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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아내분비학회 Annals of Pediatirc Endocrinology & Metabolism Annals of Pediatirc Endocrinology & Metabolism 제24권 제4호
- 발행연도
- 2019.1
- 수록면
- 243 - 247 (5page)
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Purpose: Screening nonalcoholic fatty liver disease (NAFLD) by body mass index (BMI) as a single surrogate measure for obesity has limitations. We suggest considering body composition zones by drawing a body composition chart composed of body composition indices, including BMI and percent body fat (PBF), to visualize the risk of NAFLD in obese children and adolescents. Methods: Thirty-eight boys diagnosed with NAFLD were selected retrospectively from patients who visited Konkuk University Medical Center from 2006 to 2015. They had gone through body composition analysis by bioelectrical impedance analysis (BIA), and biochemical analyses, including a liver function test (LFT) and lipid panel, were performed. Fat-free mass index (FFMI) and fat mass index (FMI) were calculated from body composition analysis and height. We plotted FFMI and FMI of patients on a body composition chart and classified the patients into zones A to D. In addition, we analyzed the correlations between LFT, lipid panel, and body composition indices. Results: Thirty-three of 38 boys (86.8%) were located in zone C, corresponding to high BMI and PBF. Four boys (10.5%) were located in zone D, which correlates with sarcopenic obesity. One boy located in zone B was a muscular adolescent. Alanine aminotransferase level was positively correlated with PBF, FMI, and BMI z-score. Conclusion: Body composition zones on a body composition chart might be useful in risk assessment in obesity-related diseases such as NAFLD. Zones on a body composition chart could have practical applications, especially in sarcopenic obese children and adolescents.
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참고문헌 (25)
참고문헌 신청
Loomba R / 2009 / Advances in pediatric nonalcoholic fatty liver disease / Hepatology 50:1282~1293
Matthiessen J / 2008 / Prevalence and trends in overweight and obesity among children and adolescents in Denmark / Scand J Public Health 36:153~160
Chan C / 2008 / Childhood obesity and adverse health effects in Hong Kong / Obes Rev 9(Suppl 1):87~90
Heymsfield SB / 2007 / Scaling of human body composition to stature: new insights into body mass index / Am J Clin Nutr 86:82~91
Okorodudu DO / 2010 / Diagnostic performance of body mass index to identify obesity as defined by body adiposity: a systematic review and meta-analysis / Int J Obes (Lond) 34:791~799
Matthiessen J / 2008 / Prevalence and trends in overweight and obesity among children and adolescents in Denmark / Scand J Public Health 36:153~160
Chan C / 2008 / Childhood obesity and adverse health effects in Hong Kong / Obes Rev 9(Suppl 1):87~90
Heymsfield SB / 2007 / Scaling of human body composition to stature: new insights into body mass index / Am J Clin Nutr 86:82~91
Okorodudu DO / 2010 / Diagnostic performance of body mass index to identify obesity as defined by body adiposity: a systematic review and meta-analysis / Int J Obes (Lond) 34:791~799
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