Adherence to a snacking dietary pattern and soda intake are related to the development of adiposity: a prospective study in school-age children

Public Health Nutrition

Mercedes Mora-Plazas¹  Ana Baylin¹  Constanza Marin¹  Wei Perng¹  Monal R Shroff¹  Eduardo Villamor¹ 

关键词: Snacking;    Childhood obesity;    BMI;    Waist circumference;    Soda;   

DOI  :  10.1017/S136898001300133X

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

AbstractObjectiveSnacking has been related to increased prevalence of overweight among school-age children in cross-sectional studies. It is uncertain, however, whether snacking influences the development of adiposity over time.DesignWe examined whether adherence to a snacking dietary pattern was associated with greater increases in children's BMI, subscapular:triceps skinfold thickness ratio and waist circumference over a median 2·5-year follow-up. Dietary patterns were identified through principal component analysis of an FFQ administered at recruitment in 2006. Anthropometric follow-up was conducted annually. Linear mixed-effects models were used to estimate rates of change in each indicator according to quartiles of adherence to the snacking pattern. We also examined change in BMI, subscapular:triceps skinfold thickness ratio and waist circumference in relation to intake of the food items in the snacking pattern.SubjectsChildren (n 961) 5–12 years of age. SettingPublic schools in Bogotá, Colombia.ResultsAfter adjustment for age, sex, total energy intake and socio-economic status, children in the highest quartile of adherence to the snacking pattern had a 0·09 kg/m2 per year higher BMI gain than children in the lowest quartile (P trend = 0·05). A similar association was observed for mean change in subscapular:triceps skinfold thickness ratio (highest v. lowest quartile difference = 0·012/year; P = 0·03). Of the food items in the snacking pattern, soda intake was positively and significantly associated with change in BMI (P trend = 0·01) and waist circumference (P trend = 0·04) in multivariable analysis.ConclusionsOur results indicate that snacking and soda intake are associated with development of adiposity in school-age children.

【 授权许可】

Unknown