA-aBIA using y = 9.600 + 0.3825x (boys) and y = 7.607 + 0.3661x (girls) correlated with VFA-CT in both boys and girls. The corrected VFA-aBIA in patients with NAFLD was higher than that in those without NAFLD. Serum leptin and adiponectin levels were positively and negatively correlated with corrected VFA-aBIA, respectively. In conclusion, corrected VFA-aBIA was clearly correlated with VFA-CT and was related to NAFLD and serum leptin and adiponectin levels in school-aged Japanese children.

摘要

腹部生物电阻抗分析(aBIA)已被用于测量成年人的内脏脂肪面积(VFA)。使用aBIA准确测量儿童的内脏脂肪具有挑战性。本研究纳入了46名6至17岁的日本学龄儿童(25名男孩和21名女孩)。对所有儿童进行了测量,并比较了使用aBIA获得的VFA(VFA-aBIA)和腹部计算机断层扫描(CT)获得的VFA(VFA-CT)。使用Passing-Bablok方法对VFA-aBIA进行校正(校正后的VFA-aBIA)。分析了校正后的VFA-aBIA与肥胖相关临床因素之间的关系,包括非酒精性脂肪性肝病(NAFLD)以及血清瘦素和脂联素水平。男孩的VFA-CT高于女孩(P = 0.042),尽管他们的腰围、腰高比和体重指数没有显著差异。使用y = 9.600 + 0.3825x(男孩)和y = 7.607 + 0.3661x(女孩)校正后的VFA-aBIA与男孩和女孩的VFA-CT均相关。NAFLD患者校正后的VFA-aBIA高于无NAFLD的患者。血清瘦素和脂联素水平分别与校正后的VFA-aBIA呈正相关和负相关。总之,校正后的VFA-aBIA与VFA-CT明显相关,并且与日本学龄儿童的NAFLD以及血清瘦素和脂联素水平有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a97c/9323507/4c7451dfb185/jcm-11-04148-g001.jpg

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