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Relationship between gamma-glutamyltransferase and fat mass in a general population of 8-17 years old children. The FLVS II study.
Botton J., Heude B., André P., Bresson J.-L., Ducimetière P., Charles M.-A., Study Group F.
Diabetes & metabolism 33, 5 (2007) 354-359 - http://www.hal.inserm.fr/inserm-00166841
(17652002)
Relationship between gamma-glutamyltransferase and fat mass in a general population of 8-17 years old children. The FLVS II study.
Jérémie Botton () 1, Barbara Heude1, Philippe André1, Jean-Louis Bresson2, Pierre Ducimetière1, Marie-Aline Charles1, Flvs Study Group3
1 :  Recherche en épidémiologie et biostatistique
INSERM : IFR69 – Université Paris XI - Paris Sud
16, Avenue Paul Vaillant-Couturier 94807 VILLEJUIF CEDEX
France
2 :  CIC Nem
INSERM : CIC9303 – Université Paris V - Paris Descartes
Gh Necker - Enfants Malades PARIS V 149, Rue de Sevres 75743 PARIS CEDEX 15
France
3 :  FLVS ASSOCIATION - Fleurbaix Laventie Ville Santé Association
Association Fleurbaix Laventie Ville Santé
13 rue du 11 novembre, F-62840 Laventie
France
AIM: Elevated gamma-glutamyltransferase (GGT) is positively associated with severity of obesity in obese children and with increased BMI and waist circumference in general populations of adults. We aimed to study the relationships between GGT and anthropometric parameters in a general population of children. METHODS: This cross-sectional study was conducted in 219 boys and 214 girls included in the Fleurbaix Laventie Ville Sant?I study. Weight, height, four skinfolds and waist circumference were measured. We compared the means of GGT activity according to gender and Tanner stage, and according to overweight status (IOTF definition) and quartiles of anthropometric parameters. We then calculated partial Pearson correlations by gender between GGT and anthropometric parameters taking age and Tanner stage into account. RESULTS: GGT activity was higher in boys than in girls as soon as puberty started (P<0.001). The higher difference was observed for Tanner stage III (GGT=10.2 UI/L, CI95% of mean (9.5, 11.1) vs. 7.8 UI/L (7.2, 8.4)). Anthropometric parameters were significantly associated with GGT, particularly waist circumference (r=0.28 in boys; r=0.24 in girls). After an additional adjustment for sum of skinfolds, this correlation disappeared in boys (r=0.06), and was still significant in girls (r=0.19). CONCLUSION: In a general population of children, overweight and abdominal fat distribution were associated with increased GGT. As some studies have shown that GGT could predict the metabolic syndrome in children and type 2 diabetes in adults, the modest elevation of GGT observed in overweight children may be of pathophysiological importance in the long term.
Sciences du Vivant/Santé publique et épidémiologie
Sciences du Vivant/Médecine humaine et pathologie/Pédiatrie
Anglais
1262-3636

Articles dans des revues avec comité de lecture
10.1016/j.diabet.2007.03.008
Diabetes & metabolism
non spécifiée
11/2007
24/07/2007
33
5
354-359

Children – Epidemiology – Gamma-glutamyltransferase – Overweight – Waist circumference
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