TY - JOUR
T1 - Identification of a dietary pattern associated with greater cardiometabolic risk in adolescence
AU - Appannah, G.
AU - Pot, G.K.
AU - Huang, Rae-Chi
AU - Oddy, Wendy
AU - Beilin, Lawrence
AU - Mori, Trevor
AU - Jebb, S.A.
AU - Ambrosini, Gina
PY - 2015/7
Y1 - 2015/7
N2 - © 2015 Elsevier B.V. Background and aims: Energy dense, high fat, low fibre diets may contribute to obesity in young people, however their relationships with other cardiometabolic risk factors are unclear. We examined associations between an 'energy-dense, high-fat and low-fibre' dietary pattern (DP) and cardiometabolic risk factors, and the tracking of this DP in adolescence. Methods and results: Data was sourced from participants in the Western Australian Pregnancy (Raine) Cohort Study. At 14 and 17y, dietary intake, anthropometric and biochemical data were measured and z-scores for an 'energy dense, high fat and low fibre' DP were estimated using reduced rank regression (RRR). Associations between DP z-scores and cardiometabolic risk factors were examined using regression models. Tracking of DP z-scores was assessed using Pearson's correlation coefficient.A 1 SD unit increase in DP z-score between 14 and 17y was associated with a 20% greater odds of high metabolic risk (95% CI: 1.01, 1.41) and a 0.04mmol/L higher fasting glucose in boys (95% CI: 0.01, 0.08); a 28% greater odds of a high-waist circumference (95% CI: 1.00, 1.63) in girls. An increase of 3% and 4% was observed for insulin and HOMA (95% CI: 1%, 7%), respectively, in boys and girls, for every 1 SD increase in DP z-score and independently of BMI. The DP showed moderate tracking between 14 and 17y of age (. r=0.51 for boys, r=0.45 for girls). Conclusion: An 'energy dense, high fat, low fibre' DP is positively associated with cardiometabolic risk factors and tends to persist throughout adolescence.
AB - © 2015 Elsevier B.V. Background and aims: Energy dense, high fat, low fibre diets may contribute to obesity in young people, however their relationships with other cardiometabolic risk factors are unclear. We examined associations between an 'energy-dense, high-fat and low-fibre' dietary pattern (DP) and cardiometabolic risk factors, and the tracking of this DP in adolescence. Methods and results: Data was sourced from participants in the Western Australian Pregnancy (Raine) Cohort Study. At 14 and 17y, dietary intake, anthropometric and biochemical data were measured and z-scores for an 'energy dense, high fat and low fibre' DP were estimated using reduced rank regression (RRR). Associations between DP z-scores and cardiometabolic risk factors were examined using regression models. Tracking of DP z-scores was assessed using Pearson's correlation coefficient.A 1 SD unit increase in DP z-score between 14 and 17y was associated with a 20% greater odds of high metabolic risk (95% CI: 1.01, 1.41) and a 0.04mmol/L higher fasting glucose in boys (95% CI: 0.01, 0.08); a 28% greater odds of a high-waist circumference (95% CI: 1.00, 1.63) in girls. An increase of 3% and 4% was observed for insulin and HOMA (95% CI: 1%, 7%), respectively, in boys and girls, for every 1 SD increase in DP z-score and independently of BMI. The DP showed moderate tracking between 14 and 17y of age (. r=0.51 for boys, r=0.45 for girls). Conclusion: An 'energy dense, high fat, low fibre' DP is positively associated with cardiometabolic risk factors and tends to persist throughout adolescence.
U2 - 10.1016/j.numecd.2015.04.007
DO - 10.1016/j.numecd.2015.04.007
M3 - Article
C2 - 26026208
SN - 0939-4753
VL - 25
SP - 643
EP - 650
JO - Nutrition, Metabolism and Cardiovascular Diseases
JF - Nutrition, Metabolism and Cardiovascular Diseases
IS - 7
ER -