Low Skeletal Muscle Mass Identifies Very High Metabolic Risk in Slovak Children with Obesity: A Body Composition-Based Approach to Risk Stratification.

Although obese children with low muscle mass showed a trend toward higher cIMT compared to obese peers without low muscle mass (0.401 ± 0.020 mm vs. 0.389 ± 0.040 mm, p = 0.268; Cohen’s d = 0.328), this difference did not reach statistical significance, likely due to the limited sample size with available cIMT measurements ( n = 11 vs. n = 29).

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n = 29 in the normal muscle mass group) prevented detection of statistically significant differences in vascular parameters, despite a numerical trend (Cohen’s d = 0.328) suggesting potential clinical relevance.

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HOMA-IR showed a similar trend (β = 1.06, p = 0.061), though this did not reach statistical significance.

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