Familial Aggregation of Amount and Distribution of Subcutaneous Fat and Their Responses to Exercise Training in the HERITAGE Family Study

Objective: Investigate the familial aggregation of amount and distribution of subcutaneous fat and their changes in response to endurance training. Research Methods and Procedures: A total of 483 sedentary subjects from 99 nuclear families were recruited, trained for 20 weeks of exercising on cycle ergometers, and measured before and after training for the following indicators of subcutaneous fat and fat distribution: trunk fat (TRUNK = sum of abdominal, subscapular, suprailiac, and midaxillary skinfolds), extremity fat (EXTREM = sum of biceps, triceps, thigh, and calf skinfolds), subcutaneous fat (SF8 = sum of the eight skinfolds), the trunk to extremity skinfolds ratio adjusted for SF8 (TER) and waist girth adjusted for body mass index (WAIST). The familial aggregation of the age‐ and sex‐adjusted baseline phenotypes and their responses to training (Δ) after adjustment for the baseline values was investigated using a familial correlation model. Results: Significant familial aggregation was observed for all the phenotypes measured at baseline and for ΔTRUNK and ΔWAIST. Transmissibility estimates reached about 30% to 35% for TRUNK, EXTREM, and SF8 and 50% for TER and WAIST. The transmissibilities of the response phenotypes were lower, ranging from 0% for ΔWAIST to 21% for ΔTRUNK and the pattern of familial correlations suggested a greater within‐ than between‐generation resemblance in the response. Discussion: This study suggests that the amount and distribution of subcutaneous fat strongly aggregates in families, whereas the response to exercise training is characterized by a moderate and more complex pattern of familial resemblance. We conclude that familial/genetic factors are more important in determining the amount and distribution of subcutaneous fat than their responses to exercise training.     

Anthropometric data in middle-aged women. The population study of women in G?teborg 1968-1969.

Body weight, body height, skinfolds, circumferences and weight indices in a population sample of 1462 women in ages between 38 and 60 years are presented. Significant age differences were noted. High correlations (r) were found between body weight and triceps and subscapular skinfolds (0.62 and 0.72 respectively) and between body weight and arm, waist and buttock circumferences (0.75-0.88). Age differences were mostly noted between 46 and 50 years of age. After that age there was a comparatively greater increase of the waist circumference than of the buttock circumference, while triceps skinfold seemed to decrease after the age of 50 indicating an altered adipose tissue distribution from the extremities to the trunk with increasing age. When taking data from a previous study of body weight in the same population of women into consideration it seems that the age differences in body weight found in cross-sectional study like the present one may to a large extent depend on differences between different cohorts studied.     

Birth Weight and Its Relationship to Size Attained and Relative Fat Distribution at 7 to 12 Years of Age

The relationship between birth weight and relative subcutaneous fat distribution at school age was considered in 131 boys and 106 girls 7 to 12 years of age. Relative fat distribution at school age was estimated with the ratio of the subscapular to triceps skinfolds (S/T) for the total sample, and with the ratio of the sum of two trunk (subscapular, midaxillary) to the sum of two extremity (triceps, medial calf) skinfolds (T/E) for subsamples of 102 boys and 63 girls. There were no sex differences in the S/T ratio (mm/mm), boys 0.62 ± 0.15, girls 0.63 ± 0.18; T/E ratio (mm/mm), boys 0.58 ± 0.13, girls 0.59 ± 0.16; and BMI (kg/m²), boys 17.1 ± 2.4, girls 16.9 ± 2.2. Second order partial correlations, controlling for age and the BMI or age and sum of skinfolds, between birth weight and the skinfold ratios are, respectively, ?0.22 and ?0.20 (p<0.01) for S/T and ?0.29 and ?032 (p<0.01) for T/E in girls, and ?0.18 and ?0.17 (p<0.05) for S/T and ?0.06 and ?0.6 for T/E in boys. Though low, the correlations suggest that as birth weight decreases proportionally more subcutaneous fat is accumulated on the trunk than on the extremities, more so in females than in males. Results of stepwise multiple regression analyses indicate that birth weight accounts for from 2% to 8% of the variance in relative subcutaneous fat distribution at school age.     

Skinfold thicknesses in a national probability sample of U.S. males and females aged 6 through 17 years

Cycles II and III of the Health Examination Survey included measurements of the skinfolds of over 14,000 individuals 6 through 17 years of age, statistically weighted to provide an accurate national probability sample. Analyses of the triceps and subscapular skinfolds of Negroes and whites are reported here, utilizing the median in preference to the mean. Females of either racial group have thicker skinfolds at all ages studied. Whites have greater median triceps thicknesses than Negroes of the same sex and age, but there are no differences between the two racial groups in the subscapular. Since, between all but one pair of adjacent ages in males, from 12 years on, the median triceps fold decreases, but the estimated cross-sectional are of fat increases, it is strongly recommended that reductions in triceps thickness not be automatically interpreted as meaning a loss of subcutaneous fat. Since greater skewness is found in the subscapular distributions in whites, but not in the triceps, it is suggested that racial differences in triceps thickness at these ages occurs from the operation of hereditary factors, while differences in the subscapular skinfold arise from environmental causes.     

达斡尔族成人的皮褶厚度及其年龄变化

测量了456例（男216,女240例）达斡尔族成人的4项皮褶（三头肌皮褶、肩胛下皮褶、髂前上棘皮褶与腓肠肌皮褶）厚度值,分析了达斡尔族成人皮褶厚度随年龄变化的特征。研究表明：（1）男性躯干皮下脂肪厚于四肢。女性肩胛下皮褶最厚,三头肌皮褶次之。（2）女性4项皮褶厚度值高于男性。（3）男性30—44岁皮下脂肪较厚,45岁以后皮褶厚度下降。女性50岁以后肩胛下皮褶值明显下降,其余3项值在40岁以后下降。（4）男性全身皮褶厚度值多呈正相关。女性这种现象不明显。（5）达斡尔族成人皮下脂肪发育逊于北京、大连城市中的汉族,但优于宁夏农村的回族。     

Contrast in somatic variables among traditional and modernized Maya females

The pattern of growth of body size variables and apical pulse rate have been suggested to be significant to cardiovascular status in adulthood. In order to investigate influences on the growth pattern of somatic variables in juveniles in contrasting environments, the relationships of body size variables, apical pulse, and age, and the patterns of family aggregations and of heritability of these were examined among juveniles in a modernizing society. Weight, height, triceps and subscapular skinfolds, and apical pulse were measured and weight/height² was calculated for 431 urban and rural dwelling juvenile Maya females aged 9.5 to 20.4 years, and a sample of their mothers (n=96) living in the state of Yucatán, México. In addition, comparisons were made of the somatic variables for urban and rural sibling pairs (n=89) and motherdaughter pairings (n=149). Weight, height, and skinfolds were consistently lower in rural juveniles, and urban-rural variation was noted in the pattern of growth. Urban-rural variation was evident in the patterns of family aggregation and heritability of body size variables. Family tendency was generally elevated in the urban sample, but with some major deviations. Urban-rural variations, correlations among the variables, and the patterns of family aggregation support the conclusion that different influences are operating in this population regarding development of height, of weight, and of subcutaneous fat deposition.     

Sexual dimorphism in schoolchildren of the Villa IAPI neighborhood (Quilmes,Buenos Aires,Argentina)

Villa IAPI is a poor neighborhood of about 5,000 inhabitants in the overpopulated conurbano bonaerense at the outskirts of the city of Buenos Aires. Most of the adult male residents are construction workers; the rest are temporary workers, underemployed, or unemployed. The inhabitants of Villa IAPI suffer the effects of many adverse socio-economic conditions, including poor nutrition, deficient sanitation, and inadequate medical care. Seven anthropometric variables were measured on 765 children from 6 to 14 years old to test for the presence of an altered pattern of sexual dimorphism. It was found that there were practically no sex differences in standing height and upper-arm muscle circumference. In some age groups, there was a weak but significant sexual dimorphism in body weight and sitting height. The greatest and most persistent dimorphism was found in head circumference, and in triceps and subscapular skinfolds. In all except two age groups, head circumference in males was significantly greater than in females. The other dimorphic variables (body weight, sitting height, and triceps and subscapular skinfolds) showed the opposite relationship. Essentially, females showed increments in subcutaneous fat, while reduced growth in muscle and bone was evident in males. The hypothesis of “better female canalization” can explain the altered dimorphic pattern found in the malnourished Villa IAPI population. © 1993 Wiley-Liss, Inc.     

Familial resemblance of plasma angiotensin-converting enzyme level: the Nancy Study.

Plasma angiotensin I-converting enzyme (ACE) activity has been measured in a sample of 87 healthy families participating in a study of cardiovascular risk factors. The mean +/- SD levels of plasma ACE were 34.1 +/- 10.7, 30.7 +/- 10.4 and 43.1 +/- 17.2 units/liter in fathers (n = 87), mothers (n = 87) and offspring (n = 169), respectively. Plasma ACE was uncorrelated with age, height, weight, or blood pressure in the parents, but a negative correlation with age was observed in offspring (r = -.32). The age-adjusted familial correlations of plasma ACE were .038, .166, .323 and .303 for spouses, father-offspring, mother-offspring, and siblings, respectively. The results of the genetic analysis suggest that a major gene may affect the interindividual variability of plasma ACE, with different codominant effects in parents and offspring. According to this model, the major gene effect accounts for 4.8, 4.0, and 10.8 units/liter of the overall mean and for 29%, 29% and 75% of the variance of age-adjusted ACE in fathers, mothers, and offspring, respectively. The estimate of the probability of the less frequent allele is .26, and the major gene effect is approximately twice as great in high homozygotes than in heterozygotes and in offspring than in parents. The results of this study demonstrate the occurrence of a familial resemblance of plasma ACE activity in healthy families and suggest that this observation can be explained by the segregation of a major gene.     

Development of subcutaneous fat in Spanish and Latin American children and adolescents: Reference values for biceps,triceps, subscapular and suprailiac skinfolds

Subcutaneous fat skinfolds represent a reliable assessment instrument of adiposity status. This study provides current percentile references for four subcutaneous skinfolds (biceps, triceps, subscapular, suprailiac) applicable to children and adolescents in Spain and in Latin American countries where data are scarce.The design consisted of a cross-sectional multicenter study performed with identical methods in 5 countries (Argentina, Cuba, Mexico, Spain and Venezuela). Total sample comprised 9163 children and youths (boys 4615 - girls 4548) aged 6–18 years, healthy and without apparent pathologies. Percentiles 3, 5, 10, 25, 50, 75, 90, 95 and 97 were calculated by the LMS method. Sexual dimorphism was assessed using the t-test and age differences with ANOVA. Normalized growth percentile references were obtained according to sex and age for each skinfold. The mean values of four skinfolds were significantly greater in girls than boys (p < 0.001) and, in both sexes, all skinfolds show statistical differences through age (p < 0.001) with different magnitudes.Except triceps in girls, peaks between 11 and 12 years of age are more noticeable in boys than in girls. Although the general model of growth is known, the skinfold measurements show variability among populations and differences of magnitude are presented according to the analyzed population. Therefore, these age and sex-specific reference percentile values for biceps, triceps, subscapular and suprailiac skinfolds, derived from a large sample of Spanish and Latin American children and adolescents, are a useful tool for adiposity diagnosis in this population for which no reference values were available.     

Ecogeographical associations between climate and human body composition: analyses based on anthropometry and skinfolds

In the 19th century, two "ecogeographical rules" were proposed hypothesizing associations of climate with mammalian body size and proportions. Data on human body weight and relative leg length support these rules; however, it is unknown whether such associations are attributable to lean tissue (the heat-producing component) or fat (energy stores). Data on weight, height, and two skinfold thickness were obtained from the literature for 137 nonindustrialized populations, providing 145 male and 115 female individual samples. A variety of indices of adiposity and lean mass were analyzed. Preliminary analyses indicated secular increases in skinfolds in men but not women, and associations of age and height with lean mass in both sexes. Decreasing annual temperature was associated with increasing body mass index (BMI), and increasing triceps but not subscapular skinfold. After adjusting for skinfolds, decreasing temperature remained associated with increasing BMI. These results indicate that colder environments favor both greater peripheral energy stores, and greater lean mass. Contrasting results for triceps and subscapular skinfolds might be due to adaptive strategies either constraining central adiposity in cold environments to reduce cardiovascular risk, or favoring central adiposity in warmer environments to maintain energetic support of the immune system. Polynesian populations were analyzed separately and contradicted all of the climate trends, indicating support for the hypothesis that they are cold-adapted despite occupying a tropical region. It is unclear whether such associations emerge through natural selection or through trans-generational and life-course plasticity. These findings nevertheless aid understanding of the wide variability in human physique and adiposity.     

Waist Circumference and Cardiovascular Risk Factors in Prepubertal Children

Objective: Intra‐abdominal fat has been identified as being the most clinically relevant type of fat in humans. Therefore, an assessment of body‐fat distribution could possibly identify subjects with the highest risk of adverse lipid profile and hypertension. Few data on the relationship between body‐fat distribution and cardiovascular risk factors are available in children, especially before puberty. Research Methods and Procedures: This cross‐sectional study was undertaken to explore the relationship between anthropometric variables, lipid concentrations, and blood pressure (BP) in a sample of 818 prepubertal children (ages 3 to 11 years) and to assess the clinical relevance of waist circumference in identifying prepubertal children with higher cardiovascular risk. Height, weight, triceps and subscapular skinfolds, waist circumference, and BP were measured. Plasma levels for triacylglycerol, total cholesterol, high‐density lipoprotein (HDL) cholesterol, low‐density lipoprotein cholesterol, apolipoprotein A1 (ApoA1), and apolipoprotein B (ApoB) were determined. Results: Females were fatter than males (5.8 [3.5] vs. 4.8 [3.3] kg of fat mass; p < 0.01). Males had higher HDL cholesterol and ApoA1/ApoB plasma concentrations than females (p < 0.001 and p < 0.01, respectively). Waist circumference had a higher correlation with systolic and diastolic BP (r = 0.40 and 0.29, respectively; p < 0.001) than triceps (r = 0.35 and 0.21, respectively; p < 0.001) and subscapular (r = 0.28 and 0.16, respectively; p < 0.001) skinfolds and relative body weight (0.33 and 0.23, respectively; p < 0.001). Multivariate linear model analysis showed that ApoA1/ApoB, HDL cholesterol, total cholesterol/HDL cholesterol, and systolic as well as diastolic BP were significantly associated with waist circumference and triceps and subscapular skinfolds, independently of age, gender, and body mass index. Discussion: Waist circumference as well as subscapular and triceps skinfolds may be helpful parameters in identifying prepubertal children with an adverse blood‐lipids profile and hypertension. However, waist circumference, which is easy to measure and more easily reproducible than skinfolds, may be considered in clinical practice. Children with a waist circumference greater than the 90th percentile are more likely to have multiple risk factors than children with a waist circumference that is less than or equal to the 90th percentile.     

Familial aggregation of blood pressure and anthropometric variables in patrilocal households

Fifty-three households in a small Indian fishing community were surveyed for blood pressure, pulse rate, and anthropometric measurements (height, weight, and three skinfolds). In addition to nuclear family relationships, correlations for extended family members and in-laws living within a common household were estimated by maximum likelihood. Based on likelihood ratio tests, the hypothesis that correlations among genetically unrelated pairs from the same household are zero is rejected for systolic blood pressure. Among genetically related individuals, the degree of relationship does not affect the magnitude of the blood pressure correlations. For the anthropometric measurements, family resemblance is significant only for first-degree relatives, except that the correlation for uncle-child pairs is significant for subscapular skinfold, and brother-in-law-sister-in-law pairs resemble each other for height and weight. The results suggest that common household environment is a significant determinant of blood pressure but not fatness in this population.     

Sub-cutaneous tissue growth in boys of the Gaddi tribe, Himachal Pradesh, India

Gaddi boys from the Bharmour sub-tehsil of the Chamba District (Himachal Pradesh, India) aged from 4 to 20 years were studied cross-sectionally during 1974-1975 for skin and sub-cutaneous tissue thickness. The patterns of change of skinfolds at triceps and calf (limb skinfolds) are similar to each other, but different from that of the subscapular and suprailiac (trunk skinfolds), which in turn also follow a similar pattern. The trunk skinfolds decrease from 5 to 7-8 years, sharply in the beginning, but slowly thereafter, and remain almost constant until age 12 and gain in thickness during adolescence. The limb skinfolds decrease in thickness from 5 to 11-12 years, and then they increase slowly. A comparison of skinfolds of the Gaddi boys with other neighbouring as well as distant populations reveals that, by and large, the Gaddi boys possess smaller amounts of sub-cutaneous tissue. Nutritional inadequacies, hard work and adverse environmental factors of moderate altitudes seem to put great stress on the development of sub-cutaneous fat among Gaddi boys. Standards of growth of triceps skinfold for this population are provided.     

The Diabetes Alert study: growth, fatness, and fat patterning, adolescence through adulthood in Mexican Americans

Diabetes Alert is a multidisciplinary genetic and epidemiological study of Type II (non insulin-dependent) diabetes in Texas Mexican Americans. We report the anthropometry of 1,155 individuals 10 to 70 or more years with particular reference to overweight, fatness, and anatomical fat patterning in the sample. Children ages 10-18 of both sexes are growing at the 50th percentile of the reference data (U.S. Health and Nutrition Examination Survey-1) for height, Wt/Ht2, and triceps and subscapular skinfolds. Adults are well below median height but well above median Wt/Ht2 and skinfolds. Prevalence of obesity (Wt/Ht2 greater than or equal to 30) among adults is typically 30% or higher by age 30. Diabetics compared to age/sex-matched non diabetics have shorter sitting heights, have more upper body fat (subscapular skinfold), have less lower body fat (lateral calf skinfold), and were heavier at maximum weight and at age 18. The ratio of lower to upper body fat distribution decreases over the life cycle, being highest at adolescence and lowest at ages 40-50 in both sexes. Our results show a precipitous weight gain after maturity in the sample and an association of diabetes with differences in anatomical fat patterning. The age-related changes in fat patterning need to be explained in terms of their ecological and genetic influences.     

Evidence of genetic influence on central body fat in middle-aged twins

The heritability of centrally and peripherally deposited subcutaneous body fat, as measured by thickness of subscapular and triceps skinfolds respectively, was examined in 173 monozygotic and 178 dizygotic pairs of white male twins, ages 54 to 65 years, who participated in the second examination of the National Heart, Lung, and Blood Institute's Twin Study. The heritability of two indices of body fat distribution (subscapular/triceps ratio and subscapular-triceps difference) and two indices of overall obesity (body mass index and sum of skinfolds) were also assessed. Evidence for a genetic influence on central deposition of body fat was suggested in that the classical estimate of heritability for subscapular skinfold thickness was 0.77 (p less than 0.0001). After adjusting subscapular skinfold for the overall level of obesity, heritability was reduced but remained highly significant (0.40, p = 0.003). Heritability estimates for triceps skinfold thickness and for the two fat distribution indices were substantially lower and were not statistically significant after adjustment for overall obesity. High classical estimates of heritability were also observed for both measures of overall obesity: 0.70 for BMI and 0.73 for sum of skinfolds. However, these two estimates were biased upward because of lower total variances among monozygotic compared to dizygotic twins in this sample. The more conservative and unbiased among-component estimates also suggested substantial heritability for each measure (0.35, p = 0.08 and 0.53, p = 0.01, respectively). The heritability of overall obesity emphasizes the importance of adjusting measures of fat distribution for overall obesity before assessing its heritability.     

Subcutaneous adiposity and relative fat patterning in adult white and migrant asian males in Britain

A comparative study of subcutaneous adiposity and relative fat patterning in adult White (n=262) and migrant Indian (n=39) and Pakistani (n=100) males living in Peterborough, Cambridgeshire revealed no significant difference in the level of generalised adiposity (measured as body mass index) between the ethnic groups. However, Asians had significantly higher means for all five truncal skinfolds; for all upper body: upper extremity, upper body: lower extremity, central body: upper extremity and central body: lower extremity skinfold rations; more total subcutaneous adiposity; and significantly more subcutaneous fat in subscapular, suprailiac and abdomen regions relative to total subcutaneous fat. However, Asian men had significantly less subcutaneous fat in all the extremity sites relative to total subcutaneous adiposity and lower mean forearm subcutaneous adiposity. Discriminant analysis revealed that 80.6% of all individuals were correctly classfied, with Whites being grouped more correctly than Asians. Suprailiac/forearm and suprailiac/triceps skinfold ratios, height, weight, age, body mass index, and subscapular, midauxillary, chest and medial calf skinfolds were among the most important discriminating variables/ratios of the three ethnic groups.     

Effect of mother's physical condition during pregnancy and lactation on postnatal growth and reproductive success of offspring in water vole Arvicola terrestris L

Postnatal growth, life span, and probability of reproduction in the adult state depended on the mother's physical condition during pregnancy and lactation in water vole. The white fat weight in the female abdominal cavity was shown to significantly increase in pregnancy and to decrease in late lactation. As an indicators for nutritional state of females, their body weight difference after parturition (or in late lactation) and expected from the regression equation relating individual body weight at the beginning and the end of each reproductive stage were used (physical condition indexes in pregnancy or lactation). The correlation of the physical condition index in pregnancy with the storage fat weight was 0.67. The metabolic resources of the mother's body proved to favor faster offspring development. The female offspring weight at the age of 3 and 10 weeks as well as adult ones positively correlated with the mother's nutritional state in pregnancy, while the male offspring weight demonstrated a similar correlation at the age of 3 and 6 weeks. Increased negative energy balance during lactation proved to decrease the offspring weight in both sexes after separation from mother and at the age of 6 weeks. High nutritional state of mother in pregnancy favored both the probability of reproduction and life span of female offspring. The reproduction of male offspring did not depend on the mother's physical condition. The life span peaked in male offspring of mothers in a nutritional state below average in pregnancy and above average in lactation. Thus, the physical condition of the mother's body is an important sex-dependent factor of phenotypic variation in the offspring body weight, reproductive competence, and life span.     

达斡尔族学生皮下脂肪发育的研究

作者内蒙古莫力达瓦达斡尔族自治旗１７５９例中小学生项项皮褶厚度及体脂发育情况进行了调查研究。结果表明：（１）达斡尔族学生进入青春期后,随着年龄的增长,男性躯干部皮变厚,四肢部皮褶变薄,女性躯干、四肢部皮褶均增厚。（２）１２岁后,女性皮褶厚度显著大于男性。（３）青春发育早期,男性体脂逐渐有下降,女性于１２－１４岁体脂迅速增加。（４）总体说来,达斡尔族学生并不偏于肥胖。     

Interobserver reliability of skinfold measurements in infants and young children

Interobserver reliabilities were determined for the triceps, biceps, subscapular, suprailiac, and abdominal skinfolds in 77 children, 9-24 months of age. Technical errors of measurement (replicate variances) and coefficients of variation were compared to data on 12-17-year-olds from the U.S. Health Examination Survey (HES) to 2.5-7-year-old Guatamalan children. Of the five skinfolds, the between-observer variation was not significantly different from zero in four; in the case of the biceps fold, F-ratio was significant at p less than .01. Errors of measurement are less for these data than for the HES or Guatemalan studies. This difference is attributed to the larger means of the older children and youth, as well as to the greater error of measurement shown to exist for larger skinfolds.     

芜湖地区青少年儿童皮下脂肪及身体围度发育规律初探

分析了安徽省芜湖地区1217名城乡在校中小学生四项皮褶厚度及四项身体围度随年龄变化的规律,尤其是青春期的变化;以及营养、气候等环境因素对儿童青少年身体发育的影响。结果表明：在即将进入青春发育期时,男性四肢部皮下脂肪迅速减少;女性皮下脂肪在青春期迅速增厚;身体围度则随年龄增长而增加,在青春后期,围度保持在一定水平。