Association Between Dietary Fiber Intake and Cardiometabolic Risk Factors in Adolescents in the United States.

Association Between Dietary Fiber Intake and Cardiometabolic Risk Factors in Adolescents in the United States.
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美国青少年膳食纤维摄入量与心脏代谢危险因素之间的关联。

DOI:
10.1016/j.jpeds.2023.113616
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发表时间:
2023
期刊:
The Journal of pediatrics
影响因子:
--
通讯作者:
Sethna,ChristineB
Sethna,ChristineB
中科院分区:
--
文献类型:
--
作者:
Carboni,Johnathon;Basalely,Abby;Singer,Pamela;Castellanos,Laura;Sethna,ChristineB

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目的确定膳食纤维摄入量与青少年心脏代谢风险标志物之间的关系,血压(BP)作为主要关注指标,次要指标包括其他已确定的儿童心脏代谢风险标志物,如肥胖、血脂、白蛋白尿、估计肾小球滤过率(eGFR)、研究设计通过两次24小时的饮食回忆访谈来评估膳食纤维摄入量,将其平均并根据体重进行校正。Logistic和线性回归模型用于分析膳食纤维和心脏代谢标志物之间的横截面关联。参与2009-2018年国家健康和营养检查调查的13-17岁参与者完成了24小时饮食回忆调查。排除标准包括妊娠、小于胎龄儿状态和主要健康合并症史。ResultsIn完全校正回归模型,低膳食纤维摄入量与舒张压升高显著相关(β = −13.29; 95% CI,-20.66至−5.93),体重指数评分(β = −0.91; 95%CI,-1.47至−0.34),尿酸(β = −0.80; 95%可信区间,-1.44至-0.16)结论低膳食纤维摄入量与儿童心脏代谢风险标志物之间的相关性表明,需要进行前瞻性研究,将纤维摄入量作为儿童心脏代谢风险标志物的一部分。儿童时期的饮食干预,并作为预防许多慢性疾病的工具。
ObjectiveTo determine the association between dietary fiber intake and markers of cardiometabolic risk in adolescents, with blood pressure (BP) as the primary outcome of interest and secondary outcome measures including other established markers of childhood cardiometabolic risk, such as obesity, lipids, albuminuria, estimated glomerular filtration rate (eGFR), and uric acid.Study designDietary fiber intake was assessed by two 24-hour dietary recall interviews, which were averaged and corrected for body weight. Logistic and linear regression models were used to analyze the cross-sectional association between dietary fiber and cardiometabolic markers. Participants aged 13-17 years in the National Health and Nutritional Examination Survey 2009-2018 who completed a 24-hour dietary recall survey were included. Exclusion criteria included pregnancy, small for gestational age status, and history of major health comorbidities.ResultsIn fully adjusted regression models, low dietary fiber intake was significantly associated with greater diastolic blood pressure (β = −13.29; 95% CI, –20.66 to −5.93), body mass indexz-score (β = −0.91; 95% CI, –1.47 to −0.34), and uric acid (β = −0.80; 95% CI, –1.44 to −0.16).ConclusionsThe association found between low dietary fiber intake and poor childhood cardiometabolic risk markers indicate a need for prospective studies using fiber intake as a dietary intervention in childhood and as a tool for prevention of many chronic conditions.
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