Prospective association between adherence to UK dietary guidelines in school-age children and cardiometabolic risk markers in adolescence/early adulthood in the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort.
Prospective association between adherence to UK dietary guidelines in school-age children and cardiometabolic risk markers in adolescence/early adulthood in the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort.
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DOI：
10.1017/s0007114523000685
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发表时间：
2023-11-28
期刊：
影响因子：
--
通讯作者：
Northstone K
中科院分区：
文献类型：
--
作者：
Buckland G;Taylor CM;Emmett PM;Northstone K
关于儿童时期遵循英国膳食指南如何影响心脏代谢健康的研究是有限的。利用雅芳父母与儿童纵向研究（ALSPAC）的数据，探讨了儿童时期遵守英国饮食指南与青春期/成年早期总体心脏代谢风险（CMR）之间的关系。纳入了在7岁、10岁和13岁完成饮食日记的ALSPAC儿童，以及17岁（1940年）和24岁（1957年）的CMR标记数据。通过将每个年龄段的饮食摄入量与英国九种食物/营养素的饮食指南进行比较，得出了儿童Eatwell指南（C-EWG）评分。17岁和24岁时的心脏代谢健康使用综合CMR评分进行评估。多变量线性回归模型检验了7岁、10岁和13岁时的C-EWG评分与17岁和24岁时的CMR评分之间的关系，并对混杂因素进行了调整。C-EWG评分普遍较低。然而，7岁时较高的评分（遵守更多的饮食指南）与17岁和24岁时较低的CMR评分相关：C-EWG评分每增加1分，分别为β - 0.13 （95% CI - 0.25, - 0.01）和β - 0.25 （95% CI - 0.38, - 0.13）。10岁时较高的C-EWG评分也与24岁时较低的CMR z评分相关。在其他年龄段没有明显的关联。在儿童中期更严格地遵守英国饮食指南与更好的整体心脏代谢状况有关，这表明鼓励儿童以这种方式饮食对健康有长期益处。
Research into how alignment to UK dietary guidelines during childhood affects cardiometabolic health is limited. The association between adherence to UK dietary guidelines during childhood and overall cardiometabolic risk (CMR) in adolescence/early adulthood was explored using data from the Avon Longitudinal Study of Parents and Children (ALSPAC). ALSPAC children with diet diaries completed at 7, 10 and 13 years of age, and data on CMR markers at 17 years (n 1940) and 24 years (n 1957) were included. A children’s Eatwell Guide (C-EWG) score was created by comparing dietary intakes at each age to UK dietary guidelines for nine foods/nutrients. Cardiometabolic health at 17 and 24 years was assessed using a composite CMR score. Multivariable linear regression models examined associations between C-EWG scores at 7, 10 and 13 years and the CMR score at 17 and 24 years, adjusting for confounders. C-EWG scores were generally low. However, a higher score (adherence to more dietary guidelines) at 7 years old was associated with a lower CMR score at 17 and 24 years: β −0·13 (95 % CI −0·25, –0·01) and β −0·25 (95 % CI −0·38, –0·13) for a 1-point increase in C-EWG score, respectively. A higher C-EWG score at 10 years was also associated with a lower CMR z-score at 24 years. No clear associations were evident at other ages. Greater adherence to UK dietary guidelines during mid-childhood was associated with a better overall cardiometabolic profile, suggesting that encouraging children to eat in this way has long-term benefits to health.
影响因子：
3.7
作者：
Lassale C;Galan P;Julia C;Fezeu L;Hercberg S;Kesse-Guyot E
通讯作者：
Kesse-Guyot E