饮食中血糖指数和血糖负荷对儿童超重和肥胖风险的影响

Kellen Cristine Silva , Luciana Neri Nobre , Sofia Emanuelle de Castro Ferreira Vicente , Lidiane Lopes Moreira , Angelina do Carmo Lessa , Joel Alves Lamounier
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引用次数: 1

摘要

目的探讨5岁儿童饮食中血糖指数和血糖负荷与超重和高肥胖风险的关系。方法横断面研究嵌套在232名儿童出生和生活在迪亚曼蒂纳(MG,巴西)队列。父母和/或监护人提供食物摄入数据,使用半定量食物频率问卷,过去的历史和社会经济条件。收集儿童的人体测量和肥胖数据。根据食物摄入量计算膳食血糖指数和血糖负荷。采用泊松回归评估血糖指数和血糖负荷对儿童超重和肥胖的影响(p<0.05)。结果体重指数超重的患病率为17.3%,肱三头肌皮褶和肩胛下皮褶的高肥胖率分别为3.4%和6.9%。血糖指数和血糖负荷指标与平均体重指数、肱三头肌皮褶和肩胛下皮褶无差异;然而,超重组的碳水化合物摄入量较高(p=0.04)。在被评估的儿童中,血糖指数和血糖负荷与超重和肥胖之间没有关联。结论:在这项横断面研究中,血糖指数和饮食中的血糖负荷并没有被确定为超重和肥胖的危险因素。
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Influence of glycemic index and glycemic load of the diet on the risk of overweight and adiposity in childhood

Objective

To investigate the association between the glycemic index and the glycemic load of the diet with the risk of overweight and high adiposity in children with 5 years of age.

Methods

Cross-sectional study nested in a cohort of 232 children born and living in Diamantina (MG, Brazil). Parents and/or guardians provided the food intake data, using a semiquantitative food frequency questionnaire, past history and socioeconomic conditions. Anthropometric and fatness data were collected from the children. The dietary glycemic index and the glycemic load were calculated from the food intake. The glycemic index and glycemic load effect on overweight and adiposity in children was assessed by the Poisson regression (p<0.05).

Results

The prevalence of overweight by body mass index was 17.3%, and high adiposity was observed in 3.4% and 6.9% by triceps skinfold and subscapular skinfold, respectively. No difference was reported between the mean body mass index, triceps skinfold and subscapular skinfold according to the glycemic index and glycemic load tertiles; however, the overweight group presented a higher carbohydrate intake (p=0.04). No association was found between glycemic index and glycemic load with overweight and adiposity among the children assessed.

Conclusions

The glycemic index and glycemic load of the diet were not identified as risk factors for overweight and adiposity in this cross-sectional study.

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