Energy density, diet quality, and central body fat in a nationwide survey of young Spaniards

Schröder, Helmut; Mendez, Michelle A.; Gómez, Santiago F.; Fitó, Montserrat; Ribas, Lourdes; Aranceta-Bartrina, Javier; Serra-Majem, Lluís

doi:10.1016/j.nut.2013.05.019

Cited by 34 publications

(42 citation statements)

References 30 publications

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“…Several studies have shown that energy density is positively associated with energy intake in adult and younger populations [36,39]. It was therefore somewhat surprising that energy density increased with the inflammatory potential of the diet, with a concomitant decrease in total energy intake, in the present study.…”

Section: Discussionmentioning

confidence: 45%

“…These diet quality indicators capture different dietary dimensions and have been directly associated with healthy food consumption in the present population [22,36]. …”

Section: Discussionmentioning

confidence: 99%

“…In both adult and child populations, diets with low energy density are characterized by a high consumption of healthy foods, such as vegetables and fruits, reflecting a high diet quality [36,37]. Total dietary antioxidant capacity is based on the rationale that a diet rich in foods with high antioxidant potential will help to counterattack the harmful effects of free radicals in body tissues [38].…”

Section: Discussionmentioning

confidence: 99%

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Association of diet quality with dietary inflammatory potential in youth

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Schröder

Ribas‐Barba

et al. 2017

Food & Nutrition Research

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Background: Diet plays a crucial role in the regulation of chronic inflammation. The sparse evidence available in adult populations indicates that diet quality is linked to the dietary inflammatory potential; however, this association has not been established in youth.Design: Data were obtained from a representative national sample of 2889 children and young people in Spain, aged 6–24 years. The dietary inflammatory potential was measured by the dietary inflammatory index (DII), and diet quality by three conceptually different measures: the Mediterranean Diet Quality Index for children and adolescents (KIDMED), energy density, and total dietary antioxidants capacity.Results: The mean DII was 1.96 ± 0.76 units Scoring for the KIDMED index and the total dietary antioxidant capacity significantly decreased (p < 0.001 and p = 0.030, respectively) across quintiles of the DII, whereas the opposite was true for energy density (p < 0.001). The effect size of these associations was strongest for energy density, followed by the KIDMED index and total dietary antioxidant capacity.Conclusion: A healthy diet characterized by high adherence to the Mediterranean diet, high total dietary antioxidant capacity, or low energy density was linked to greater anti-inflammatory potential of the diet, as measured by the DII.

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Section: Discussionmentioning

confidence: 45%

“…These diet quality indicators capture different dietary dimensions and have been directly associated with healthy food consumption in the present population [22,36]. …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Association of diet quality with dietary inflammatory potential in youth

Bawaked

Schröder

Ribas‐Barba

et al. 2017

Food & Nutrition Research

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“…The KIDMED index was developed to determine Mediterranean diet adherence in youth [ 13 ]. Higher KIDMED scores have been associated with high nutrient adequacy, a healthier food consumption profile, and lesser weight and abdominal adiposity [ 14 , 19 , 20 , 27 ]. In the present study, high adherence to the Mediterranean diet, defined as scoring more than 8 points on the KIDMED index, was significantly more expensive (€/d and €/1000kcal/d) than low or medium adherence.…”

Section: Discussionmentioning

confidence: 99%

Monetary Diet Cost, Diet Quality, and Parental Socioeconomic Status in Spanish Youth

et al. 2016

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BackgroundUsing a food-based analysis, healthy dietary patterns in adults are more expensive than less healthy ones; studies are needed in youth. Therefore, the objective of the present study was to determine relationships between monetary daily diet cost, diet quality, and parental socioeconomic status.Design and MethodsData were obtained from a representative national sample of 3534 children and young people in Spain, aged 2 to 24 years. Dietary assessment was performed with a 24-hour recall. Mediterranean diet adherence was measured by the KIDMED questionnaire. Average food cost was calculated from official Spanish government data. Monetary daily diet cost was expressed as euros per day (€/d) and euros per day standardized to a 1000kcal diet (€/1000kcal/d).ResultsMean monetary daily diet cost was 3.16±1.57€/d (1.56±0.72€/1000kcal/d). Socioeconomic status was positively associated with monetary daily diet cost and diet quality measured by the KIDMED index (€/d and €/1000kcal/d, p<0.019). High Mediterranean diet adherence (KIDMED score 8–12) was 0.71 €/d (0.28€/1000kcal/d) more expensive than low compliance (KIDMED score 0–3). Analysis for nonlinear association between the KIDMED index and monetary daily diet cost per1000kcal showed no further cost increases beyond a KIDMED score of 8 (linear p<0.001; nonlinear p = 0.010).ConclusionHigher monetary daily diet cost is associated with healthy eating in Spanish youth. Higher socioeconomic status is a determinant for higher monetary daily diet cost and quality.

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“…pastries, sweets, confectionery, salty snacks, processed meat products, sugar-sweetened soft drinks, etc.) have been positively associated with the likelihood of central obesity in children and adolescents, while beneficial dietary behaviours (including a high consumption of dairy products, fruits, vegetables and grains, as well as a high adherence to a Mediterranean-style diet) have been inversely associated [15][16][17][18][19][20][21][22][23][24]. In addition, both a high physical activity or cardiorespiratory fitness level and a low time spent in sedentary activities (e.g.…”

Section: Introductionmentioning

confidence: 99%