Obesity

Specific Fat Depots and Cardiometabolic Risk and Insulin Resistance in Children With Obesity

Pediatr ObesPublished Cross-sectional study

Authors' conclusion

In this population, VAT and ASAT appear to be independent predictors of cardiometabolic risk and insulin resistance, respectively.

Study context

Population
Children with overweight/obesity (54.4% girls, 10.6 ± 1.1 years); fat depots (VAT, ASAT, IMAAT, lumbar spine bone marrow, hepatic and pancreatic fat) measured by MRI
Participants
114 children
Outcome
Associations of specific fat depots with age- and sex-reference based cardiometabolic risk score and insulin resistance

Main finding

As reported in the abstract

Univariate: VAT, ASAT, IMAAT and hepatic fat associated with cardiometabolic risk score
β = 0.308-0.526, p ≤ 0.001
Univariate: VAT, ASAT, IMAAT and hepatic fat associated with insulin resistance
β = 0.227-0.412, p < 0.05
Adjusted for other fat variables: VAT the only depot independently associated with cardiometabolic risk score
β = 0.450, p < 0.001
Adjusted for other fat variables: ASAT the only depot independently associated with insulin resistance
β = 0.393, p < 0.001
Hepatic fat not independently associated with cardiometabolic risk score or insulin resistance
p ≥ 0.256

Observational data: associations, not effects.

Original publication

Specific Fat Depots and Cardiometabolic Risk and Insulin Resistance in Children With Obesity. Pediatr Obes. Published 2 March 2026. doi:10.1111/ijpo.70097

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