title: Relationship between body mass index, fat distribution and cardiometabolic risk factors in Indian children and adolescents.
abstract: BACKGROUND
  Studies assessing the relationship of BMI and BF with cardiometabolic (CM) risks in Indian children are scarce.
  
  
  OBJECTIVE
  To assess the occurrence of cardiometabolic risk factors in Indian children and adolescents in relation to BMI and body fat and to study their association with body fat distribution.
  
  
  METHODS
  286 children and adolescents (mean age 11.2 ± 2.6 years, 139 boys) were recruited from routine health checks and schools. Anthropometry and blood pressure were recorded, total body fat (BF) and fat distribution (android and gynoid) were measured by Dual Energy X-ray Absorptiometry. Fasting plasma glucose, lipid profile and insulin were also measured.
  
  
  RESULTS
  When the study cohort was divided as per their BMI and biochemical cardiometabolic risk factors, 8% children had normal BMI with abnormal biochemical parameters while 40% children had abnormal BMI but normal biochemical parameters.
  
  
  CONCLUSIONS
  There are normal weight children with cardiometabolic risks. There was an increase in the occurrence of cardiometabolic risk factors with increased android distribution of fat (p-value < 0.05).
authors.affiliation: Bharati Vidyapeeth University Medical College, Pune, India.
authors.forename: R
authors.initials: R
authors.lastname: Jahagirdar
authors.forename: K P
authors.initials: KP
authors.lastname: Hemchand
authors.forename: S A
authors.initials: SA
authors.lastname: Chiplonkar
authors.forename: V V
authors.initials: VV
authors.lastname: Khadilkar
authors.forename: A V
authors.initials: AV
authors.lastname: Khadilkar
mesh_terms: D015502:Absorptiometry, Photon; D050154:Adiposity / Q000208:ethnology*; D000293:Adolescent; D000367:Age Factors; D000704:Analysis of Variance; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D015992:Body Mass Index; D002648:Child; D002784:Cholesterol / Q000097:blood; D003430:Cross-Sectional Studies; D003906:Developing Countries; D005260:Female; D006306:Health Surveys; D006801:Humans; D007194:India / Q000453:epidemiology; D007328:Insulin / Q000097:blood; D008297:Male; D024821:Metabolic Syndrome / Q000097:blood / Q000175:diagnosis / Q000208:ethnology* / Q000503:physiopathology; D009765:Obesity / Q000097:blood / Q000175:diagnosis / Q000208:ethnology* / Q000503:physiopathology; D018570:Risk Assessment; D012307:Risk Factors; D014280:Triglycerides / Q000097:blood
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D007328:Insulin; D014280:Triglycerides; D002784:Cholesterol