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April 17, 2012The Journal of Clinical Endocrinology & MetabolismOpen Access

Intramyocellular Lipid Is Associated with Visceral Adiposity, Markers of Insulin Resistance, and Cardiovascular Risk in Prepubertal Children: The EPOCH Study

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Key result

Intramyocellular lipid accumulation correlates with greater visceral fat and higher TG/HDL ratios in children.

  • parameter estimate 0.019 for visceral fat; 0.1418 for TG/HDL ratio
  • P=0.002
  • n=441

Why the study?

Relatively little is known about intramyocellular lipid deposition and its relationship with visceral adiposity, insulin resistance, and cardiovascular risk before puberty.

Is intramyocellular lipid accumulation associated with visceral adiposity and markers of cardiovascular risk in prepubertal and early pubertal children?

Population

441 prepubertal and early pubertal children

Comparison

Intramyocellular lipid levels in relation to visceral adiposity and metabolic markers

Design

Retrospective cohort study

Authors

DBDavid BrumbaughRELX Group (Netherlands)TCTessa CrumeColorado School of Public HealthKNKristen J. NadeauGeneral / Preventive / Lipids

Discussion

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Implication

May signal early cardiometabolic vulnerability in children; hypothesis-generating and should not yet change practice.

Study Design

Type

Cohort (n=441)

Structured PICO

Is intramyocellular lipid accumulation associated with visceral adiposity and markers of cardiovascular risk in prepubertal and early pubertal children?

P
Population
441 prepubertal and early pubertal children evaluated for the relationship between intramyocellular lipid accumulation, visceral adiposity, and cardiovascular risk markers.
O
Outcome
Relationship between intramyocellular lipid (IMCL) accumulation and visceral adiposity, markers of insulin resistance, and cardiovascular disease risksurrogate

Main Result

Effect estimate: parameter estimate 0.019 for visceral fat; 0.1418 for TG/HDL ratio

p-value: p=0.002

Intramyocellular lipid accumulation is associated with visceral adiposity and markers of cardiovascular risk in prepubertal children, independent of overall adiposity.

Cite This Study

Brumbaugh et al. (2012) conducted a cohort in Metabolic dysregulation and cardiovascular risk (n=441). Intramyocellular lipid (IMCL) accumulation was evaluated on Visceral adiposity and triglyceride to high-density lipoprotein ratio (parameter estimate 0.019 for visceral fat; 0.1418 for TG/HDL ratio, p=0.002). Intramyocellular lipid accumulation was significantly associated with visceral fat in prepubertal children (P=0.002) and the triglyceride to high-density lipoprotein ratio in all children (P=0.002).

synapsesocial.com/papers/6ab0b3a82dc5ec9482ebfe94https://doi.org/10.1210/jc.2011-3243

Topics

Women and heart disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impaired Insulin Sensitivity and Elevated Ectopic Fat in Healthy Obese vs. Nonobese Prepubertal Children2011 · 66 citations
  2. 2The “Obese Insulin-Sensitive” Adolescent: Importance of Adiponectin and Lipid Partitioning2005 · 162 citations
  3. 3Insulin Regulation of Sterol Regulatory Element-binding Protein-1 Expression in L-6 Muscle Cells and 3T3 L1 Adipocytes2004 · 44 citations
  4. 4Growth and Physiological Development During Adolescence1968 · 290 citations
  5. 5Increased Visceral Adipocyte Lipolysis—A Pathogenic Role in Nonalcoholic Fatty Liver Disease?2010 · 25 citations