Evidence map›Paper›PMID 39945203›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2025

Sex Differences in Body Composition and MASLD in Children With Overweight and Obesity.

Adi Uretzky, Eyal Cohen-Sela, Michal Yackobovitch-Gavan, Asaf Ben Simon, Eyas Midlij, Hussein Zaitoon, Ophir Borger, Hagar Interator, Achiya Z Amir, Hadar Moran-Lev and 2 more

Abstract read
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Adi UretzkyThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Eyal Cohen-SelaThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID 0009-0008-0083-9443
Michal Yackobovitch-GavanDepartment of Epidemiology and Preventive Medicine, Faculty of Medical & Health Sciences, School of Public Health, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-9441-5033
Asaf Ben SimonThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID 0009-0009-6316-9077
Eyas MidlijThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Hussein ZaitoonThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID 0000-0002-4979-3799
Ophir BorgerThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID 0000-0001-6019-4159
Hagar InteratorThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID 0000-0002-2588-7424
Achiya Z AmirThe School of Medicine, Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-2231-4209
Hadar Moran-LevThe School of Medicine, Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-5177-9478
Avivit BrenerThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID 0000-0002-2742-8264
Yael LebenthalThe Institute of Pediatric Endocrinology, Diabetes and Metabolism, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID 0000-0001-5963-0574

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo explore the relationships between body composition, indices of hepatic fibrosis, and sonographic evidence of hepatic steatosis in children with overweight and obesity.

methodsOne hundred and seventy individuals (age 12.7 ± 3.4 years, 38.2% boys) with overweight/obesity (BMI z-score 2.02 ± 0.54) underwent bioelectrical impedance analysis (fat percentage, truncal-to-total fat ratio, muscle-to-fat ratio [MFR]). Hepatic assessments included ultrasonography to detect liver steatosis, alanine transaminase (ALT), aspartate aminotransferase (AST)/ALT ratio, and nonalcoholic fatty liver disease fibrosis score (NFS). A forward logistic regression model, adjusting for sex, age, and socio-economic position, was conducted.

resultsThe odds for sonographic hepatic steatosis increased by 3.8-fold for each SD decrease in MFR z-score (OR = 0.263, 95% CI [0.067-1.031], p = 0.05). The strongest correlation among boys was between MFR z-score and AST/ALT ratio (r = 0.530, p < 0.001), whereas the strongest correlation among girls was between fat percentage and NFS (r = 0.503, p < 0.001). Individuals with sonographic hepatic steatosis had higher fat mass (p = 0.003), lower MFR z-score (p = 0.020), greater insulin resistance (p = 0.018), and atherogenic dyslipidemic index (p = 0.037) compared to those without.

conclusionsWe identified sex differences in the association between body composition and hepatic fibrosis indices. The relationship between adverse body composition and increased odds of hepatic steatosis underscores the importance of its assessment within this at-risk population.

Indexed as

Body CompositionFatty LiverLiver CirrhosisNon-alcoholic Fatty Liver DiseaseOverweightPediatric ObesityAdolescentAlanine TransaminaseChildFemaleHumansMaleSex FactorsUltrasonographyAlanine Transaminasebioelectrical impedance analysis (BIA)hepatic steatosisindices of hepatic fibrosismuscle‐to‐fat ratio (MFR)nonalcoholic fatty liver disease (NAFLD)

Identifiers

PMID39945203
PMCPMC12147431

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.