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MRI-Derived Subcutaneous and Visceral Adipose Tissue Reference Values for Children Aged 6 to Under 18 Years
Abstract
The assessment of body composition in pediatric population is essential for proper nutritional support during hospitalization. However, currently available methods have limitations. This study aims to propose a novel approach for nutrition status assessment and introduce magnetic resonance imaging (MRI)-derived subcutaneous and visceral fat normative reference values. A total of 262 healthy subjects aged from 6 to 18 years underwent MRI examinations and anthropometric measurements. MRI images at the second lumbar vertebrae were used by two radiologists to perform the semi-automatic tissue segmentation. Based on obtained adipose tissue surface areas and body mass index (BMI) scores sex-specific standard percentile curves (3rd, 10th, 25th, 50th, 75th, 90th, 97th) and z-scores were constructed using LMS method. Additionally, 85th and 95th centiles of subcutaneous and visceral adipose tissue were proposed as equivalents of overweight and obesity. Bland-Altman plots revealed an excellent intra-observer reproducibility and inter-observer agreement. In conclusion, our findings demonstrate highly reproducible method and suggest that MRI-derived reference values can be implemented in clinical practice.
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Authors (8)
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Kacper Marunowski
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Dominik Świętoń
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Włodzimierz Bzyl
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Małgorzata Grzywińska mgr
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Piotr Bandosz
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Dmitry Khrichenko
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Maciej Piskunowicz
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Full text
- Publication version
- Accepted or Published Version
- DOI:
- Digital Object Identifier (open in new tab) 10.3389/fnut.2021.757274
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- Category:
- Articles
- Type:
- artykuły w czasopismach
- Published in:
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Frontiers in Nutrition
no. 8,
ISSN: 2296-861X - Language:
- English
- Publication year:
- 2021
- Bibliographic description:
- Marunowski K., Świętoń D., Bzyl W., Grzywińska M., Kaszubowski M., Bandosz P., Khrichenko D., Piskunowicz M.: MRI-Derived Subcutaneous and Visceral Adipose Tissue Reference Values for Children Aged 6 to Under 18 Years// Frontiers in Nutrition -Vol. 8,iss. Frontiers in Nutrition 8 (2021),
- DOI:
- Digital Object Identifier (open in new tab) 10.3389/fnut.2021.757274
- Verified by:
- Gdańsk University of Technology
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