37 Of note, BMI as the highly significant independent factor (over glucose and total cholesterol) to the development of fatty pancreas could be another probable explanation why the prevalence rate of fatty pancreas was 50% in our study, especially that the definition of obesity in the Chinese population uses lower BMI (Kg/m 2 ) cut offs. 38 , 39 It was also shown that both pancreas and liver PDFF were independent predictors of beta cells dysfunction.
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The relationship between pancreas steatosis and the risk of metabolic syndrome and insulin resistance in Chinese adolescents with concurrent obesity and non-alcoholic fatty liver disease.
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Summary Background The incidence of childhood obesity and associated comorbidities are on an increasing trend worldwide.