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Increased Pancreatic Fat Fraction Is Present In Obese Adolescents With Metabolic Syndrome.
MedLine Citation:
PMID:  22157928     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES:: Very little is known about pancreatic fat accumulation and its possible associations with metabolic syndrome (MetS) and glucose metabolism. The aim of this study was to quantify pancreatic fat fraction (PFF) in lean and obese adolescents and explore its relationship with metabolic parameters. METHODS:: We recruited 25 lean and 24 obese adolescents. PFF and visceral fat (VAT) were determined using MRI. We measured blood pressure, fasting glucose, insulin, liver enzymes, leptin and lipids levels. Obese subjects underwent an oral glucose tolerance test. RESULTS:: PFF was significantly higher in obese than lean subjects (4.8 ± 1.2 vs. 3.6 ± 0.9; p < .001) and was associated with VAT, gamma-GT, triglycerides, HDL-cholesterol, leptin concentrations, and with MetS (p < 0.05 for all). None of the obese subjects had glucose intolerance, but when adjusted for VAT, the following 3 parameters correlated negatively with PFF: fasting, 30 and 120-minute insulin levels. We divided subjects into 3 groups: I) lean without MetS; II) obese without MetS and III) obese with MetS and observed that PFF increased gradually among groups (I: 3.56 ± 0.88; II: 4.70 ± 1.06; III: 5.34 ± 1.49 %; p < .001). CONCLUSIONS:: Obese adolescents accumulate fat in the pancreas. PFF correlates with the presence of MetS. Even in absence of glucose intolerance, pancreatic fat deposition is associated with impaired insulin response to glucose overload. This suggests that beta-cell dysfunction may already be present in non-diabetic obese adolescents, mirroring what has been shown in adults, and that pancreatic fat accumulation may participate in obesity-associated pancreatic endocrine dysfunction.
Authors:
Albane B R Maggio; Pascal Mueller; Julie Wacker; Magalie Viallon; Dominique C Belli; Maurice Beghetti; Nathalie J Farpour-Lambert; Valérie A McLin
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-7
Journal Detail:
Title:  Journal of pediatric gastroenterology and nutrition     Volume:  -     ISSN:  1536-4801     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211545     Medline TA:  J Pediatr Gastroenterol Nutr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
*Pediatric sport medicine and obesity care program, Division of pediatric specialties, Department of Child and Adolescent, University Hospitals of Geneva and University of Geneva, Switzerland †Pediatric Gastroenterology Unit, Ostschweizer Kinderspital, St.Gallen, Switzerland ‡Pediatric Cardiology Unit, Division of pediatric specialties, Department of Child and Adolescent, University Hospitals of Geneva and University of Geneva, Switzerland §Division of radiology, Dept of imaging and medical information sciences, University Hospitals of Geneva, Switzerland ||Pediatric Gastroenterology Unit, Division of pediatric specialties, Department of Child and Adolescent, University Hospitals of Geneva, Switzerland.
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