Differences in Fat Depots, Cardiometabolic Risk Factors, and Insulin Resistance Between Active and Passive School Commuters - Summary - MDSpire
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Comparative Analysis of Fat Distribution, Cardiometabolic Risk Indicators, and Insulin Sensitivity in Active Versus Passive School Commuters

  • By

  • David Rodriguez-Sanchez

  • Francisco Javier Huertas-Delgado

  • Maria Medrano

  • Fernando Idoate

  • Rafael Cabeza

  • Cristina Cadenas-Sanchez

  • Idoia Labayen

  • July 1, 2026

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Objective:

To examine differences in MRI-derived specific fat depots, cardiometabolic risk factors, and HOMA-IR between active and passive school commuters in children, separately for commuting to and from school.

Approach:
  • Study Design: Cross-sectional analysis using baseline data from the EFIGRO and MICROKID projects.
  • Participants: 174 children aged 8–14 years with valid data for commuting mode, MRI-derived fat depots, and cardiometabolic outcomes were included.
  • Measurements: Children's commuting modes were assessed via a validated questionnaire, classifying them as active or passive based on their main mode of commuting.
Key Findings:
  • Active commuting to school is associated with differences in fat distribution and cardiometabolic risk indicators compared to passive commuting.
  • Specific fat depots such as VAT, ASAT, IMAAT, and hepatic fat were analyzed in relation to commuting modes.
Interpretation:

The findings suggest that commuting behaviors may influence fat distribution and metabolic health in children, emphasizing the need for further research in this area.

Limitations:
  • The study is cross-sectional, limiting causal inferences.
  • Self-reported commuting modes may introduce bias.
Conclusion:

Understanding the impact of active commuting on fat distribution and cardiometabolic risk can inform public health strategies aimed at improving child health.

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