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Nutr Food Sci Res 2018, 5(1): 1-8 Back to browse issues page
Dietary Patterns and Obesity Associated Factors in Primary School Children
Maryam Amini , Monireh Dadkhah Piraghaj , Maryam Khosravi , Neda Lotfollahi
Department of Nutrition Research, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences
Abstract:   (5178 Views)

Background and Objectives: To provide efficient recommendation for the prevention of childhood obesity and eating disorders, it is necessary to understand and explore their dietary patterns (DPs). The main aim of the current study was to explore dietary patterns among primary school aged children and determine the relationship between different dietary patterns and  factors including anthropometric measurements, family size, school performance, weekly consumption of breakfast and physical activity.
Materials and Methods: Male and female primary school children aged 7-11 (n= 761) were recruited in a cross-sectional study from all districts of Tehran(2003-2004). The students and their caregivers (mainly their mothers) were interviewed to complete a 24 h recall. Dietary patterns were explored by exploratory factor analysis of the 23 food groups.
Results: Three major DPs were identified: healthy, transitional and western. The tendency of children towards western diet increased with their age (P<0.001). In larger families, the tendency towards healthy DP was lower (P<0.001). Class performance score of the children was positively correlated to healthy DP (P=0.009). Frequency of weekly consumption of breakfast was negatively correlated to western DP (P<0.001). BMI was positively associated with healthy and western  DPs.
Conclusions: Effective interventions for adapting older children and larger families to healthy eating is urged..For better judgment about correlation of DPs and adiposity more studies are recommended.
Keywords: Dietary patterns, Pediatric, Adiposity, School
Full-Text [PDF 85 kb]   (1719 Downloads)    
Article type: Research | Subject: Nutrition
Received: 2017/06/19 | Accepted: 2018/01/17 | Published: 2018/01/17
References
1. Omidvar N, Aminpour A. Growth and development 1 years old to adolescence and nutritional needs. applied nutrition for infant & children. 1th ed. Tehran:fatemi, 1391,9-62.(Persian)
2. Ruxton C, Kirk T, Belton N. The contribution of specific dietary patterns to energy and nutrient intakes in 7-8-year-old Scottish schoolchildren. III. Snacking habits. Journal of human nutrition and dietetics. 1996;9(1):23-31. [DOI:10.1046/j.1365-277X.1996.00430.x]
3. Pipes PL. Nutrition in infancy and childhood, 2nd ed. The C.V. Mosby Company, St. Louis, Toronto, London, 1981 Jacobs DR, Steffen LM. Nutrients, foods, and dietary patterns as exposures in research: a framework for food synergy. Am J Clin Nutr. 2003;78(3):508S-13S.
4. Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Current opinion in lipidology. 2002;13(1):3-9. [DOI:10.1097/00041433-200202000-00002]
5. Ross CA, Caballero B, Cousins RJ, Tucker KL, Zeigler TR. Modern Nutrition In Health and Disease, 11th edition, 2014, Wolters Kluwer business, Lippincott Williams & Wilkins:724.
6. Rodrigues PRM, Pereira A, Cunha DB, Sichieri R, Ferreira MG, Vilela AAF, Gonçalves-Silva RMV. Factors associated with dietary patterns in adolescents: a school-based study in Cuiabá, Mato Grosso. Rev. bras. epidemiol. 2012.15(3): 662-674.
7. Shang X, Li Y, Liu A, Zhang Q, Hu X , Du S, Ma J, Xu G, Li Y, Guo H., Du L, Ma G. Dietary Pattern and Its Association with the Prevalence of Obesity and Related Cardiometabolic Risk Factors among Chinese Children. PLOS ONE. 2012. 7(8) | e43183
8. Villa JKD, Santos TSS, Ribeiro AQ, Silva AR, Sant'Ana LFDR, Pessoa MC. Dietary patterns of children and socioeconomical, behavioral and maternal determinants. Rev Paul Pediatr. 2015;33(3):302---309.
9. del Refugio M, Martha Elba A-A, Xochitl Karina T-B. Nutritional status, food consumption at home, and preference-selection in the school. Food and Nutrition Sciences. 2012;3(3): 281-285. [DOI:10.4236/fns.2012.33041]
10. Kelishadi R. Hashemi Pour M. Sarraf Zadegan, N. Kahbazi M. Sadry G. Amani A, Ansari, R. Alikhassy, H. Bashardoust, N. Dietary fat intake and lipid profiles of Iranian adolescents: Isfahan Healthy Heart Program–Heart Health Promotion from Childhood. Prev Med.2004;39(4):760– 766 [DOI:10.1016/j.ypmed.2004.02.047]
11. Worthington-Roberts BS., Williams SR.,Nutrition throughout the life cycle, McGraw-Hill, 2000:246.
12. Santrock JW.,Child development,Internationa edition, Eighth edition, McGraw-Hill,1998:549-50.
13. Ghaffarpour M., Houshiar-Rad A., Kianfar H. The manual for household measures, cooking yield factors & edible portion of foods. Tehran, Iran: 1999, Nashr Olume Keshavarzi. 1999;7:213.
14. Azizi H, Asadollahi K. Davtalab Esmaeili E, Mirzapoor M. Iranian Dietary Patterns and Risk of Colorectal Cancer. Health Pr omotion Perspectives. 2015. 5(1): 72-80. [DOI:10.15171/hpp.2015.009]
15. Kafeshani O, Sarrafzadegan N, Nouri F, Mohammadifard N.Major dietary patterns in Iranian adolescents: Isfahan Healthy Heart Program, Iran.ARYA Atheroscler. 2015. 11(Suppl 1): 61–8.
16. Esfarjani F, Roustaee R, Mohammadi-Nasrabadi F, Esmaillzadeh A. Major Dietary Patterns in Relation to Stunting among Children in Tehran, Iran. J HEALTH POPUL NUTR 2013 Jun;31(2):202-210 [DOI:10.3329/jhpn.v31i2.16384]
17. Rocha, N.P., et al., Association between dietary pattern and cardiometabolic risk in children and adolescents: a systematic review. J Pediatr (Rio J), 2017. 93(3): p. 214-222. [DOI:10.1016/j.jped.2017.01.002]
18. Matthew W. Gillman, MD; Sheryl L. Rifas-Shiman, MPH; A. Lindsay Frazier, MD; Helaine R. H. Rockett, MS, RD; Carlos A. Camargo, Jr, MD; Alison E. Field, ScD; Catherine S. Berkey, ScD; Graham A. Colditz, MD .Family Dinner and Diet Quality Among Older Children and Adolescents. Arch Fam Med. 2000;9:235-240. [DOI:10.1001/archfami.9.3.235]
19. Nyaradi A, Li J, Hickling S, Foster JK, Jacques A, Ambrosini GL, Oddy WH. A Western Dietary Pattern Is Associated with Poor Academic Performance in Australian Adolescents Nutrients. 2015. 7: 2961-2982.
20. Stea TH, Torstveit MK. Association of lifestyle habits and academic achievement in Norwegian adolescents: a cross-sectional study. BMC Public Health. 201414:829. [DOI:10.1186/1471-2458-14-829]
21. Florence MD, Asbridge M, Veugelers PJ. Diet Quality and Academic Performance. journal of School Healh. 2008,78(4): 209–215. [DOI:10.1111/j.1746-1561.2008.00288.x]
22. Rampersaud GC, Pereira MA, Girard BL, Adams J, Metzl JD.Breakfast Habits, Nutritional Status, Body Weight, and Academic Performance in Children and Adolescents. J Am Diet Assoc. 2005;105(5):743-760. [DOI:10.1016/j.jada.2005.02.007]
23. Antonogeorgos G, Panagiotakos DB, Papadimitriou A, Priftis KN, Anthracopoulos M, Nicolaidou P. Breakfast consumption and meal frequency interaction with childhood obesity. Pediatric obesity. 2012;7(1):65-72. [DOI:10.1111/j.2047-6310.2011.00006.x]
24. Ahadi Z, Qorbani M, Kelishadi R, Ardalan G, Motlagh ME, Asayesh H, Zeynali M, Chinian M, Larijani B, Shafiee G, Heshmat R. Association between breakfast intake with anthropometric measurements, blood pressure and food consumption behaviors among Iranian children and adolescents: the CASPIAN-IV study. Public Health, 2015. 129 (6): 740-7. [DOI:10.1016/j.puhe.2015.03.019]
25. Ahadi, Z., et al., Association of Breakfast Intake with Psychiatric Distress and Violent Behaviors in Iranian Children and Adolescents: The CASPIAN- IV Study. Indian J Pediatr, 2016. 83(9): 922-9. [DOI:10.1007/s12098-016-2049-7]
26. Zhang J, Wang H, Wang Y, Xue H, Wang Z, Du W, et al. Dietary patterns and their associations with childhood obesity in China. The British journal of nutrition. 2015;113(12):1978-84. [DOI:10.1017/S0007114515001154]
27. Santos NH, Fiaccone RL, Barreto ML, Silva LA, Silva Rde C. Association between eating patterns and body mass index in a sample of children and adolescents in Northeastern Brazil. Cadernos de saude publica. 2014;30(10):2235-45. [DOI:10.1590/0102-311X00178613]
28. Emmett PM, Jones LR, Northstone K. Dietary patterns in the Avon Longitudinal Study of Parents and Children. Nutrition reviews. 2015;73 (Suppl 3):207-30. https://doi.org/10.1093/nutrit/nuv054 https://doi.org/10.1093/nutrit/nuv055 [DOI:10.1093/nutrit/nuv053]
29. Lazarou C, Karaolis M, Matalas AL, Panagiotakos DB. Dietary patterns analysis using data mining method. An application to data from the CYKIDS study. Computer methods and programs in biomedicine. 2012;108(2):706-14. [DOI:10.1016/j.cmpb.2011.12.011]
30. Balthazar EA, de Oliveira MR. Differences in dietary pattern between obese and eutrophic children. BMC research notes. 2011;4:567. [DOI:10.1186/1756-0500-4-567]
31. Johnson L, Mander AP, Jones LR, Emmett PM, Jebb S. A Energy-dense, low-fiber, high-fat dietary pattern is associated with increased fatness in childhood . The American journal of clinical nutrition. 2008; 87(4): 846-854.
32. Magnusson MB, Hulthen L, Kjellgren KI. Obesity, dietary pattern and physical activity among children in a suburb with a high proportion of immigrants.Journal of Human Nutrition and Dietetics. 2005: 8(3): 187-194. [DOI:10.1111/j.1365-277X.2005.00604.x]

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