@misc{10481/82941, year = {2023}, month = {4}, url = {https://hdl.handle.net/10481/82941}, abstract = {Objectives: Fat depots localization has a critical role in the metabolic health status of adults. Nevertheless, whether that is also the case in children remains under-studied. Therefore, the aims of this study were: (i) to examine the differences between metabolically healthy (MHO) and unhealthy (MUO) overweight/ obesity phenotypes on specific abdominal fat depots, and (ii) to further explore whether cardiorespiratory fitness plays a major role in the differences between metabolic phenotypes among children with overweight/obesity. Methods: A total of 114 children with overweight/obesity (10.6 ± 1.1 years, 62 girls) were included. Children were classified as MHO (n = 68) or MUO. visceral (VAT), abdominal subcutaneous (ASAT), intermuscular abdominal (IMAAT), psoas, hepatic, pancreatic, and lumbar bone marrow adipose tissues were measured by magnetic resonance imaging. Cardiorespiratory fitness was assessed using the 20 m shuttle run test. Results: MHO children had lower VAT and ASAT contents and psoas fat fraction compared to MUO children (difference = 12.4%–25.8%, all p < 0.035). MUO-unfit had more VAT and ASAT content than those MUO-fit and MHO-fit (difference = 34.8%–45.3%, all p < 0.044). MUO-unfit shows also greater IMAAT fat fraction than those MUO-fit and MHO-fit peers (difference = 16.4%–13.9% respectively, all p ≤ 0.001). In addition, MHO-unfit presented higher IMAAT fat fraction than MHO-fit (difference = 13.4%, p < 0.001). MUO-unfit presented higher psoas fat fraction than MHO-fit (difference = 29.1%, p = 0.008). Conclusions: VAT together with ASAT and psoas fat fraction, were lower in MHO than in MUO children. Further, we also observed that being fit, regardless of metabolic phenotype, has a protective role over the specific abdominal fat depots among children with overweight/obesity.}, organization = {Spanish Ministry of Health “Fondos de Investigación Sanitaria del Instituto de Salud Carlos III” (PI13/01335)}, organization = {EU Fondos Estructurales de la Unión Europea (FEDER) funds (“Una manera de hacer Europa”)}, organization = {Department of Economic Development of the Government of Navarra (0011-1365- 2019- 000085)}, organization = {Spanish Ministry of Science and Innovation (FJC2018-037925- I)}, organization = {European Union's Horizon 2020 research and innovation programme under the Marie Sklodowska Curie grant agreement No. 101028929}, organization = {European Union NextGeneration EU and the Spanish Ministry of Universities (postdoctoral fellowship Margarita Salas, 572827-MS15)}, publisher = {Wiley}, keywords = {Abdominal subcutaneous fat}, keywords = {Aerobic capacity}, keywords = {Hepatic fat}, keywords = {Lumbar bone marrow fat}, keywords = {Psoas fat}, keywords = {Visceral fat}, keywords = {Youth}, title = {Differences in specific abdominal fat depots between metabolically healthy and unhealthy children with overweight/obesity: The role of cardiorespiratory fitness}, doi = {10.1111/sms.14372}, author = {Cadenas Sánchez, Cristina and Ortega Porcel, Francisco Bartolomé}, }