Association between diet quality scores and risk of overweight and obesity in children and adolescents

Abstract Background This study examined the associations of diet quality assessed by Healthy Eating Index 2015 (HEI-2015), Alternative Healthy Eating Index 2010 (AHEI-2010), Mediterranean Diet (MedDiet) and overweight/obesity in children and adolescents. Methods This cross-sectional study used data...

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Main Authors: Xiaoyun Zheng, Hong Wang, Huiwen Wu
Format: Article
Language:English
Published: BMC 2023-04-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-023-03966-7
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author Xiaoyun Zheng
Hong Wang
Huiwen Wu
author_facet Xiaoyun Zheng
Hong Wang
Huiwen Wu
author_sort Xiaoyun Zheng
collection DOAJ
description Abstract Background This study examined the associations of diet quality assessed by Healthy Eating Index 2015 (HEI-2015), Alternative Healthy Eating Index 2010 (AHEI-2010), Mediterranean Diet (MedDiet) and overweight/obesity in children and adolescents. Methods This cross-sectional study used data of participants aged 2–19 years from National Health and Nutrition Examination Survey (NHANES) 2005–2018. The weighted logistic regression model was adopted to explore the association between diet quality scores and overweight, obesity in children and adolescents. Subgroup analysis was also performed based on sex. Results A total of 9,724 participants were included in children group (2–11 years old), and 5,934 were adolescent group (12–19 years old). All participants were divided into based on the BMI-for-age: underweight and normal, overweight and obesity groups. After adjusting for age, race, poverty-income ratio, maternal smoking during pregnancy and total energy, HEI-2015 and MedDiet scores were related to the risk of overweight in children, and only MedDiet scores remained associated with a decreased risk of obesity in children. MedDiet scores were associated with a decreased risk of overweight, obesity in adolescents, respectively, after adjusting age, sex, race, poverty-income ratio, cotinine, total energy and physical activity. The similar results in male participants were also found. Conclusion Higher MedDiet scores were associated with lower the risk of overweight and obesity, respectively, particularly for male children and adolescents. The higher HEI-2015 scores were also related to the risk of overweight in children.
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spelling doaj.art-08a1677ef1da4a1a84c9e2a3275d0b6e2023-04-16T11:25:24ZengBMCBMC Pediatrics1471-24312023-04-012311810.1186/s12887-023-03966-7Association between diet quality scores and risk of overweight and obesity in children and adolescentsXiaoyun Zheng0Hong Wang1Huiwen Wu2Department of Child Health, Maternal and Child Health Hospital of Hubei ProvinceDepartment of Child Health, Maternal and Child Health Hospital of Hubei ProvinceDepartment of Child Health, Maternal and Child Health Hospital of Hubei ProvinceAbstract Background This study examined the associations of diet quality assessed by Healthy Eating Index 2015 (HEI-2015), Alternative Healthy Eating Index 2010 (AHEI-2010), Mediterranean Diet (MedDiet) and overweight/obesity in children and adolescents. Methods This cross-sectional study used data of participants aged 2–19 years from National Health and Nutrition Examination Survey (NHANES) 2005–2018. The weighted logistic regression model was adopted to explore the association between diet quality scores and overweight, obesity in children and adolescents. Subgroup analysis was also performed based on sex. Results A total of 9,724 participants were included in children group (2–11 years old), and 5,934 were adolescent group (12–19 years old). All participants were divided into based on the BMI-for-age: underweight and normal, overweight and obesity groups. After adjusting for age, race, poverty-income ratio, maternal smoking during pregnancy and total energy, HEI-2015 and MedDiet scores were related to the risk of overweight in children, and only MedDiet scores remained associated with a decreased risk of obesity in children. MedDiet scores were associated with a decreased risk of overweight, obesity in adolescents, respectively, after adjusting age, sex, race, poverty-income ratio, cotinine, total energy and physical activity. The similar results in male participants were also found. Conclusion Higher MedDiet scores were associated with lower the risk of overweight and obesity, respectively, particularly for male children and adolescents. The higher HEI-2015 scores were also related to the risk of overweight in children.https://doi.org/10.1186/s12887-023-03966-7Diet qualityOverweightObesityChildren and adolescentsAssociation
spellingShingle Xiaoyun Zheng
Hong Wang
Huiwen Wu
Association between diet quality scores and risk of overweight and obesity in children and adolescents
BMC Pediatrics
Diet quality
Overweight
Obesity
Children and adolescents
Association
title Association between diet quality scores and risk of overweight and obesity in children and adolescents
title_full Association between diet quality scores and risk of overweight and obesity in children and adolescents
title_fullStr Association between diet quality scores and risk of overweight and obesity in children and adolescents
title_full_unstemmed Association between diet quality scores and risk of overweight and obesity in children and adolescents
title_short Association between diet quality scores and risk of overweight and obesity in children and adolescents
title_sort association between diet quality scores and risk of overweight and obesity in children and adolescents
topic Diet quality
Overweight
Obesity
Children and adolescents
Association
url https://doi.org/10.1186/s12887-023-03966-7
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AT hongwang associationbetweendietqualityscoresandriskofoverweightandobesityinchildrenandadolescents
AT huiwenwu associationbetweendietqualityscoresandriskofoverweightandobesityinchildrenandadolescents