Skip to main content
The Journal of Clinical Investigation logoLink to The Journal of Clinical Investigation
. 1979 Feb;63(2):239–246. doi: 10.1172/JCI109295

The growth of adipose tissue in children and adolescents. Cross-sectional and longitudinal studies of adipose cell number and size.

J L Knittle, K Timmers, F Ginsberg-Fellner, R E Brown, D P Katz
PMCID: PMC371945  PMID: 429551

Abstract

Adipocyte size and number were determined in 288 subjects ranging in age from 4 mo to 19 yr. The study was performed in 110 obese and 178 non-obese subjects. 4-yr, longitudinal, follow-up studies were also performed in 132 subjects. The results demonstrate that the contribution of cell number and size to the growth of the fat depot in nonobese children varies with age. Deviations from this normal development were observed in obese children shortly after 1 yr of age. By 11 yr of age obese children exceeded the mean cell number found in nonobese adults. Indeed, obese subjects displayed more rapid and earlier elevations in both cell number and size, which were maintained throughout the study. Thus obese children display both quantitative and qualitative differences in fat tissue development when compared to nonobese children. The data indicate that the rate and type of adipose tissue cellular development one encounters in children may play a role in the development of the enlarged fat depots found in obese subjects.

Full text

PDF
240

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Björntorp P. Sjöström L,+SJOSTROM L: Number and size of adipose tissue fat cells in relation to metabolism in human obesity. Metabolism. 1971 Jul;20(7):703–713. doi: 10.1016/0026-0495(71)90084-9. [DOI] [PubMed] [Google Scholar]
  2. Bonnet F., Gosselin L., Chantraine J., Senterre J. Adipose cell number and size in normal and obese children. Rev Eur Etud Clin Biol. 1970 Dec;15(10):1101–1104. [PubMed] [Google Scholar]
  3. Brook C. G. Evidence for a sensitive period in adipose-cell replication in man. Lancet. 1972 Sep 23;2(7778):624–627. doi: 10.1016/s0140-6736(72)93017-6. [DOI] [PubMed] [Google Scholar]
  4. Brook C. G., Lloyd J. K., Wolf O. H. Relation between age of onset of obesity and size and number of adipose cells. Br Med J. 1972 Apr 1;2(5804):25–27. doi: 10.1136/bmj.2.5804.25. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Cohn S. H., Dombrowski C. S. Absolute measurement of whole-body potassium by gamma-ray spectrometry. J Nucl Med. 1970 Jun;11(6):239–246. [PubMed] [Google Scholar]
  6. Cohn S. H., Dombrowski C. S., Pate H. R., Robertson J. S. A whole-body counter with an invariant response to radionuclide distribution and body size. Phys Med Biol. 1969 Oct;14(4):645–658. doi: 10.1088/0031-9155/14/4/006. [DOI] [PubMed] [Google Scholar]
  7. Dauncey M. J., Gairdner D. Size of adipose cells in infancy. Arch Dis Child. 1975 Apr;50(4):286–290. doi: 10.1136/adc.50.4.286. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Dixon-Shanies D., Knittle J. L. Effect of hormones on cyclic AMP levels in cultured human cells. Biochem Biophys Res Commun. 1976 Feb 9;68(3):982–987. doi: 10.1016/0006-291x(76)91242-0. [DOI] [PubMed] [Google Scholar]
  9. Dixon-Shanies D., Rudick J., Knittle J. L. Observatons on the growth and metabolic functions of cultured cells derived from human adipose tissue. Proc Soc Exp Biol Med. 1975 Jun;149(2):541–545. doi: 10.3181/00379727-149-38846. [DOI] [PubMed] [Google Scholar]
  10. Duckerts M., Bonnet F. Adipose cell size differences related to the site of adipose tissue biopsy in children. Biomedicine. 1973 May 20;19(5):214–216. [PubMed] [Google Scholar]
  11. FORBES G. B., HURSH J. B. AGE AND SEX TRENDS IN LEAN BODY MASS CALCULATED FROM K40 MEASUREMENTS: WITH A NOTE ON THE THEORETICAL BASIS FOR THE PROCEDURE. Ann N Y Acad Sci. 1963 Sep 26;110:255–263. doi: 10.1111/j.1749-6632.1963.tb17090.x. [DOI] [PubMed] [Google Scholar]
  12. FORBES G. B., LEWIS A. M. Total sodium, potassium and chloride in adult man. J Clin Invest. 1956 Jun;35(6):596–600. doi: 10.1172/JCI103313. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Flynn M. A., Clark J., Reid J. C., Chase G. A longitudinal study of total body potassium in normal children. Pediatr Res. 1975 Nov;9(11):834–836. doi: 10.1203/00006450-197511000-00006. [DOI] [PubMed] [Google Scholar]
  14. Flynn M. A., Woodruff C., Clark J., Chase G. Total body potassium in normal children. Pediatr Res. 1972 Apr;6(4):239–245. doi: 10.1203/00006450-197204000-00005. [DOI] [PubMed] [Google Scholar]
  15. Gairdner D. The effect of diet on the development of the adipose organ. Proc Nutr Soc. 1974 Sep;33(2):119–121. doi: 10.1079/pns19740023. [DOI] [PubMed] [Google Scholar]
  16. HIRSCH J., GOLDRICK R. B. SERIAL STUDIES ON THE METABOLISM OF HUMAN ADIPOSE TISSUE. I. LIPOGENESIS AND FREE FATTY ACID UPTAKE AND RELEASE IN SMALL ASPIRATED SAMPLES OF SUBCUTANEOUS FAT. J Clin Invest. 1964 Sep;43:1776–1792. doi: 10.1172/JCI105052. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Hirsch J., Gallian E. Methods for the determination of adipose cell size in man and animals. J Lipid Res. 1968 Jan;9(1):110–119. [PubMed] [Google Scholar]
  18. Hirsch J., Knittle J. L. Cellularity of obese and nonobese human adipose tissue. Fed Proc. 1970 Jul-Aug;29(4):1516–1521. [PubMed] [Google Scholar]
  19. Häger A., Sjörström L., Arvidsson B., Björntorp P., Smith U. Adipose tissue cellularity in obese school girls before and after dietary treatment. Am J Clin Nutr. 1978 Jan;31(1):68–75. doi: 10.1093/ajcn/31.1.68. [DOI] [PubMed] [Google Scholar]
  20. Häger A., Sjöstrm L., Arvidsson B., Björntorp P., Smith U. Body fat and adipose tissue cellularity in infants: a longitudinal study. Metabolism. 1977 Jun;26(6):607–614. doi: 10.1016/0026-0495(77)90082-8. [DOI] [PubMed] [Google Scholar]
  21. JOHNSON M. L., BURKE B. S., MAYER J. The prevalence and incidence of obesity in a cross-section of elementary and secondary school children. Am J Clin Nutr. 1956 May-Jun;4(3):231–238. doi: 10.1093/ajcn/4.3.231. [DOI] [PubMed] [Google Scholar]
  22. Knittle J. L. Obesity in childhood: a problem in adipose tissue cellular development. J Pediatr. 1972 Dec;81(6):1048–1059. doi: 10.1016/s0022-3476(72)80231-2. [DOI] [PubMed] [Google Scholar]
  23. Nyberg G., Mellgren G., Smith U. Human adipose tissue in culture. VI. Effect of age on cell size and lipolysis. Acta Paediatr Scand. 1976 May;65(3):313–318. doi: 10.1111/j.1651-2227.1976.tb04891.x. [DOI] [PubMed] [Google Scholar]
  24. Rose H. E., Mayer J. Activity, calorie intake, fat storage, and the energy balance of infants. Pediatrics. 1968 Jan;41(1):18–29. [PubMed] [Google Scholar]
  25. Salans L. B., Cushman S. W., Weismann R. E. Studies of human adipose tissue. Adipose cell size and number in nonobese and obese patients. J Clin Invest. 1973 Apr;52(4):929–941. doi: 10.1172/JCI107258. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Sjöström L., Björntorp P. Body composition and adipose cellularity in human obesity. Acta Med Scand. 1974 Mar;195(3):201–211. doi: 10.1111/j.0954-6820.1974.tb08123.x. [DOI] [PubMed] [Google Scholar]
  27. Smith U. Studies of human adipose tissue in culture. 3. Influence of insulin and medium glucose concentration on cellular metabolism. J Clin Invest. 1974 Jan;53(1):91–98. doi: 10.1172/JCI107564. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Van R. L., Bayliss C. E., Roncari D. A. Cytological and enzymological characterization of adult human adipocyte precursors in culture. J Clin Invest. 1976 Sep;58(3):699–704. doi: 10.1172/JCI108516. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Clinical Investigation are provided here courtesy of American Society for Clinical Investigation

RESOURCES