Abstract
Assessing body composition during infancy requires data for the so-called reference infant. Currently available data for this purpose need to be updated and extended using methods based on principles different from those used previously to define the reference infant. Thus, magnetic resonance imaging was applied to full-term healthy boys (n = 25) and girls (n = 21), 4–131 d old, to estimate adipose tissue volume (ATV) and the amounts of s.c. and non-s.c. adipose tissue (AT). Total body water was estimated using isotope dilution. Total body fat (TBF), fat free weight (FFW) and the degree of hydration in FFW were calculated. Increases in weight, TBF, and FFW with age agreed with current reference data, although when compared with the reference, a slightly more rapid increase in % TBF was observed for boys. The degree of hydration in FFW was 78.9 ± 4.5% (n = 45). Both sexes showed significant increases with age in s.c. ATV (14.7 and 13.0 mL/d for boys and girls, respectively) and in non-s.c. ATV (1.58 and 1.26 mL/d, respectively). Subcutaneous ATV was 90.5 ± 1.8% (boys) and 91.1 ± 1.9% (girls) of total ATV. In conclusion, a pronounced increase with age in the amount of AT was demonstrated involving a considerable gain in s.c. fat during early life. Except for % TBF in boys, changes in body composition with age agreed with current reference data.
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Abbreviations
- FFW:
-
fat free weight
- TBF:
-
total body fat
- TBW:
-
total body water
- MRI:
-
magnetic resonance imaging
- AT:
-
adipose tissue
- ATV:
-
adipose tissue volume
REFERENCES
Barker DJ 1998 Early growth and cardiovascular disease. Arch Dis Child 80: 305–307
Hypponen E, Kenward MG, Virtanen SM, Piitulainen A, Virta-Autio P, Tuomilehto J, Knip M, Åkerblom HK 1999 Infant feeding, early weight gain, and risk of type 1 diabetes. Diabetes Care 22: 1961–1965
Martorell R, Stein AD, Schroeder DG 2001 Early nutrition and later adiposity. J Nutr 131: 874S–880S
Stettler N, Zemel BS, Kumanyika S, Stallings VA 2002 Infant weight gain and childhood overweight status in a multicenter, cohort study. Pediatrics 109: 194–199
Andersson SW, Bengtsson C, Hallberg L, Lapidus L, Niklasson A, Wallgren A, Hulthén L 2001 Cancer risk in Swedish women: the relation to size at birth. Br J Cancer 84: 1193–1198
Fomon SJ, Haschke F, Ziegler E, Nelson S 1982 Body composition of reference children from birth to age 10 years. Am J Clin Nutr 35: 1169–1175
Butte NF, Hopkinson JM, Wong WW, Smith EO, Ellis KJ 2000 Body composition during the first 2 years of life: an updated reference. Pediatr Res 47: 578–585
Olhager E, Thuomas KA, Wigstrom L, Forsum E 1998 Description and evaluation of a method based on magnetic resonance imaging to estimate adipose tissue volume and total body fat in infants. Pediatr Res 44: 572–577
Sjöström L, Kvist H, Cederblad Å, Tylén U 1986 Determination of total adipose tissue and body fat in women by computed tomography, 40K and tritium. Am J Physiol 250( 6 Pt 1): E736–E745
Sohlström A, Wahlund L-O, Forsum E 1993 Adipose tissue distribution as assessed by magnetic resonance imaging and total body fat by magnetic resonance imaging, underwater weighing and body water dilution in healthy women. Am J Clin Nutr 58: 830–838
Kabir N, Forsum E 1993 Estimation of total body fat and subcutaneous adipose tissue in full-term infants less than 3 months old. Pediatr Res 34: 448–454
Baker GL 1969 Human adipose tissue composition and age. Am J Clin Nutr 22: 829–835
McGowan AR 1979 The fat and water content of the dead infants skinfold. Pediatr Res 13: 1304–1306
Thielecke F, Noack R 1997 Evaluation of an automated equilibration technique for deuterium/hydrogen isotope ratio measurements with respect to assessing total energy expenditure by the doubly labelled water method. J Mass Spectrom 32: 323–327
Davies PS, Wells JC 1994 Calculation of total body water in infancy. Eur J Clin Nutr 48: 490–495
Kirkwood BR 1995 Essentials of Medical Statistics. Blackwell Science, London
WHO 1983 Measuring Change in Nutritional Status. Guidelines for Assessing the Nutritional Impact of Supplementary Feeding Programmes for Vulnerable Groups. World Health Organization, Geneva, pp 63–97.
Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, Mei Z, Curtin LR, Roche AF, Johnson CL 2000 CDC Growth Charts: United States Advance Data from Vital and Health Statistics, no. 314. National Center for Health Statistics, Hyattsville, MD
Ivarsson A, Persson LA, Nystrom L, Ascher H, Cavell B, Danielsson L, Dannaeus A, Lindberg T, Lindquist B, Stenhammar L, Hernell O 2000 Epidemic of coeliac disease in Swedish children. Acta Paediatr 89: 165–171
Kuzawa CW 1998 Adipose tissue in human infancy and childhood: an evolutionary perspective. Am J Phys Anthropol Suppl 27: 177–209
Norgan NG 1997 The beneficial effects of body fat and adipose tissue in humans. Int J Obes Relat Metab Disord 21: 738–746
Wells JC 2001 A critique of the expression of paediatric body composition data. Arch Dis Child 85: 67–72
Wells JC, Fuller NJ, Dewit O, Fewtrell MS, Elia M, Cole TJ 1999 Four-component model of body composition in children: density and hydration of fat-free mass and comparison with simpler models. Am J Clin Nutr 69: 904–912
Acknowledgements
The authors thank the parents and infants who participated in the study; Karin Boström, Margareta Jönsson, and Christine Rosén for help with subject recruitment; Eva Sjödahl for laboratory assistance; and Olle Eriksson for statistical advice.
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Supported by grants from the Östergötland County Council, Wera Ekström's Fund for Pediatric Research, Crown Princess Lovisa's Fund for Pediatric Research, the Swedish Nutrition Foundation, and the Swedish Research Council (Project No. 12172).
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Olhager, E., Flinke, E., Hannerstad, U. et al. Studies on Human Body Composition during the First 4 Months of Life Using Magnetic Resonance Imaging and Isotope Dilution. Pediatr Res 54, 906–912 (2003). https://doi.org/10.1203/01.PDR.0000088064.63106.5E
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DOI: https://doi.org/10.1203/01.PDR.0000088064.63106.5E
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