Association between dietary patterns and adiposity from 4 to 7 years of age

Content Provider	Scilit
Author	Durão, Catarina Severo, Milton Oliveira, Andreia Moreira, Pedro Guerra, António Barros, Henrique Lopes, Carla
Copyright Year	2017
Description	Objective: The present study aimed to evaluate the association of 4-year-old children’s dietary patterns with adiposity at 7 years, according to child’s sex, using a conceptual model.Design: Prospective cohort study. Diet was assessed using an FFQ. Age- and sex-specific BMI standard deviation scores (Z-scores) were defined according to the WHO. Fat mass percentage (FM%), fat mass index (FMI) and waist-to-height ratio (WHtR) were also considered, converted into Z-scores using sex-specific means and standard deviations of the current sample. Dietary patterns were identified by latent class analysis and their association with adiposity was estimated by linear regression models.Setting: Population-based birth cohort Generation XXI (Porto, Portugal, 2005–2006).Subjects: Children (n 3473) evaluated at both 4 and 7 years of age.Results: Three dietary patterns were identified: high in energy-dense foods (EDF); low in foods typically consumed at main meals and intermediate in snacks (Snacking); and higher in vegetables and fish and lower in EDF (Healthier, reference). The EDF dietary pattern at 4 years of age was positively associated with later BMI only in girls (β=0·075, 95 % CI 0·009, 0·140, P-interaction=0·046). The EDF dietary pattern was also associated with other adiposity indicators only in girls (FMI: β=0·071, 95 % CI 0·000, 0·142; WHtR: β=0·094, 95 % CI 0·023, 0·164). Snacking was not significantly associated with any marker of adiposity in either girls or boys.Conclusions: Although dietary patterns and adiposity persisted across the two ages in both sexes, EDF at 4 years of age increased adiposity at 7 years of age only in girls.
Related Links	https://www.cambridge.org/core/services/aop-cambridge-core/content/view/F6F95EC206DD262BD196B3C94F57438A/S1368980017000854a.pdf/div-class-title-association-between-dietary-patterns-and-adiposity-from-4-to-7-years-of-age-div.pdf
Ending Page	1982
Page Count	10
Starting Page	1973
ISSN	13689800
e-ISSN	14752727
DOI	10.1017/s1368980017000854
Journal	Public Health Nutrition
Issue Number	11
Volume Number	20
Language	English
Publisher	Cambridge University Press (CUP)
Publisher Date	2017-08-01
Access Restriction	Open
Subject Keyword	Public Health Nutrition Nutrition and Dietetics school Children Dietary Patterns Sexual Dimorphism Cohort Study
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Public Health, Environmental and Occupational Health