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- Title
Dietary patterns and longitudinal change in body mass in European children: a follow-up study on the IDEFICS multicenter cohort.
- Authors
Pala, V; Lissner, L; Hebestreit, A; Lanfer, A; Sieri, S; Siani, A; Huybrechts, I; Kambek, L; Molnar, D; Tornaritis, M; Moreno, L; Ahrens, W; Krogh, V
- Abstract
Background/objectives:Longitudinal studies investigating dietary patterns (DPs) and their association with childhood overweight/obesity are lacking in Europe. We identified DPs and investigated their association with overweight/obesity and changes in body mass index (BMI) in a cohort of European children.Subjects/methods:Children aged 2-10 from eight European countries were recruited in 2007-2008. Food frequency questionnaires were collected from 14 989 children. BMI and BMI z-scores were derived from height and weight and were used to identify overweight/obese children. After 2 years (mean), anthropometric measurements were repeated in 9427 children. Principal component analysis was used to identify DPs. Simplified DPs (SDPs) were derived from DPs. Adjusted odds ratios (ORs) for overweight/obesity with increasing DP intake were estimated using multilevel logistic regression. Associations of BMI change with DP and SDP were assessed by multilevel mixed regression. Models were adjusted for baseline BMI, age, sex, physical activity and family income.Results:Four DPs were identified that explained 25% of food intake variance: snacking, sweet and fat, vegetables and wholemeal, and protein and water. After 2 years, 849(9%) children became overweight/obese. Children in the highest vegetables and wholemeal tertile had lower risk of becoming overweight/obese (OR: 0.69, 95% confidence intervals (CIs): 0.54-0.88). Children in the highest SDP tertile of vegetables and wholemeal had similarly lower risk of becoming overweight/obese (OR: 0.64, 95% CIs: 0.51-0.82), and their BMI increased by 0.7 kg/m2 over the study period-significantly less than the increase in the lowest tertile (0.84 kg/m2).Conclusions:Our findings suggest that promoting a diet rich in vegetables and wholemeal cereals may counteract overweight/obesity in children.
- Subjects
EUROPE; DIET research; BODY mass index; CHILDHOOD obesity; COHORT analysis; CHILDREN; VEGETABLES in human nutrition; WHOLE grain foods
- Publication
European Journal of Clinical Nutrition, 2013, Vol 67, Issue 10, p1042
- ISSN
0954-3007
- Publication type
Article
- DOI
10.1038/ejcn.2013.145