Association between dietary patterns and adiposity from 4 to 7 years of age
| Autor: | Henrique Barros, António Guerra, Carla Lopes, Milton Severo, Andreia Oliveira, Catarina Durão, Pedro Moreira |
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| Přispěvatelé: | Instituto de Saúde Pública |
| Rok vydání: | 2017 |
| Předmět: |
Male
0301 basic medicine Pediatric Obesity media_common.quotation_subject Health Behavior Child Behavior Medicine (miscellaneous) Library science Pre-school children Body Mass Index Sexual dimorphism 03 medical and health sciences Sex Factors Sex factors Surveys and Questionnaires Political science Vegetables Humans Prospective Studies Dietary patterns Child Adiposity media_common 2. Zero hunger Enthusiasm 030109 nutrition & dietetics Nutrition and Dietetics Nutrition assessment Portugal 4. Education Public Health Environmental and Occupational Health Research Papers language.human_language Diet 3. Good health Nutrition Assessment Child Preschool Body Composition language Female Christian ministry Snacks Health behavior Portuguese Child Nutritional Physiological Phenomena |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP Public Health Nutr |
| ISSN: | 1475-2727 1368-9800 |
| DOI: | 10.1017/s1368980017000854 |
| Popis: | Objective: The present study aimed to evaluate the association of 4-year-old children’s dietary patterns with adiposity at 7 years, according to child’s sex, using a conceptual model. Design: Prospective cohort study. Diet was assessed using an FFQ. Age- and sex-specific BMI standard deviation scores (Z-scores) were defined according to the WHO. Fat mass percentage (FM%), fat mass index (FMI) and waist-to-height ratio (WHtR) were also considered, converted into Z-scores using sex-specific means and standard deviations of the current sample. Dietary patterns were identified by latent class analysis and their association with adiposity was estimated by linear regression models. Setting: Population-based birth cohort Generation XXI (Porto, Portugal, 2005–2006). Subjects: Children (n 3473) evaluated at both 4 and 7 years of age. Results: Three dietary patterns were identified: high in energy-dense foods (EDF); low in foods typically consumed at main meals and intermediate in snacks (Snacking); and higher in vegetables and fish and lower in EDF (Healthier, reference). The EDF dietary pattern at 4 years of age was positively associated with later BMI only in girls (β=0·075, 95 % CI 0·009, 0·140, P-interaction =0·046). The EDF dietary pattern was also associated with other adiposity indicators only in girls (FMI: β=0·071, 95 % CI 0·000, 0·142; WHtR: β=0·094, 95 % CI 0·023, 0·164). Snacking was not significantly associated with any marker of adiposity in either girls or boys. Conclusions: Although dietary patterns and adiposity persisted across the two ages in both sexes, EDF at 4 years of age increased adiposity at 7 years of age only in girls. The authors gratefully acknowledge the families enrolled in Generation XXI for their kindness, all members of the research team for their enthusiasm and perseverance, and the participating hospitals and their staff for their help and support. Financial support: Generation XXI was funded by Programa Operacional de Saúde (Regional Department of Ministry of Health). It has support from the Portuguese Foundation for Science and Technology (FCT) and from the Calouste Gulbenkian Foundation. This study was supported through FEDER–COMPETE and through national funding from the FCT (Portuguese Ministry of Education and Science) within the project PTDC/SAU-EPI/121532/2010 (grant number FCOMP-01-0124-FEDER-021177). The work of C.D. was also supported by the FCT (grant number SFRH/BD/81788/2011). The funders had no role in the design, analysis or writing of this article. |
| Databáze: | OpenAIRE |
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