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Pancreatic Fat Is Associated With Metabolic Syndrome and Visceral Fat but Not Beta-Cell Function or Body Mass Index in Pediatric Obesity

Staaf, Johan (author)
Uppsala universitet,Institutionen för medicinsk cellbiologi,Institutionen för kvinnors och barns hälsa
Labmayr, Viktor (author)
Paulmichl, Katharina (author)
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Manell, Hannes (author)
Uppsala universitet,Institutionen för medicinsk cellbiologi,Institutionen för kvinnors och barns hälsa
Cen, Jing (author)
Uppsala universitet,Institutionen för medicinsk cellbiologi,Institutionen för kvinnors och barns hälsa
Ciba, Iris (author)
Uppsala universitet,Institutionen för kvinnors och barns hälsa
Dahlbom, Marie (author)
Uppsala universitet,Institutionen för kvinnors och barns hälsa
Roomp, Kirsten (author)
Anderwald, Christian-Heinz (author)
Meissnitzer, Matthias (author)
Schneider, Reinhard (author)
Forslund, Anders (author)
Uppsala universitet,Institutionen för kvinnors och barns hälsa
Widhalm, Kurt (author)
Bergquist, Jonas (author)
Uppsala universitet,Science for Life Laboratory, SciLifeLab,Analytisk kemi
Ahlström, Håkan (author)
Uppsala universitet,Radiologi
Bergsten, Peter (author)
Uppsala universitet,Institutionen för medicinsk cellbiologi
Weghuber, Daniel (author)
Kullberg, Joel (author)
Uppsala universitet,Radiologi
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 (creator_code:org_t)
2017
2017
English.
In: Pancreas. - 0885-3177 .- 1536-4828. ; 46:3, s. 358-365
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • OBJECTIVE: Adolescents with obesity have increased risk of type 2 diabetes and metabolic syndrome (MetS). Pancreatic fat has been related to these conditions; however, little is known about associations in pediatric obesity. The present study was designed to explore these associations further.METHODS: We examined 116 subjects, 90 with obesity. Anthropometry, MetS, blood samples, and oral glucose tolerance tests were assessed using standard techniques. Pancreatic fat fraction (PFF) and other fat depots were quantified using magnetic resonance imaging.RESULTS: The PFF was elevated in subjects with obesity. No association between PFF and body mass index-standard deviation score (BMI-SDS) was found in the obesity subcohort. Pancreatic fat fraction correlated to Insulin Secretion Sensitivity Index-2 and Homeostatic Model Assessment of Insulin Resistance in simple regression; however, when using adjusted regression and correcting for BMI-SDS and other fat compartments, PFF correlated only to visceral adipose tissue and fasting glucose. Highest levels of PFF were found in subjects with obesity and MetS.CONCLUSIONS: In adolescents with obesity, PFF is elevated and associatedto MetS, fasting glucose, and visceral adipose tissue but not to beta-cellfunction, glucose tolerance, or BMI-SDS. This study demonstrates thatconclusions regarding PFF and its associations depend on the body massfeatures of the cohort.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)

Keyword

pancreatic fat
pediatric obesity
beta-cell function
metabolic syndrome
body mass index-standard deviation score

Publication and Content Type

ref (subject category)
art (subject category)

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