PMID- 20386087 OWN - NLM STAT- MEDLINE DCOM- 20110531 LR - 20211020 IS - 1720-8386 (Electronic) IS - 0391-4097 (Linking) VI - 33 IP - 10 DP - 2010 Nov TI - Subepicardial adipose tissue thickness and its relation with anthropometric and clinical parameters in pubertal obese children. PG - 715-9 AB - AIM: To determine the relation of echocardiographic subepicardial adipose tissue (SAT) thickness with anthropometric and clinical parameters in pubertal obese children. SUBJECTS AND METHODS: A total of 52 obese pubertal subjects (13.1+/-1.56 yr, 27 male patients) and 39 age- and gender-matched lean pubertal subjects (13.0+/-1.28 yr, 16 male patients) were included in the study. Serum glucose, lipid profile, and insulin levels were measured during the fasting state. Each subject underwent a transthoracic echocardiography and the SAT thickness was measured during end-diastole from the parasternal long-axis views. RESULTS: The obese pubertal subjects had significantly higher SAT, triceps skin fold (TSF) thickness (mm), waist (WC) and mid-arm circumference (MAC) values (cm) compared with lean pubertal subjects group (p<0.05). Correlation analysis showed that SAT thickness was significantly related with age, SD score-body mass index (SDS-BMI), BMI, WC, MAC, TSF, and homeostasis model assessment of insulin resistance (HOMA-IR) (p<0.05), whereas there was no significant relation of SAT with hip circumference and waist to hip ratio (p>0.05). As an optimal cut-off point, a SAT thickness of 5.25 mm determined IR with 92% sensitivity and 62.1% specificity. CONCLUSIONS: Our study showed that SAT thickness in obese pubertal children shows a good correlation with age, SDS-BMI, BMI, WC, MAC, TSF, and HOMA-IR. In addition, our results suggest that SAT thickness might be used as a supportive data for risk stratification of metabolic syndrome in obese children. FAU - Abaci, A AU - Abaci A AD - Division of Pediatric Endocrinology, Kecioren Training and Research Hospital, Ankara, Turkey. ayhanabaci@gmail.com FAU - Ozdemir, O AU - Ozdemir O FAU - Hizli, S AU - Hizli S FAU - Razi, C Hasan AU - Razi CH FAU - Kabakus, N AU - Kabakus N LA - eng PT - Journal Article DEP - 20100412 PL - Italy TA - J Endocrinol Invest JT - Journal of endocrinological investigation JID - 7806594 SB - IM MH - Adipose Tissue/*pathology MH - Adolescent MH - Anthropometry MH - Body Mass Index MH - Case-Control Studies MH - Child MH - Echocardiography MH - Female MH - Humans MH - Insulin Resistance/physiology MH - Male MH - Obesity/diagnostic imaging/*pathology/physiopathology MH - Organ Size MH - Pericardium MH - *Puberty/physiology MH - Thinness/diagnostic imaging/pathology/physiopathology EDAT- 2010/04/14 06:00 MHDA- 2011/06/01 06:00 CRDT- 2010/04/14 06:00 PHST- 2010/04/14 06:00 [entrez] PHST- 2010/04/14 06:00 [pubmed] PHST- 2011/06/01 06:00 [medline] AID - 6972 [pii] AID - 10.1007/BF03346676 [doi] PST - ppublish SO - J Endocrinol Invest. 2010 Nov;33(10):715-9. doi: 10.1007/BF03346676. Epub 2010 Apr 12.