| Abstract: |
Longitudinal data on 1,048 Thai children were evaluated for evidence of subcutaneous fat remodelling. Fat distribution, as defined by 100 (triceps/[triceps + subscapular]), was more pronounced in the limbs during infancy but shifted toward the trunk thereafter. Subsequent stepwise regression analysis indicated that biological age--as measured by Gruelich-Pyle bone age--and weight together explained between 0.8% and 14.5% of variance in fat distribution, with generally larger R2 values over age and for males. Relationships were curvilinear, with sex differences in slope. Path analysis supported the model that weight was a major causal agent primarily after infancy, whereas biological age had a small influence both in infancy and in late childhood. Conclusion is that trunk fat deposition is a normal feature of childhood. They also suggest that hypotheses which associate elevated trunk fatness with disorders of glucose metabolism are invalid for younger children.
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