Association of Dietary Patterns with Weight Status and Metabolic Risk Factors among Children and Adolescents
Unhealthy dietary patterns are associated with obesity in children and adolescents. However, few studies have investigated the relationships between dietary patterns and obesity-related metabolic disorders among Asians. We identified dietary patterns in children and adolescents and examined the asso...
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MDPI AG
2021-03-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/4/1153 |
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| author | Seulki Oh So Yeong Lee Do-Yeon Kim Sarah Woo YoonMyung Kim Hye-Ja Lee Han Byul Jang Sang Ick Park Kyung Hee Park Hyunjung Lim |
| author_facet | Seulki Oh So Yeong Lee Do-Yeon Kim Sarah Woo YoonMyung Kim Hye-Ja Lee Han Byul Jang Sang Ick Park Kyung Hee Park Hyunjung Lim |
| author_sort | Seulki Oh |
| collection | DOAJ |
| description | Unhealthy dietary patterns are associated with obesity in children and adolescents. However, few studies have investigated the relationships between dietary patterns and obesity-related metabolic disorders among Asians. We identified dietary patterns in children and adolescents and examined the associations between these patterns and obesity, insulin resistance, and metabolic syndrome in South Korea. This study is a cross-sectional design. We used baseline data from an intervention study of 435 Korean children and adolescents aged 6–17 years. Insulin resistance was assessed as HOMA-IR ≥ 2.6. Metabolic syndrome was diagnosed by cardiovascular disease risk factor clustering. Dietary intakes were estimated using 3-day food records. Factor analysis was used to obtain dietary patterns, and we examined the associations between dietary patterns and obesity-related markers adjusted for potential covariates. Three dietary patterns were identified as fast food and soda (FFS), white rice and kimchi (WRK), and oil and seasoned vegetable (OSV) patterns. Compared with participants in the lower intake of FFS pattern, those in the top intake were associated with a higher waist circumference (WC) (β = 1.55), insulin level (β = 1.25), and body mass index (BMI) (β = 0.53) and it was positively associated with HOMA-IR ≥ 2.6 (OR = 2.11; 95% CI: 1.227–3.638) (<i>p</i> < 0.05). WRK pattern was associated with lower weight and higher HDL cholesterol, and the OSV pattern was associated with a lower weight, WC, and insulin level (<i>p</i> < 0.05). The FFS pattern showed a positive relation with WC, serum insulin, and BMI, and the other two dietary patterns indicated a preventive effect of those parameters. The FFS pattern was associated with significantly elevated insulin resistance among children and adolescents. |
| first_indexed | 2024-03-10T12:44:57Z |
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| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T12:44:57Z |
| publishDate | 2021-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-d6cab36b7d414f62833826860e8133632023-11-21T13:34:15ZengMDPI AGNutrients2072-66432021-03-01134115310.3390/nu13041153Association of Dietary Patterns with Weight Status and Metabolic Risk Factors among Children and AdolescentsSeulki Oh0So Yeong Lee1Do-Yeon Kim2Sarah Woo3YoonMyung Kim4Hye-Ja Lee5Han Byul Jang6Sang Ick Park7Kyung Hee Park8Hyunjung Lim9Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yong-in 17104, KoreaDepartment of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yong-in 17104, KoreaResearch Institute of Medical Nutrition, Kyung Hee University, Seoul 02447, KoreaDepartment of Family Medicine, Hanllym University Sacred Heart Hospital, Anyang 14068, KoreaUniversity College, Yonsei University International Campus, Incheon 21983, KoreaCenter for Biomedical Sciences, Korea National Institute of Health, Cheongju, Chungbuk 28159, KoreaCenter for Biomedical Sciences, Korea National Institute of Health, Cheongju, Chungbuk 28159, KoreaCenter for Biomedical Sciences, Korea National Institute of Health, Cheongju, Chungbuk 28159, KoreaDepartment of Family Medicine, Hanllym University Sacred Heart Hospital, Anyang 14068, KoreaDepartment of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yong-in 17104, KoreaUnhealthy dietary patterns are associated with obesity in children and adolescents. However, few studies have investigated the relationships between dietary patterns and obesity-related metabolic disorders among Asians. We identified dietary patterns in children and adolescents and examined the associations between these patterns and obesity, insulin resistance, and metabolic syndrome in South Korea. This study is a cross-sectional design. We used baseline data from an intervention study of 435 Korean children and adolescents aged 6–17 years. Insulin resistance was assessed as HOMA-IR ≥ 2.6. Metabolic syndrome was diagnosed by cardiovascular disease risk factor clustering. Dietary intakes were estimated using 3-day food records. Factor analysis was used to obtain dietary patterns, and we examined the associations between dietary patterns and obesity-related markers adjusted for potential covariates. Three dietary patterns were identified as fast food and soda (FFS), white rice and kimchi (WRK), and oil and seasoned vegetable (OSV) patterns. Compared with participants in the lower intake of FFS pattern, those in the top intake were associated with a higher waist circumference (WC) (β = 1.55), insulin level (β = 1.25), and body mass index (BMI) (β = 0.53) and it was positively associated with HOMA-IR ≥ 2.6 (OR = 2.11; 95% CI: 1.227–3.638) (<i>p</i> < 0.05). WRK pattern was associated with lower weight and higher HDL cholesterol, and the OSV pattern was associated with a lower weight, WC, and insulin level (<i>p</i> < 0.05). The FFS pattern showed a positive relation with WC, serum insulin, and BMI, and the other two dietary patterns indicated a preventive effect of those parameters. The FFS pattern was associated with significantly elevated insulin resistance among children and adolescents.https://www.mdpi.com/2072-6643/13/4/1153dietary patternsobesitychildrenadolescentsfactor analysisSouth Korea |
| spellingShingle | Seulki Oh So Yeong Lee Do-Yeon Kim Sarah Woo YoonMyung Kim Hye-Ja Lee Han Byul Jang Sang Ick Park Kyung Hee Park Hyunjung Lim Association of Dietary Patterns with Weight Status and Metabolic Risk Factors among Children and Adolescents Nutrients dietary patterns obesity children adolescents factor analysis South Korea |
| title | Association of Dietary Patterns with Weight Status and Metabolic Risk Factors among Children and Adolescents |
| title_full | Association of Dietary Patterns with Weight Status and Metabolic Risk Factors among Children and Adolescents |
| title_fullStr | Association of Dietary Patterns with Weight Status and Metabolic Risk Factors among Children and Adolescents |
| title_full_unstemmed | Association of Dietary Patterns with Weight Status and Metabolic Risk Factors among Children and Adolescents |
| title_short | Association of Dietary Patterns with Weight Status and Metabolic Risk Factors among Children and Adolescents |
| title_sort | association of dietary patterns with weight status and metabolic risk factors among children and adolescents |
| topic | dietary patterns obesity children adolescents factor analysis South Korea |
| url | https://www.mdpi.com/2072-6643/13/4/1153 |
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