Comparison of anthropometric, metabolic, and body compositional abnormalities in Korean children and adolescents born small, appropriate, and large for gestational age: a population-based study from KNHANES V (2010–2011)
Purpose The impacts of growth restriction and programming in the fetal stage on metabolic and bone health in children and adolescents are poorly understood. Moreover, there is insufficient evidence for the relationship between current growth status and metabolic components. Herein, we compared the g...
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| Format: | Article |
| Language: | English |
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Korean Society of Pediatric Endocrinology
2024-02-01
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| Series: | Annals of Pediatric Endocrinology & Metabolism |
| Subjects: | |
| Online Access: | http://e-apem.org/upload/pdf/apem-2346044-022.pdf |
| _version_ | 1797266505990144000 |
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| author | Tae Kwan Lee Yoo Mi Kim Han Hyuk Lim |
| author_facet | Tae Kwan Lee Yoo Mi Kim Han Hyuk Lim |
| author_sort | Tae Kwan Lee |
| collection | DOAJ |
| description | Purpose The impacts of growth restriction and programming in the fetal stage on metabolic and bone health in children and adolescents are poorly understood. Moreover, there is insufficient evidence for the relationship between current growth status and metabolic components. Herein, we compared the growth status, metabolic and body compositions, and bone mineral density in Korean children and adolescents based on birth weight at gestational age. Methods We studied 1,748 subjects (272 small for gestational age [SGA], 1,286 appropriate for gestational age [AGA], and 190 large for gestational age [LGA]; 931 men and 817 women) aged 10–18 years from the Korean National Health and Nutrition Examination Survey (KNHANES) V (2010–2011). Anthropometric measurements, fasting blood biochemistry, and body composition data were analyzed according to birth weight and gestational age. Results The prevalence of low birth weight (14.7% vs. 1.2% in AGA and 3.2% in LGA, p<0.001) and current short stature (2.237 [1.296–3.861] compared to AGA, p=0.004) in SGA subjects was greater than that in other groups; however, the prevalence of overweight and obesity risks, metabolic syndrome (MetS), and MetS component abnormalities was not. Moreover, no significant differences were found in age- and sex-adjusted lean mass ratio, fat mass ratio, truncal fat ratio, bone mineral content, or bone density among the SGA, AGA, and LGA groups in Korean children and adolescents. Conclusions Our data demonstrate that birth weight alone may not be a determining factor for body composition and bone mass in Korean children and adolescents. Further prospective and longitudinal studies in adults are necessary to confirm the impact of SGA on metabolic components and bone health. |
| first_indexed | 2024-04-25T01:01:46Z |
| format | Article |
| id | doaj.art-8be0ce6c8e8a4acbb6d56c9bfb44d9ed |
| institution | Directory Open Access Journal |
| issn | 2287-1012 2287-1292 |
| language | English |
| last_indexed | 2024-04-25T01:01:46Z |
| publishDate | 2024-02-01 |
| publisher | Korean Society of Pediatric Endocrinology |
| record_format | Article |
| series | Annals of Pediatric Endocrinology & Metabolism |
| spelling | doaj.art-8be0ce6c8e8a4acbb6d56c9bfb44d9ed2024-03-11T01:17:59ZengKorean Society of Pediatric EndocrinologyAnnals of Pediatric Endocrinology & Metabolism2287-10122287-12922024-02-01291293710.6065/apem.2346044.0221027Comparison of anthropometric, metabolic, and body compositional abnormalities in Korean children and adolescents born small, appropriate, and large for gestational age: a population-based study from KNHANES V (2010–2011)Tae Kwan Lee0Yoo Mi Kim1Han Hyuk Lim2 Department of Pediatrics, Chungnam National University Hospital, Daejeon, Korea Department of Pediatrics, Chungnam National University College of Medicine, Daejeon, Korea Department of Pediatrics, Chungnam National University Hospital, Daejeon, KoreaPurpose The impacts of growth restriction and programming in the fetal stage on metabolic and bone health in children and adolescents are poorly understood. Moreover, there is insufficient evidence for the relationship between current growth status and metabolic components. Herein, we compared the growth status, metabolic and body compositions, and bone mineral density in Korean children and adolescents based on birth weight at gestational age. Methods We studied 1,748 subjects (272 small for gestational age [SGA], 1,286 appropriate for gestational age [AGA], and 190 large for gestational age [LGA]; 931 men and 817 women) aged 10–18 years from the Korean National Health and Nutrition Examination Survey (KNHANES) V (2010–2011). Anthropometric measurements, fasting blood biochemistry, and body composition data were analyzed according to birth weight and gestational age. Results The prevalence of low birth weight (14.7% vs. 1.2% in AGA and 3.2% in LGA, p<0.001) and current short stature (2.237 [1.296–3.861] compared to AGA, p=0.004) in SGA subjects was greater than that in other groups; however, the prevalence of overweight and obesity risks, metabolic syndrome (MetS), and MetS component abnormalities was not. Moreover, no significant differences were found in age- and sex-adjusted lean mass ratio, fat mass ratio, truncal fat ratio, bone mineral content, or bone density among the SGA, AGA, and LGA groups in Korean children and adolescents. Conclusions Our data demonstrate that birth weight alone may not be a determining factor for body composition and bone mass in Korean children and adolescents. Further prospective and longitudinal studies in adults are necessary to confirm the impact of SGA on metabolic components and bone health.http://e-apem.org/upload/pdf/apem-2346044-022.pdfsmall for gestational ageobesitymetabolic syndrome |
| spellingShingle | Tae Kwan Lee Yoo Mi Kim Han Hyuk Lim Comparison of anthropometric, metabolic, and body compositional abnormalities in Korean children and adolescents born small, appropriate, and large for gestational age: a population-based study from KNHANES V (2010–2011) Annals of Pediatric Endocrinology & Metabolism small for gestational age obesity metabolic syndrome |
| title | Comparison of anthropometric, metabolic, and body compositional abnormalities in Korean children and adolescents born small, appropriate, and large for gestational age: a population-based study from KNHANES V (2010–2011) |
| title_full | Comparison of anthropometric, metabolic, and body compositional abnormalities in Korean children and adolescents born small, appropriate, and large for gestational age: a population-based study from KNHANES V (2010–2011) |
| title_fullStr | Comparison of anthropometric, metabolic, and body compositional abnormalities in Korean children and adolescents born small, appropriate, and large for gestational age: a population-based study from KNHANES V (2010–2011) |
| title_full_unstemmed | Comparison of anthropometric, metabolic, and body compositional abnormalities in Korean children and adolescents born small, appropriate, and large for gestational age: a population-based study from KNHANES V (2010–2011) |
| title_short | Comparison of anthropometric, metabolic, and body compositional abnormalities in Korean children and adolescents born small, appropriate, and large for gestational age: a population-based study from KNHANES V (2010–2011) |
| title_sort | comparison of anthropometric metabolic and body compositional abnormalities in korean children and adolescents born small appropriate and large for gestational age a population based study from knhanes v 2010 2011 |
| topic | small for gestational age obesity metabolic syndrome |
| url | http://e-apem.org/upload/pdf/apem-2346044-022.pdf |
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