Protective Effects of Appropriate Amount of Nuts Intake on Childhood Blood Pressure Level: A Cross-Sectional Study

Feng, Yun; Bi, Yang; Tang, Xian; Zhang, Ping; Tong, Jishuang; Peng, Xin; Tian, Jie; Liang, Xiaohua

doi:10.3389/fmed.2021.793672

Cited by 15 publications

(9 citation statements)

References 48 publications

(65 reference statements)

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“…However, this study shows how nuts can contribute to achieving an adequate daily intake solely through kindergarten nutrition. In addition to their broad health benefits [ 22 , 45 ], nuts also improve overall diet quality [ 46 ], warranting their consideration in dietary guidelines. Caution is essential, however, when providing nuts to children in kindergartens due to choking risks, something that should be considered during preparation and serving.…”

Section: Discussionmentioning

confidence: 99%

Can Kindergarten Meals Improve the Daily Intake of Vegetables, Whole Grains, and Nuts among Preschool Children? A Randomized Controlled Evaluation

Berlic,

Battelino,

Korošec

2023

Nutrients

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Surveys have indicated that preschool children do not consume adequate amounts of vegetables, fruits, whole grains, and nuts. This cross-sectional intervention study aimed to investigate whether a meticulously crafted meal plan for children of kindergarten age (5–6 years) could effectively enhance their daily intake of nutritious foods. Ninety-four healthy children from six kindergartens were enrolled in the study and were randomly assigned to a prototype group (PG) and a control group (CG). The PG kindergartens (n = 4) received a prototype 5-day meal plan that included regulated portions of vegetables, fruits, whole grains, and nuts adhering to dietary guidelines. Conversely, the CG kindergartens (n = 2) adhered to their standard meal plan. Participants maintained their usual eating habits outside of kindergarten and during weekends. Using the dietary assessment tool Open Platform for Clinical Nutrition (OPEN), combined with a 7-day dietary record of food consumed inside and outside the kindergarten, the average daily intake of specific food groups was assessed and compared with the Dietary Guidelines for Children. A total of 57 participants completed the study, 40 from the PG and 17 from the CG. Among the PG participants, the average daily intake of vegetables, whole grains, and nuts compared with the guideline recommendations was significantly higher than in the CG. Notably, only meals consumed within the kindergarten setting significantly improved the overall intake, with the outside intake having no significant effect. This study underscores the vital role of a well-designed and precisely executed meal plan in kindergartens in improving children’s intake of healthy foods. The findings could help drive positive changes in child nutrition within educational environments.

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Section: Discussionmentioning

confidence: 99%

Can Kindergarten Meals Improve the Daily Intake of Vegetables, Whole Grains, and Nuts among Preschool Children? A Randomized Controlled Evaluation

Berlic,

Battelino,

Korošec

2023

Nutrients

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“…However, personality traits tend to be stable over time and consistent across situations ( 38 ). Another limitation was that not all risk factors for hypertension were available in this study ( 39 , 40 ). Finally, our results may not be extrapolated to other countries due to varied national conditions.…”

Section: Discussionmentioning

confidence: 99%

Association Between Extraversion Personality With the Blood Pressure Level in Adolescents

Liang

Hao

Xiao

et al. 2022

Front. Cardiovasc. Med.

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PurposeThe association between extraversion personality and high blood pressure (BP) has not been well-studied. This study aims to explore the association between extraversion personality and the BP level in a large sample of adolescents.MethodsAs an ongoing study, 5,246 children aged 6–9 years were recruited using a stratified cluster sampling method in 2014. The extraversion personality trait, assessed by the Eysenck personality questionnaire (EPQ, answered by adolescents) in 2019, was used in the main analysis. A total of 3,407 participants were eligible and included in this analysis.ResultsThe EPQ extraversion score was negatively associated with a systolic BP, a diastolic BP, and mean arterial pressure (MAP) in a univariate analysis. After adjusting for other covariates, high extraversion score was negatively associated with systolic BP (β = −0.026; 95% CI = −0.047, −0.004; p = 0.002). There was an interaction between regions and the extraversion score on systolic BP (Pinteraction = 0.037). The stratified analysis showed that, in rural areas, the extraversion score was negatively associated with systolic BP (β = −0.050; 95% CI = −0.081, −0.016; p = 0.004). However, we did find an association between the extraversion score and systolic BP in urban areas (β = 0.000; 95% CI = −0.028, 0.028; p = 0.996). Similar results were observed for the extraversion assessed by parents.ConclusionsWe observed that extraversion personality was negatively associated with high BP in adolescents, especially for those who were living in rural areas. Our results suggested that a comprehensive intervention should be implemented to promote psychological health in adolescents.

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“…Venous blood (3 ml) was drawn in the morning after at least 12 hours of fasting from each of the participants who gave informed consents. The biochemical indexes and glycosylated hemoglobin were measured within two hours after venous blood was drawn, which was introduced by several publicized papers [ 11 , 14 , 21 – 23 ]. Moreover, the ratio of TG/HDL-C was used as a parameter to assess lipid metabolism [ 4 ].…”

Section: Methodsmentioning

confidence: 99%

The Determinants of Adolescent Glycolipid Metabolism Disorder: A Cohort Study

Liang

Xiao

Chen

et al. 2022

International Journal of Endocrinology

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Background. The increased prevalence of glycolipid metabolism disorders (GLMD) in childhood and adolescents has a well-established association with adult type 2 diabetes and cardiovascular diseases; therefore, determinants of GLMD need to be evaluated during this period. Objectives. To explore the prevalence of and risk factors for GLMD from the prenatal period through childhood and adolescence. Methods. A bidirectional cohort study which was established in 2014 and followed between March 1 and July 20, 2019, was used to illustrate the impact factors for GLMD. Stratified cluster sampling in urban-rural areas was used to include subjects from four communities in Chongqing. 2808 healthy children aged between 6 and 9 years in 2014 entered the cohort in 2014 and followed in 2019 with a follow-up rate of 70%. 2,136 samples (aged 11.68 ± 0.60 years) were included. Results. The prevalence rates of insulin resistance (IR), prediabetes/diabetes, and dyslipidemia were 21.02%, 7.19%, and 21.61%, respectively. Subjects with an urban residence, no pubertal development, dyslipidemia in 2014, higher family income, and higher parental education had significantly elevated fasting insulin (FI) or homeostasis model assessment of insulin resistance (HOMA-IR) levels; subjects with female sex, no pubertal development, dyslipidemia in 2014, obesity, gestational hypertension, maternal weight gain above Institute of Medicine guidelines, and single parents had increased triglyceride or triglyceride/high-density lipoprotein (HDL). Adolescents with rural residence had higher HbA1c level. Conclusion. We observed that the prevalence of GLMD was high in childhood and adolescents, and rural-urban areas, sex, pubertal development, dyslipidemia in a younger age, maternal obesity, and hypertension were associated with increased GLMD risk, suggesting that implementing the community-family intervention to improve the GLMD of children is essential.

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Protective Effects of Appropriate Amount of Nuts Intake on Childhood Blood Pressure Level: A Cross-Sectional Study

Cited by 15 publications

References 48 publications

Can Kindergarten Meals Improve the Daily Intake of Vegetables, Whole Grains, and Nuts among Preschool Children? A Randomized Controlled Evaluation

Can Kindergarten Meals Improve the Daily Intake of Vegetables, Whole Grains, and Nuts among Preschool Children? A Randomized Controlled Evaluation

Association Between Extraversion Personality With the Blood Pressure Level in Adolescents

The Determinants of Adolescent Glycolipid Metabolism Disorder: A Cohort Study

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