Obesity

Abdominal skeletal muscle quality and quantity are independently and jointly associated with cardiometabolic health in children

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

Both high IMAAT and low AMT are associated to poor cardiometabolic health already in childhood.

Study context

Population
Children from two cohorts: 114 children (10.6 ± 1.1 y, 54% girls) and 56 children (11.3 ± 1.5 y, 39% girls); Intermuscular abdominal adipose tissue (IMAAT) and AMT measured by MRItwo cohorts: 114 and 56
Outcome
Associations of IMAAT and AMT with cardiometabolic health (TG/HDL, MAP, HOMA-IR, MetSynd)
Methodological detailstwo cohorts
  • Two cohorts

Main finding

As reported in the abstract

IMAAT associated with higher MetSynd regardless of total adiposity in both cohorts
P < 0.05
EFIGRO: associations of IMAAT with HOMA-IR and TG/HDL ratio independent of total adiposity
P < 0.05
IMAAT–mean arterial pressure (MAP) relationship attenuated after controlling for total adiposity in both cohorts
P < 0.09
AMT/total abdominal area (TAA) ratio inversely associated with TG/HDL ratio, MAP, HOMA-IR and MetSynd in both cohorts
P < 0.01
High IMAAT + low AMT/TAA ratio vs low IMAAT + high AMT/TAA ratio: significantly higher HOMA-IR in both cohorts
P < 0.01
High IMAAT + low AMT/TAA ratio vs low IMAAT + high AMT/TAA ratio: significantly higher MetSynd in both cohorts
P < 0.05

Observational data: associations, not effects.

Original publication

Abdominal skeletal muscle quality and quantity are independently and jointly associated with cardiometabolic health in children. Int J Obes (Lond). Published 16 September 2025. doi:10.1038/s41366-025-01903-5

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