Dietary glycemic index and glycemic load in relation to risk of overweight in Japanese children and adolescents: the Ryukyus Child Health Study
Dietary glycemic index and glycemic load in relation to risk of overweight in Japanese children and adolescents: the Ryukyus Child Health Study
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DOI：
10.1038/ijo.2011.59
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发表时间：
2011-07-01
影响因子：
4.9
通讯作者：
Arakawa, M.
中科院分区：
文献类型：
--
作者：
Murakami, K.;Miyake, Y.;Arakawa, M.
目的：关于饮食血糖指数（GI）和血糖负荷（GL）在儿童和青少年肥胖中的作用的流行病学证据有限，特别是在非西方人群中。我们研究了日本儿童和青少年膳食GI和GL以及膳食纤维摄入量与超重状况之间的关系。（6-11岁; 7 956名男孩和8 018名女孩）和8 202名青少年方法：采用儿童和青少年自填式饮食史调查问卷，对儿童和青少年的饮食摄入进行评估。根据自我报告的体重和身高计算体重指数（BMI）。超重的定义是根据国际肥胖工作组的年龄和性别特异性BMI临界值，相当于成人BMI ≥ 25 kgm.Results：超重的总患病率为13.2%。平均值（s.d.）膳食GI为63.0（3.1），平均膳食GL为85.0（12.4）/4184 kJ（1000 kcal），平均膳食纤维摄入量为5.9（1.2）g/4184 kJ。在调整潜在的混杂因素后，饮食GL与男性儿童、女性儿童和男性青少年的超重风险呈正相关（P <0.05）。
Objective: Epidemiologic evidence concerning the role of dietary glycemic index (GI) and glycemic load (GL) in obesity during childhood and adolescence is limited, particularly in non-Western populations. We examined the association between dietary GI and GL as well as dietary fiber intake and overweight status in Japanese children and adolescents.Subjects: This Japanese cross-sectional study included 15 974 children (6-11 years; 7956 boys and 8018 girls) and 8202 adolescents (12-15 years; 3944 boys and 4258 girls).Methods: Dietary intake was assessed using a self-administered diet history questionnaire for children and adolescents. Body mass index (BMI) was calculated from self-reported body weight and height. Overweight was defined according to the International Obesity Task Force age-and sex-specific BMI cutoffs, which correspond to an adult BMI of >= 25 kgm(-2).Results: The overall prevalence of overweight was 13.2%. Mean (s.d.) dietary GI was 63.0 (3.1), mean dietary GL was 85.0 (12.4) per 4184 kJ (1000 kcal) and mean dietary fiber intake was 5.9 (1.2) g/4184 kJ. After adjustment for potential confounding factors, dietary GL was positively associated with the risk of overweight in male children, female children and male adolescents (P for trend