Identification of a dietary pattern associated with greater cardiometabolic risk in adolescence
Background and aims: Energy dense, high fat, low fibre diets may contribute to obesity in young people, however their relationships with other cardiometabolic risk factors are unclear. We examined associations between an ‘energy-dense, high-fat and low-fibre’ dietary pattern (DP) and cardiometabolic...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2015
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| Online Access: | http://psasir.upm.edu.my/id/eprint/37915/ http://psasir.upm.edu.my/id/eprint/37915/1/Identification%20of%20a%20dietary%20pattern%20associated%20with%20greater%20cardiometabolic%20risk%20in%20adolescence.pdf |
| _version_ | 1848848735167053824 |
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| author | Appannah, Geeta Pot, Gerda Karolien Huang, Rae Chi Oddy, Wendy H. Beilin, Lawrence J. Mori, Trevor A. Jebb, Susan A. Ambrosini, Gina Leslie |
| author_facet | Appannah, Geeta Pot, Gerda Karolien Huang, Rae Chi Oddy, Wendy H. Beilin, Lawrence J. Mori, Trevor A. Jebb, Susan A. Ambrosini, Gina Leslie |
| author_sort | Appannah, Geeta |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Background and aims: Energy dense, high fat, low fibre diets may contribute to obesity in young people, however their relationships with other cardiometabolic risk factors are unclear. We examined associations between an ‘energy-dense, high-fat and low-fibre’ dietary pattern (DP) and cardiometabolic risk factors, and the tracking of this DP in adolescence. Methods and results: Data was sourced from participants in the Western Australian Pregnancy (Raine) Cohort Study. At 14 and 17 y, dietary intake, anthropometric and biochemical data were measured and z-scores for an ‘energy dense, high fat and low fibre’ DP were estimated using reduced rank regression (RRR). Associations between DP z-scores and cardiometabolic risk factors were examined using regression models. Tracking of DP z-scores was assessed using Pearson's correlation coefficient. A 1 SD unit increase in DP z-score between 14 and 17 y was associated with a 20% greater odds of high metabolic risk (95% CI: 1.01, 1.41) and a 0.04 mmol/L higher fasting glucose in boys (95% CI: 0.01, 0.08); a 28% greater odds of a high-waist circumference (95% CI: 1.00, 1.63) in girls. An increase of 3% and 4% was observed for insulin and HOMA (95% CI: 1%, 7%), respectively, in boys and girls, for every 1 SD increase in DP z-score and independently of BMI. The DP showed moderate tracking between 14 and 17 y of age (r = 0.51 for boys, r = 0.45 for girls). Conclusion: An ‘energy dense, high fat, low fibre’ DP is positively associated with cardiometabolic risk factors and tends to persist throughout adolescence. |
| first_indexed | 2025-11-15T09:39:13Z |
| format | Article |
| id | upm-37915 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T09:39:13Z |
| publishDate | 2015 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-379152015-12-29T09:41:54Z http://psasir.upm.edu.my/id/eprint/37915/ Identification of a dietary pattern associated with greater cardiometabolic risk in adolescence Appannah, Geeta Pot, Gerda Karolien Huang, Rae Chi Oddy, Wendy H. Beilin, Lawrence J. Mori, Trevor A. Jebb, Susan A. Ambrosini, Gina Leslie Background and aims: Energy dense, high fat, low fibre diets may contribute to obesity in young people, however their relationships with other cardiometabolic risk factors are unclear. We examined associations between an ‘energy-dense, high-fat and low-fibre’ dietary pattern (DP) and cardiometabolic risk factors, and the tracking of this DP in adolescence. Methods and results: Data was sourced from participants in the Western Australian Pregnancy (Raine) Cohort Study. At 14 and 17 y, dietary intake, anthropometric and biochemical data were measured and z-scores for an ‘energy dense, high fat and low fibre’ DP were estimated using reduced rank regression (RRR). Associations between DP z-scores and cardiometabolic risk factors were examined using regression models. Tracking of DP z-scores was assessed using Pearson's correlation coefficient. A 1 SD unit increase in DP z-score between 14 and 17 y was associated with a 20% greater odds of high metabolic risk (95% CI: 1.01, 1.41) and a 0.04 mmol/L higher fasting glucose in boys (95% CI: 0.01, 0.08); a 28% greater odds of a high-waist circumference (95% CI: 1.00, 1.63) in girls. An increase of 3% and 4% was observed for insulin and HOMA (95% CI: 1%, 7%), respectively, in boys and girls, for every 1 SD increase in DP z-score and independently of BMI. The DP showed moderate tracking between 14 and 17 y of age (r = 0.51 for boys, r = 0.45 for girls). Conclusion: An ‘energy dense, high fat, low fibre’ DP is positively associated with cardiometabolic risk factors and tends to persist throughout adolescence. Elsevier 2015-07 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/37915/1/Identification%20of%20a%20dietary%20pattern%20associated%20with%20greater%20cardiometabolic%20risk%20in%20adolescence.pdf Appannah, Geeta and Pot, Gerda Karolien and Huang, Rae Chi and Oddy, Wendy H. and Beilin, Lawrence J. and Mori, Trevor A. and Jebb, Susan A. and Ambrosini, Gina Leslie (2015) Identification of a dietary pattern associated with greater cardiometabolic risk in adolescence. Nutrition, Metabolism and Cardiovascular Diseases, 25 (7). pp. 643-650. ISSN 0939-4753; ESSN: 1590-3729 http://www.sciencedirect.com/science/article/pii/S0939475315001131 10.1016/j.numecd.2015.04.007 |
| spellingShingle | Appannah, Geeta Pot, Gerda Karolien Huang, Rae Chi Oddy, Wendy H. Beilin, Lawrence J. Mori, Trevor A. Jebb, Susan A. Ambrosini, Gina Leslie Identification of a dietary pattern associated with greater cardiometabolic risk in adolescence |
| title | Identification of a dietary pattern associated with greater cardiometabolic risk in adolescence |
| title_full | Identification of a dietary pattern associated with greater cardiometabolic risk in adolescence |
| title_fullStr | Identification of a dietary pattern associated with greater cardiometabolic risk in adolescence |
| title_full_unstemmed | Identification of a dietary pattern associated with greater cardiometabolic risk in adolescence |
| title_short | Identification of a dietary pattern associated with greater cardiometabolic risk in adolescence |
| title_sort | identification of a dietary pattern associated with greater cardiometabolic risk in adolescence |
| url | http://psasir.upm.edu.my/id/eprint/37915/ http://psasir.upm.edu.my/id/eprint/37915/ http://psasir.upm.edu.my/id/eprint/37915/ http://psasir.upm.edu.my/id/eprint/37915/1/Identification%20of%20a%20dietary%20pattern%20associated%20with%20greater%20cardiometabolic%20risk%20in%20adolescence.pdf |