Evidence map›Paper›PMID 40796087›Full record

SynthesisNutrition reviews2026

A Systematic Review and Meta-analysis of Sex Differences in Subcutaneous and Visceral Abdominal Fat in Children.

Jose Guillermo Ortega-Avila, Alejandro Segura Ordoñez, Harry García Muñoz, Milton Fabian Suarez Ortegon, Blanca C Salazar Contreras

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Nutrition reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

5 authors.

Jose Guillermo Ortega-AvilaDepartamento de Ciencias Básicas de la Salud, Facultad Ciencias de la Salud, Pontificia Universidad Javeriana Seccional Cali, 760031 Cali, Colombia.
Alejandro Segura OrdoñezGrupo de investigación Salud y Movimiento, Facultad de Salud, Universidad Santiago de Cali, 760042 Cali, Colombia.
Harry García MuñozGrupo de investigación Salud y Movimiento, Facultad de Salud, Universidad Santiago de Cali, 760042 Cali, Colombia.
Milton Fabian Suarez OrtegonDepartamento de Alimentación y Nutrición, Facultad de Ciencias de la Salud, Pontificia Universidad Javeriana Seccional Cali, 760031 Cali, Colombia.
Blanca C Salazar ContrerasGrupo de Nutrición, Departamento de Ciencias Fisiológicas, Facultad de Salud, Universidad del Valle, 760043 Cali, Colombia.

Funding

Pontificia Universidad Javeriana seccional Cali
6 · The paper itself

Abstract

contextSex-based differences in abdominal fat distribution are well documented in adults, with men typically accumulating more visceral adipose tissue (VAT), located around intra-abdominal organs, and women exhibiting higher levels of subcutaneous abdominal adipose tissue (SAAT), distributed in the abdominal subcutaneous layer. However, the developmental onset of these differences remains unclear.

objectiveThis systematic review and meta-analysis examined sex-specific VAT and SAAT distribution differences among normal-weight prepubertal children aged 0-10 years. DATA SOURCES: A systematic search of PubMed, Embase, LILACS, and Web of Science was conducted to identify studies published from the inception of each database through June 2024. DATA ANALYSIS: Standardized mean differences (SMDs) for sex-based differences in VAT and SAAT were calculated using a random-effects model, stratified by age group. The analysis included data from 20 studies. In the overall analysis, prepubertal girls had significantly higher SAAT compared with boys (pooled SMD = 0.23; 95% CI: 0.15-0.32; I2 = 89%). This sex difference became apparent starting in the 3- to 6-year age group (SMD = 0.59; 95% CI: 0.38-0.79; I2 = 80%). In contrast, no significant sex differences in VAT were detected in either the age-stratified analyses or the overall estimate (pooled SMD = 0.09; 95% CI: -0.01 to 0.19; I2 = 91%). However, this finding should be interpreted with caution due to the high degree of heterogeneity observed across studies.

conclusionSex differences in abdominal adiposity appear to emerge early in childhood, with prepubertal girls exhibiting higher SAAT than boys from the age of 3 years. In contrast, the absence of sex-based differences in VAT should be interpreted with caution. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration no. CRD42022361412.

Indexed as

Intra-Abdominal FatSex CharacteristicsSubcutaneous Fat, AbdominalChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleSex Factorschildrennormal-weightprepubertysexsubcutaneous abdominal adipose tissuevisceral adipose tissue

Identifiers

PMID40796087
PMCPMC13250451

What Socratic holds

Textmetadata
LicenceCC BY
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.