Sonographic assessment of abdominal fat distribution during the first year of infancy

Pediatr Res. 2015 Sep;78(3):342-50. doi: 10.1038/pr.2015.108. Epub 2015 Jun 8.

Abstract

Background: Longitudinal data regarding the fat distribution in the early postnatal period is sparse.

Methods: We performed ultrasonography (US) as a noninvasive approach to investigate the development of abdominal subcutaneous (SC) and preperitoneal (PP) fat depots in infants ≤1 y and compared longitudinal US data with skinfold thickness (SFT) measurements and anthropometry in 162 healthy children at 6 wk, 4 mo, and 1 y postpartum.

Results: US was found to be a reproducible method for the quantification of abdominal SC and PP adipose tissue (AT) in this age group. Thickness of SC fat layers significantly increased from 6 wk to 4 mo and decreased at 1 y postpartum, whereas PP fat layers continuously increased. Girls had a significantly higher SC fat mass compared to boys, while there was no sex-specific difference in PP fat thickness. SC fat layer was strongly correlated with SFT measurements, while PP fat tissue was only weakly correlated with anthropometric measures.

Conclusion: US is a feasible and reproducible method for the quantification of abdominal fat mass in infants ≤1 y of age. PP and SC fat depots develop differentially during the first year of life.

Trial registration: ClinicalTrials.gov NCT00362089.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abdominal Fat / diagnostic imaging*
  • Abdominal Fat / pathology
  • Adipose Tissue / diagnostic imaging*
  • Adipose Tissue / pathology
  • Anthropometry
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Longitudinal Studies
  • Male
  • Observer Variation
  • Peritoneum / diagnostic imaging*
  • Peritoneum / pathology
  • Reproducibility of Results
  • Skinfold Thickness
  • Subcutaneous Fat / diagnostic imaging*
  • Subcutaneous Fat / pathology
  • Ultrasonography
  • United States

Associated data

  • ClinicalTrials.gov/NCT00362089