Dietary quality indices in relation to cardiometabolic risk among Finnish children aged 6-8years-The PANIC study
Dietary quality indices in relation to cardiometabolic risk among Finnish children aged 6-8years-The PANIC study
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DOI：
10.1016/j.numecd.2016.05.005
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发表时间：
2016-09-01
影响因子：
3.9
通讯作者：
Lindi, V.
中科院分区：
文献类型：
--
作者：
Eloranta, A. M.;Schwab, U.;Lindi, V.
背景和目的：目前还没有关于饮食质量指数与儿童心脏代谢危险因素聚集性的关系的研究。因此，我们在芬兰儿童中调查了四种饮食质量指数与心脏代谢危险分数和心脏代谢危险因素的关系。方法和结果：研究对象为6-8岁的204名男孩和198名女孩。我们通过4天的食物记录来评估饮食，并计算停止高血压的饮食方法(DASH)评分、波罗的海饮食评分(BSD)、地中海饮食评分(MDS)和芬兰儿童健康饮食指数(FCHEI)。我们计算了年龄和性别调整的心脏代谢风险评分，将腰围、平均收缩压和舒张压以及空腹血清胰岛素和空腹血糖、甘油三酯和高密度脂蛋白浓度的Z分数相加，最后乘以-1。在调整了年龄、体力活动、电子媒体时间和家庭收入后，FCHEI较高的男孩心脏代谢风险得分较低(标准化回归系数β=-0.14，P=0.044)。男童DASH评分越高，血胰岛素水平越低(β=-0.15，P=0.028)。男生较高的DASH评分(β=-0.16，P=0.023)和FCHEI(β=-0.17，P=0.014)与甘油三酯浓度降低有关。女孩的FCHEI越高，甘油三酯浓度越低(β=-0.16，P=0.033)。女孩的DASH得分(β=-0.19，P=0.011)和BSD(β=-0.23，P=0.001)与较低的高密度脂蛋白水平相关。结论：高FCHEI与较低的心脏代谢风险有关，而DASH得分、BSD和MDS与儿童的心脏代谢风险无关。(C)2016年意大利糖尿病学会、意大利动脉粥样硬化研究学会、意大利人类营养学会和费德里科二世大学临床内外科。爱思唯尔出版，版权所有。
Background and aims: There are no studies on the relationships of dietary quality indices to the clustering of cardiometabolic risk factors in children. We therefore investigated the associations of four dietary quality indices with cardiometabolic risk score and cardiometabolic risk factors in Finnish children.Methods and results: Subjects were a population sample of 204 boys and 198 girls aged 6-8 years. We assessed diet by 4-day food records and calculated Dietary Approaches to Stop Hypertension (DASH) Score, Baltic Sea Diet Score (BSDS), Mediterranean Diet Score (MDS), and Finnish Children Healthy Eating Index (FCHEI). We calculated the age-and sex-adjusted cardiometabolic risk score summing up Z-scores for waist circumference, mean of systolic and diastolic blood pressure and concentrations of fasting serum insulin and fasting plasma glucose, triglycerides and HDL cholesterol, the last multiplying by -1. Higher FCHEI was associated with lower cardiometabolic risk score among boys (standardised regression coefficient beta = -0.14, P = 0.044) adjusted for age, physical activity, electronic media time and household income. Higher DASH Score was related to a lower serum insulin in boys (beta = -0.15, P = 0.028). Higher DASH Score (beta = -0.16, P = 0.023) and FCHEI (beta = -0.17, P = 0.014) were related to lower triglyceride concentration in boys. Higher FCHEI was associated with lower triglyceride concentration in girls (beta = -0.16, P = 0.033). Higher DASH Score (beta = -0.19, P = 0.011) and BSDS (beta = -0.23, P = 0.001) were associated with lower plasma HDL cholesterol concentration in girls.Conclusion: Higher FCHEI was associated with lower cardiometabolic risk among boys, whereas DASH Score, BSDS or MDS were not associated with cardiometabolic risk in children. (C) 2016 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.