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June 7, 2026Diabetes

2070-P: Adiposity Distribution and Emerging Diabetes Risk in Children

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Population

45 children across a range of adiposity, before overt dysglycemia develops.

Design

Cross-sectional

Authors

EMElla C. MorganTCTING CHOWJAJASMIN ALVES

Discussion

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Overview

In pre-adolescent children, greater total adiposity is associated with reduced insulin sensitivity and compensatory increases in insulin secretion before the onset of dysglycemia.

Key Points

  • To identify the relationship between abdominal fat depots and liver fat with insulin sensitivity and glycemia in children across various adiposity levels.
  • 45 children underwent abdominal MRI and a 3-hour oral glucose tolerance test (OGTT).
  • Measured visceral and subcutaneous adipose tissue volumes, liver fat percent, BMI, and body fat percentage.
  • Analyzed correlations using Spearman partial correlations adjusting for age and sex.
  • Greater VAT and ASAT were associated with lower insulin sensitivity (both p<0.0001).
  • Liver fat percent showed a weaker correlation with insulin sensitivity and glucose measures (p=0.27).
  • Total adiposity correlated with compensatory insulin secretion but did not significantly impact glycemia.

Structured PICO

P
Population
45 children (mean age 11.3±1 years; 62% female) across a range of adiposity, before overt dysglycemia develops.
O
Outcome
Whole-body insulin sensitivity index (ISI), insulinogenic index (InsIndex30), and glucose measures (fasting glucose, 2-hr glucose, glucose AUC) assessed via 3-hour OGTT.surrogate

In pre-adolescent children, greater total adiposity is associated with reduced insulin sensitivity and compensatory increases in insulin secretion before the onset of dysglycemia.

Cite This Study

Morgan et al. (2026) studied this question.

synapsesocial.com/papers/6a250c1c7def13d035e1c2f2https://doi.org/10.2337/db26-2070-p
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 11655-P: Where Fat Is Stored Matters More than How Much: A Large-Scale Population-Based Study Integrating DXA Phenotyping and Causal Inference2026
  2. 22075-P: Characterizing Total, Regional, and Ectopic Adipose Tissue Fat Content and Diabetes Risk Factors among Youth, Using Lancet Commission Obesity Definitions2026
  3. 3Comparison of subcutaneous, visceral, liver and muscle fat depots in relation to prevalent and incident diabetes2025 · 5 citations
  4. 4Adiposity Distribution and Cardiometabolic Risk in Children and Adolescents: Clinical Implications and Contributing Factors2026
  5. 5Decreased Mitochondrial Respiration in Peripheral Mononuclear Blood Cells in Chil-dren and Adolescents with Obesity and Type 2 Diabetes Mellitus2025