Articles producció científica> Medicina i Cirurgia

Association between early dietary patterns and cardiometabolic health at age 8: a confirmatory analysis of the European Childhood Obesity Project

  • Dades identificatives

    Identificador: imarina:9446329
    Autors:
    Gispert-Llaurado, MarionaEscribano, JoaquinFerre, NataliaGrote, VeitKoletzko, BertholdAmbrosini, GinaVerduci, ElviraGruszfeld, DariuszXhonneux, AnnickLuque, Veronica
    Resum:
    Background & Aim Metabolic and cardiovascular health outcomes are strongly influenced by diet. Dietary habits established in early childhood may persist into adulthood. This study aimed to examine the association between dietary patterns at both 2 and 8 years of age, explaining the maximum variability of high- and low-quality fats, sugars, and fibre, and cardiometabolic markers at age 8 years. Methods This was a secondary analysis of the European Childhood Obesity Project, formerly a randomized clinical trial across five European countries performed in healthy term newborns. Children in the study were categorized at ages 2 and 8 years into two groups based on cluster analysis of dietary patterns (DP) derived from Reduction Rank Regression (RRR). A cross-sectional and prospective analysis was conducted to evaluate the associations between these DPs and cardiometabolic outcomes, including body mass index (BMI), blood pressure (BP), and biochemical markers. Triglycerides, HDL cholesterol and insulin resistance index (HOMA-IR) were also categorized as altered versus normal values. Asociations between dietary patterns and health outcomes were assessed using linear and logistic regression models, adjusting for covariates based on a step-wise approach. Results A total of 336 children were classified based on quality of nutrient intakes into either a "Poor-Quality dietary pattern" (PQ-DP) (48% and 66% of infants at 2 and 8 years, respectively) or the "Health-Conscious dietary pattern" (HC-DP) (52% and 34% of infants at 2 and 8 years, respectively). Following a PQ-DP at both ages 2 and 8 was associated with higher triglycerides (beta = 0.061, p = 0.049), systolic and diastolic BP (beta = 13.019, p < 0.001 & beta = 7.612, p = 0.014, respectively) and altered levels of HOMA-IR (OR
  • Altres:

    Autor segons l'article: Gispert-Llaurado, Mariona; Escribano, Joaquin; Ferre, Natalia; Grote, Veit; Koletzko, Berthold; Ambrosini, Gina; Verduci, Elvira; Gruszfeld, Dariusz; Xhonneux, Annick; Luque, Veronica
    Departament: Medicina i Cirurgia
    Autor/s de la URV: Escribano Subías, Joaquín / Ferre Pallas, Natalia / Gispert Llauradó, Mariona / Luque Moreno, Verònica
    Paraules clau: Young-children Weight Triglycerides Ris Reduction rank regression Prospective studies Prospective analyses Prospective analyse Poor quality dietary pattern Pediatric obesity Parents Mid-childhood Markers Male Lower protein Insulin resistance Insulin Infant formula Humans Glucose Female Feeding behavior Europe Early childhood nutrition Dietary patterns Dietary fiber Diet Cross-sectional studies Cluster Cholesterol, hdl Child, preschool Child Cardiovascular diseases Cardiometabolic risk factors Cardiometabolic health Body mass index Blood pressure Biomarkers
    Resum: Background & Aim Metabolic and cardiovascular health outcomes are strongly influenced by diet. Dietary habits established in early childhood may persist into adulthood. This study aimed to examine the association between dietary patterns at both 2 and 8 years of age, explaining the maximum variability of high- and low-quality fats, sugars, and fibre, and cardiometabolic markers at age 8 years. Methods This was a secondary analysis of the European Childhood Obesity Project, formerly a randomized clinical trial across five European countries performed in healthy term newborns. Children in the study were categorized at ages 2 and 8 years into two groups based on cluster analysis of dietary patterns (DP) derived from Reduction Rank Regression (RRR). A cross-sectional and prospective analysis was conducted to evaluate the associations between these DPs and cardiometabolic outcomes, including body mass index (BMI), blood pressure (BP), and biochemical markers. Triglycerides, HDL cholesterol and insulin resistance index (HOMA-IR) were also categorized as altered versus normal values. Asociations between dietary patterns and health outcomes were assessed using linear and logistic regression models, adjusting for covariates based on a step-wise approach. Results A total of 336 children were classified based on quality of nutrient intakes into either a "Poor-Quality dietary pattern" (PQ-DP) (48% and 66% of infants at 2 and 8 years, respectively) or the "Health-Conscious dietary pattern" (HC-DP) (52% and 34% of infants at 2 and 8 years, respectively). Following a PQ-DP at both ages 2 and 8 was associated with higher triglycerides (beta = 0.061, p = 0.049), systolic and diastolic BP (beta = 13.019, p < 0.001 & beta = 7.612, p = 0.014, respectively) and altered levels of HOMA-IR (OR = 3.1, p = 0.037, 95% CI = 1.1-9.1) at 8 years, compared to children with an HC-DP at both ages, after adjusting for confounders. Conclusion Adherence to a dietary pattern with a poorer nutritional profile in early childhood and school age is associated with worse cardiometabolic risk markers at 8 years old.
    Àrees temàtiques: Serviço social Saúde coletiva Química Psicología Nutrition and dietetics Nutrition & dietetics Nutrição Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Interdisciplinar Farmacia Ensino Engenharias ii Enfermagem Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências agrárias i Ciência de alimentos Ciência da computação Biotecnología Astronomia / física
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: mariona.gispert@iispv.cat mariona.gispert@iispv.cat veronica.luque@urv.cat natalia.ferre@urv.cat joaquin.escribano@urv.cat
    Identificador de l'autor: 0000-0002-4586-8079 0000-0002-4586-8079 0000-0003-2615-8175 0000-0002-2838-1525 0000-0002-5041-459X
    Data d'alta del registre: 2025-03-03
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Referència a l'article segons font original: Nutrition Journal. 24 (1): 18-
    Referència de l'ítem segons les normes APA: Gispert-Llaurado, Mariona; Escribano, Joaquin; Ferre, Natalia; Grote, Veit; Koletzko, Berthold; Ambrosini, Gina; Verduci, Elvira; Gruszfeld, Dariusz; (2025). Association between early dietary patterns and cardiometabolic health at age 8: a confirmatory analysis of the European Childhood Obesity Project. Nutrition Journal, 24(1), 18-. DOI: 10.1186/s12937-025-01080-1
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2025
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Medicine (Miscellaneous),Nutrition & Dietetics,Nutrition and Dietetics
    Young-children
    Weight
    Triglycerides
    Ris
    Reduction rank regression
    Prospective studies
    Prospective analyses
    Prospective analyse
    Poor quality dietary pattern
    Pediatric obesity
    Parents
    Mid-childhood
    Markers
    Male
    Lower protein
    Insulin resistance
    Insulin
    Infant formula
    Humans
    Glucose
    Female
    Feeding behavior
    Europe
    Early childhood nutrition
    Dietary patterns
    Dietary fiber
    Diet
    Cross-sectional studies
    Cluster
    Cholesterol, hdl
    Child, preschool
    Child
    Cardiovascular diseases
    Cardiometabolic risk factors
    Cardiometabolic health
    Body mass index
    Blood pressure
    Biomarkers
    Serviço social
    Saúde coletiva
    Química
    Psicología
    Nutrition and dietetics
    Nutrition & dietetics
    Nutrição
    Medicine (miscellaneous)
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    Farmacia
    Ensino
    Engenharias ii
    Enfermagem
    Educação física
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências agrárias i
    Ciência de alimentos
    Ciência da computação
    Biotecnología
    Astronomia / física
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