Energy-dense, low-fiber, high-fat dietary pattern is associated with increased fatness in childhood.
BACKGROUND: Evidence for the dietary determinants of obesity in children is limited. OBJECTIVE: The objective was to identify a dietary pattern that explained dietary energy density (DED), fiber density (FD), and percentage of energy intake from fat and analyze its relation to fatness in children. D...
| Main Authors: | , , , , |
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| Format: | Journal article |
| Language: | English |
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2008
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| _version_ | 1797101352240807936 |
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| author | Johnson, L Mander, A Jones, L Emmett, P Jebb, SA |
| author_facet | Johnson, L Mander, A Jones, L Emmett, P Jebb, SA |
| author_sort | Johnson, L |
| collection | OXFORD |
| description | BACKGROUND: Evidence for the dietary determinants of obesity in children is limited. OBJECTIVE: The objective was to identify a dietary pattern that explained dietary energy density (DED), fiber density (FD), and percentage of energy intake from fat and analyze its relation to fatness in children. DESIGN: The subjects were 521 (at ages 5 and 9 y) and 682 (at ages 7 and 9 y) children participating in the Avon Longitudinal Study of Parents and Children. Diet was assessed with the use of 3-d diet diaries at ages 5 and 7 y. Reduced rank regression derived a dietary pattern with the use of DED, fiber, and fat intake as intermediate variables. Fat mass was measured at age 9 y with the use of dual-energy X-ray absorptiometry. Fat mass index (FMI) was calculated, and excess adiposity was defined (as the top quintile of logFMI). RESULTS: Pattern score at ages 5 and 7 y was correlated with DED (r = 0.8), FD (r = -0.7), and percentage of energy intake from fat (r = 0.5). An increase of 1 SD of pattern score at ages 5 and 7 y, respectively, was associated with a 0.15-kg (95% CI: -0.1, 0.45 kg) and a 0.28-kg (95% CI: 0.05, 0.53 kg) higher fat mass at age 9 y, after controlling for confounders. The adjusted odds of excess adiposity at age 9 y for children in quintile 5 compared with quintile 1 of dietary pattern score at ages 5 and 7 y, respectively, were 2.52 (95% CI: 1.13, 6.08) and 4.18 (95% CI: 2.07, 9.38). CONCLUSION: An energy-dense, low-fiber, high-fat diet is associated with higher fat mass and greater odds of excess adiposity in childhood. |
| first_indexed | 2024-03-07T05:50:39Z |
| format | Journal article |
| id | oxford-uuid:e8c56ca8-edd7-4a4c-b501-7b4f07802709 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T05:50:39Z |
| publishDate | 2008 |
| record_format | dspace |
| spelling | oxford-uuid:e8c56ca8-edd7-4a4c-b501-7b4f078027092022-03-27T10:49:10ZEnergy-dense, low-fiber, high-fat dietary pattern is associated with increased fatness in childhood.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e8c56ca8-edd7-4a4c-b501-7b4f07802709EnglishSymplectic Elements at Oxford2008Johnson, LMander, AJones, LEmmett, PJebb, SABACKGROUND: Evidence for the dietary determinants of obesity in children is limited. OBJECTIVE: The objective was to identify a dietary pattern that explained dietary energy density (DED), fiber density (FD), and percentage of energy intake from fat and analyze its relation to fatness in children. DESIGN: The subjects were 521 (at ages 5 and 9 y) and 682 (at ages 7 and 9 y) children participating in the Avon Longitudinal Study of Parents and Children. Diet was assessed with the use of 3-d diet diaries at ages 5 and 7 y. Reduced rank regression derived a dietary pattern with the use of DED, fiber, and fat intake as intermediate variables. Fat mass was measured at age 9 y with the use of dual-energy X-ray absorptiometry. Fat mass index (FMI) was calculated, and excess adiposity was defined (as the top quintile of logFMI). RESULTS: Pattern score at ages 5 and 7 y was correlated with DED (r = 0.8), FD (r = -0.7), and percentage of energy intake from fat (r = 0.5). An increase of 1 SD of pattern score at ages 5 and 7 y, respectively, was associated with a 0.15-kg (95% CI: -0.1, 0.45 kg) and a 0.28-kg (95% CI: 0.05, 0.53 kg) higher fat mass at age 9 y, after controlling for confounders. The adjusted odds of excess adiposity at age 9 y for children in quintile 5 compared with quintile 1 of dietary pattern score at ages 5 and 7 y, respectively, were 2.52 (95% CI: 1.13, 6.08) and 4.18 (95% CI: 2.07, 9.38). CONCLUSION: An energy-dense, low-fiber, high-fat diet is associated with higher fat mass and greater odds of excess adiposity in childhood. |
| spellingShingle | Johnson, L Mander, A Jones, L Emmett, P Jebb, SA Energy-dense, low-fiber, high-fat dietary pattern is associated with increased fatness in childhood. |
| title | Energy-dense, low-fiber, high-fat dietary pattern is associated with increased fatness in childhood. |
| title_full | Energy-dense, low-fiber, high-fat dietary pattern is associated with increased fatness in childhood. |
| title_fullStr | Energy-dense, low-fiber, high-fat dietary pattern is associated with increased fatness in childhood. |
| title_full_unstemmed | Energy-dense, low-fiber, high-fat dietary pattern is associated with increased fatness in childhood. |
| title_short | Energy-dense, low-fiber, high-fat dietary pattern is associated with increased fatness in childhood. |
| title_sort | energy dense low fiber high fat dietary pattern is associated with increased fatness in childhood |
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