Body fat distribution in stunted compared with normal-height children from the shantytowns of São Paulo, Brazil

Body fat distribution in stunted compared with normal-height children from the shantytowns of São Paulo, Brazil

Author Hoffman, Daniel J. Google Scholar
Martins, Paula Andrea Autor UNIFESP Google Scholar
Roberts, Susan B. Google Scholar
Sawaya, Ana Lydia Autor UNIFESP Google Scholar
Institution Rutgers State Univ
Universidade Federal de São Paulo (UNIFESP)
Tufts Univ
Abstract Objective: the objective of this study was to determine whether central fat distribution varies between children who were growth retarded as young children and normal-height children from the same impoverished communities of Sdo Paulo, Brazil.Methods: A prospective study of 50 stunted and normal-height children in Sdo Paulo, Brazil was conducted in which children were measured for changes in fat mass (FM) and fat distribution (using dual-energy X-ray absorptiometry and anthropometry) and Tanner stage over a 4-y period. Statistical analyses included multiple linear regression to control for confounding factors and Student's t test was used to estimate group differences.Results: At follow-up, stunted children were shorter, weighed less, and had less total FM compared with control children. There were no differences between the two groups with respect to percent FM or percent truncal FM (%TrFM). Linear regression analyses were used to determine that stunted children had 1) increased TrFM (independent of FM); 2) increased %TrFM (independent of FM, gender, and Tanner stage), and 3) a borderline significantly greater change in TrFM (independent of FM, gender, and Tanner stage).Conclusion: Stunted children are more likely to deposit fat centrally when entering puberty, a significant risk factor for chronic diseases. Our results may explain part of the association between early growth retardation and later risk for metabolic diseases. (c) 2007 Elsevier Inc. All rights reserved.
Keywords fat distribution
stunting
transitional countries
chronic disease
Language English
Date 2007-09-01
Published in Nutrition. New York: Elsevier B.V., v. 23, n. 9, p. 640-646, 2007.
ISSN 0899-9007 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 640-646
Origin http://dx.doi.org/10.1016/j.nut.2007.06.006
Access rights Closed access
Type Article
Web of Science ID WOS:000248666700003
URI http://repositorio.unifesp.br/handle/11600/30014

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