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Istituto di scienza dell'alimentazione

Torna all'elenco Contributi in rivista anno 2013

Contributo in rivista

Tipo: Articolo in rivista

Titolo: Dietary patterns and longitudinal change in body mass in European children: A follow-up study on the IDEFICS multicenter cohort

Anno di pubblicazione: 2013

Autori: 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.

Affiliazioni autori: Epidemiology and Prevention Unit, Department of Preventive and Predictive Medicine, Fondazione IRCCS Istituto Nazionale Dei Tumori, Via Venezian, 1, Milan 20133, Italy; Public Health Epidemiology Unit, Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden; Department of Epidemiological Methods and Etiologic Research, Leibniz-Institute for Prevention Research and Epidemiology, Bremen, Germany; Unit of Epidemiology and Population Genetics, Institute of Food Sciences, CNR, Avellino, Italy; Department of Public Health, Ghent University, Ghent, Belgium; International Agency for Research on Cancer, Dietary Exposure Assessment Group, Lyon, France; National Institute for Health Development, Tallinn, Estonia; Department of Pediatrics, University of Pécs, Pécs, Hungary; Research and Education Institute of Child Health, Strovolos, Cyprus; Growth, Exercise, Nutrition and Development Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain; Institute of Statistics, University of Bremen, Bremen, Germany

Autori CNR:

  • ALFONSO SIANI

Lingua: inglese

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.

Lingua abstract: inglese

Pagine da: 1042

Pagine a: 1049

Rivista:

European journal of clinical nutrition John Libbey.
Paese di pubblicazione: Regno Unito
Lingua: inglese
ISSN: 0954-3007

Numero volume: 67

Numero fascicolo: 10

DOI: 10.1038/ejcn.2013.145

Referee: Sě: Internazionale

Indicizzato da: Scopus [2-s2.0-84885306004]

Parole chiave:

  • dietary patterns
  • simplified dietary patterns
  • children
  • body mass index
  • overweight
  • cohort study

URL: http://www.scopus.com/inward/record.url?eid=2-s2.0-84885306004&partnerID=q2rCbXpz

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