title: Ethnic and sex differences in visceral, subcutaneous, and total body fat in children and adolescents.
abstract: OBJECTIVE
  This study investigated ethnic and sex differences in the distribution of fat during childhood and adolescence.
  
  
  METHODS
  A cross-sectional sample (n = 382), aged 5-18 years, included African American males (n = 84), White males (n = 96), African American females (n = 118), and White females (n = 84). Measures for total body fat (TBF) mass and abdominal adipose tissue (total volume and L4-L5 cross-sectional area) for both subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT) depots were assessed by dual-energy X-ray absorptiometry and magnetic resonance image, respectively. Analyses of covariance (ANCOVAs) were used to determine ethnic and sex differences in TBF (adjusted for age) and ethnic and sex differences in SAT and VAT (adjusted for both age and TBF).
  
  
  RESULTS
  Age-adjusted TBF was greater in African Americans (P = 0.017) and females (P < 0.0001) compared with Whites and males, respectively. In age- and TBF-adjusted ANCOVAs, no differences were found in the SAT. The VAT volume was, however, greater in Whites (P < 0.0001) and males (P < 0.0001) compared with African Americans and females, respectively. Similar patterns were observed in SAT and VAT area at L4-L5.
  
  
  CONCLUSIONS
  The demonstrated ethnic and sex differences are important confounders in the prevalence of obesity and in the assignment of disease risk in children and adolescents.
authors.affiliation: Pennington Biomedical Research Center, 70808 Perkins Road, Baton Rouge, LA 70808-4124, USA.
authors.forename: A E
authors.initials: AE
authors.lastname: Staiano
authors.forename: S T
authors.initials: ST
authors.lastname: Broyles
authors.forename: A K
authors.initials: AK
authors.lastname: Gupta
authors.forename: P T
authors.initials: PT
authors.lastname: Katzmarzyk
mesh_terms: D050153:Abdominal Fat / Q000502:physiology; D015502:Absorptiometry, Photon; D050154:Adiposity / Q000208:ethnology*; D000293:Adolescent; D001741:Black or African American; D001823:Body Composition; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005006:Ethnicity; D005260:Female; D006801:Humans; D050152:Intra-Abdominal Fat / Q000502:physiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D009765:Obesity / Q000208:ethnology; D015995:Prevalence; D012737:Sex Factors; D050151:Subcutaneous Fat / Q000502:physiology*; D044465:White People