Usual Dietary Energy Density Distribution Is Positively Associated with Excess Body Weight in Mexican Children ,

Aburto, Tania C; Cantoral, Alejandra; Hernández-Barrera, Lucía; Carriquiry, Alicia L.; Rivera‐Dommarco, Juan

doi:10.3945/jn.114.206359

Cited by 22 publications

(18 citation statements)

References 28 publications

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“…Kral et al suggested that sample size (n 49) might have been too small to detect significant association between the two variables. Moreover, although 3-d weighed food records were used in the previous study, there was no control for under-reporters that have shown to affect the results in our and previous studies (15,23,53) .…”

Section: Discussionmentioning

confidence: 94%

Associations of dietary energy density with body composition and cardiometabolic risk in children with overweight and obesity: role of energy density calculations, under-reporting energy intake and physical activity

et al. 2019

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This study examined (1) the association of dietary energy density from solid (EDS) and solid plus liquids (EDSL) with adiposity and cardiometabolic risk factors (CRF) in children with overweight and obesity, (2) the effect of under-reporting on the mentioned associations and (3) whether the association between ED and body composition and CRF is influenced by levels of physical activity. In a cross-sectional design, 208 overweight and obese children (8–12-year-old; 111 boys) completed two non-consecutive 24 h recalls. ED was calculated using two different approaches: EDS and EDSL. Under-reporters were determined with the Goldberg method. Body composition, anthropometry and fasting blood sample measurements were performed. Moderate to vigorous physical activity (MVPA) was registered with accelerometers (7-d-register). Linear regressions were performed to evaluate the association of ED with the previously mentioned variables. Neither EDS nor EDSL were associated with body composition or CRF. However, when under-reporters were excluded, EDS was positively associated with BMI (P=0·019), body fat percentage (P=0·005), abdominal fat (P=0·008) and fat mass index (P=0·018), while EDSL was positively associated with body fat percentage (P=0·008) and fat mass index (P=0·026). When stratifying the group according to physical activity recommendations, the aforementioned associations were only maintained for non-compliers. Cluster analysis showed that the low-ED and high-MVPA group presented the healthiest profile for all adiposity and CRF. These findings could partly explain inconsistencies in literature, as we found that different ED calculations entail distinct results. Physical activity levels and excluding under-reporters greatly influence the associations between ED and adiposity in children with overweight and obesity.

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Section: Discussionmentioning

confidence: 94%

Associations of dietary energy density with body composition and cardiometabolic risk in children with overweight and obesity: role of energy density calculations, under-reporting energy intake and physical activity

et al. 2019

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“…In children, evidence of the association of DED with OW/O is weaker [ 11 , 20 , 21 ] and is related with the ability [ 22 , 23 ] or inability [ 24 , 25 ] to compensate for energy intake. However, some observational studies have documented that high DED intake leads to increased adiposity [ 20 , 26 ] and weight gain [ 27 ]. In adolescents, the evidence is inconsistent [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Dietary Energy Density and Its Association with Overweight or Obesity in Adolescents: A Systematic Review of Observational Studies

et al. 2018

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Dietary energy density (DED) has been identified as a crucial dietary factor in body weight control, in that higher DED has been associated with weight gain. To our knowledge, no review studies have explained this association specifically in adolescents. The aim of this study was to describe the association of DED with overweight or obesity (OW/O) in adolescents, as derived from observational studies. We conducted a systematic search of the MEDLINE/PubMed and Science Direct databases, including studies published between January 2000 and December 2017. We selected the studies that included adolescents (aged 10–19 years) and contained DED-related information and anthropometric measurements of OW/O. From 1149 candidate studies, 30 were selected, though only 12 met all the inclusion criteria. Of these, only four found a positive association between DED and certain OW/O indicators, six found no association and two showed an inverse association with weight gain. These studies differed in several aspects such as design, DED calculation method and dietary assessment tool, leading to inconsistent results. Methodological differences found among the examined studies did not allow us to establish a clear conclusion of this association. Evidence in adolescents was also poor. New, standardized methodological approaches should be considered in future studies.

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“…The evidence linking dietary intakes and PA with obesity among children and adolescents is inconclusive and contradictory. [ 8 9 10 ] Energy intakes in children and adolescents have shown a small or no association with weight status in previous epidemiologic studies, partly because of a possibly underreported dietary intake. [ 11 12 ] Several studies on overweight and obesity among children and adolescents indicate a significant association between weight status and PA.[ 13 ] To date, most studies focused on either PA or dietary intakes, and few took both into account.…”

Section: Introductionmentioning

confidence: 99%

Epidemics of overweight and obesity among growing childhood in China between 1997 and 2009

Zhang

Wang

et al. 2015

Chinese Medical Journal

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Background:Obesity has become a major health problem among children and adolescents worldwide. This study aimed to examine the trends of overweight and obesity among childhood in China and assess their associations with family income, dietary intake, and physical activity (PA) between 1997 and 2009.Methods:Two waves of cross-sectional data of Chinese children and adolescents aged 7–17 years from the China Health and Nutrition Survey were used. Weight and height were measured following standardized procedures. Dietary intake was assessed by 3 consecutive 24-h recalls. Childhood overweight and obesity were defined using the International Obesity Task Force-recommended body mass index cut-offs. Multivariate linear regression analysis was used to examine the associations of family income with diet intakes and PA. Multivariate logistic regression analysis was conducted to assess the associations of overweight and obesity with family income, dietary intake, and PA.Results:The prevalence of childhood overweight and obesity increased from 12.6% in 1997 to 22.1% in 2009, particularly in the medium- and high-family income groups, which increased by 102.7% and 90.3%, respectively. Higher fat intake (% energy), and moderate and vigorous PA were significantly associated with overweight and obesity in final model (odds ratio [OR] = 1.01, 95% confidence interval [CI]: 1.00–1.02, P = 0.004; and OR = 0.99, 95% CI: 0.98–1.00, P = 0.036, respectively).Conclusions:The prevalence of overweight and obesity among Chinese children and adolescents has increased between 1997 and 2009. Reducing fat intake and increasing PA may help obesity prevention.

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Usual Dietary Energy Density Distribution Is Positively Associated with Excess Body Weight in Mexican Children ,

Abstract: A positive association between usual DED and OW/O was found in Mexican children. The association was stronger when only plausible reporters were considered. This suggests that there is a need for strategies to reduce energy density in the diet of Mexican children.

Cited by 22 publications

References 28 publications

Associations of dietary energy density with body composition and cardiometabolic risk in children with overweight and obesity: role of energy density calculations, under-reporting energy intake and physical activity

Associations of dietary energy density with body composition and cardiometabolic risk in children with overweight and obesity: role of energy density calculations, under-reporting energy intake and physical activity

Dietary Energy Density and Its Association with Overweight or Obesity in Adolescents: A Systematic Review of Observational Studies

Epidemics of overweight and obesity among growing childhood in China between 1997 and 2009

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