Are the EAT-Lancet dietary recommendations associated with cardiometabolic health? - insights from the Generation XXI cohort from childhood into early adolescence.
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引用次数: 0
Abstract
Background: The prospective effect of healthy and planetary diets on cardiometabolic health at young ages remains unclear.
Objective: This study aims to investigate the prospective associations between adherence to the EAT-Lancet dietary recommendations at age 7 and the prevalence of obesity and Metabolic Syndrome (MetS) at 7, 10, and 13 years old (y).
Methods: Participants are children from the Generation XXI birth cohort, who completed 3-day food diaries at age 7, with complete data in variables of interest (n 3564). Adherence to the EAT-Lancet dietary recommendations was evaluated using the World Index for Sustainability and Health (WISH); a higher score indicating a healthier and environmentally sustainable diet. At 7, 10 and 13y, anthropometrics (weight, height and waist circumference-WC), blood pressure (BP) and serum-fasting triglycerides, HDL-cholesterol and glucose were measured. Obesity and MetS prevalence were determined by the World Health Organization and the International Diabetes Federation criteria, respectively. Adjusted custom binomial log-linear models were used to calculate prevalence ratios (PR) and the respective 95% confidence intervals (95%CI) (covariates: mother's age, education, pre-pregnancy BMI, gestational diabetes, child's sex, age, tanner stage, sports practice and total grams of the remaining food).
Results: From 7 to 13y, obesity decreased from 14.1% to 9.3% and MetS increased from 1.0% to 5.1%. Higher WISH scores at 7y were associated with a lower prevalence of obesity, measured by both BMI (≥97th percentile: PR=0.912, 95%CI: 0.839,0.991; PR=0.882, 95%CI: 0.79,0.938, respectively at 10 and 13y) and WC (≥90th percentile: PR=0.899, 95%CI: 0.830,0.974; PR=0.858, 95%CI:0.782,0.942, respectively at 10 and 13y). For each 10-point increase in the WISH, a reduction of 16% in MetS prevalence at 13y was observed (PR=0.837, 95%CI: 0.732,0.957). No significant effects were found at younger ages.
Conclusions: The adherence to the EAT-Lancet diet from an early age may help reduce cardiometabolic risk in early adolescence.
期刊介绍:
American Journal of Clinical Nutrition is recognized as the most highly rated peer-reviewed, primary research journal in nutrition and dietetics.It focuses on publishing the latest research on various topics in nutrition, including but not limited to obesity, vitamins and minerals, nutrition and disease, and energy metabolism.
Purpose:
The purpose of AJCN is to:
Publish original research studies relevant to human and clinical nutrition.
Consider well-controlled clinical studies describing scientific mechanisms, efficacy, and safety of dietary interventions in the context of disease prevention or health benefits.
Encourage public health and epidemiologic studies relevant to human nutrition.
Promote innovative investigations of nutritional questions employing epigenetic, genomic, proteomic, and metabolomic approaches.
Include solicited editorials, book reviews, solicited or unsolicited review articles, invited controversy position papers, and letters to the Editor related to prior AJCN articles.
Peer Review Process:
All submitted material with scientific content undergoes peer review by the Editors or their designees before acceptance for publication.