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The association between dietary diversity score and general and abdominal obesity in Iranian children and adolescents

BACKGROUND: To evaluate the association between diet and disease, the consideration of a whole diet has appeared to be more effective than the examination of single-nutrient intake. This study aimed to examine the relationship between dietary diversity score (DDS) and obesity in Iranian children. ME...

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Autores principales: Golpour-Hamedani, Sahar, Rafie, Nahid, Pourmasoumi, Makan, Saneei, Parvane, Safavi, Sayyed Morteza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733278/
https://www.ncbi.nlm.nih.gov/pubmed/33308202
http://dx.doi.org/10.1186/s12902-020-00662-w
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author Golpour-Hamedani, Sahar
Rafie, Nahid
Pourmasoumi, Makan
Saneei, Parvane
Safavi, Sayyed Morteza
author_facet Golpour-Hamedani, Sahar
Rafie, Nahid
Pourmasoumi, Makan
Saneei, Parvane
Safavi, Sayyed Morteza
author_sort Golpour-Hamedani, Sahar
collection PubMed
description BACKGROUND: To evaluate the association between diet and disease, the consideration of a whole diet has appeared to be more effective than the examination of single-nutrient intake. This study aimed to examine the relationship between dietary diversity score (DDS) and obesity in Iranian children. METHODS: A cross-sectional study was conducted on 456 children aged 11–18 years, who were selected by random cluster sampling. The usual food intake for each participant assessed using a validated Food frequency questionnaire (FFQ). To calculate the dietary diversity score, food items were categorized into 5 broad groups and 23 subgroups based on the US Department of Agriculture Food Guide Pyramid. Participants were categorized based on the DDS tertile cut-off points. Anthropometric measurements were conducted based on standard protocols. Overweight and obesity were defined as 85th ≤ BMI < 95th, and ≥ 95th percentiles of BMI, respectively. Additionally, abdominal obesity was considered as WC ≥ 85th percentile. RESULTS: Mean and standard deviation (SD) of subjects’ Body Mass Index (BMI) and waist circumference were 20.88 (SD 4.22) kg/m(2) and 74.27 (SD 10.31) cm, respectively. The probability of overweight and obesity was increased as tertiles of DDS increased (OR among tertiles: 1.00, 1.82 and 2.13 for overweight and 1.00, 2.60 and 3.45 for obesity; this was the same for abdominal obesity: 1.00, 2.22 and 3.45, P <  0.001 for all). However, no statistically significant results were found after adjustment for energy intake. CONCLUSION: Dietary diversity positively affected obesity through higher energy intake. Despite the wide recommendation of having high dietary diversity, public health programs should emphasize to improve dietary diversity only in selective food items.
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spelling pubmed-77332782020-12-14 The association between dietary diversity score and general and abdominal obesity in Iranian children and adolescents Golpour-Hamedani, Sahar Rafie, Nahid Pourmasoumi, Makan Saneei, Parvane Safavi, Sayyed Morteza BMC Endocr Disord Research Article BACKGROUND: To evaluate the association between diet and disease, the consideration of a whole diet has appeared to be more effective than the examination of single-nutrient intake. This study aimed to examine the relationship between dietary diversity score (DDS) and obesity in Iranian children. METHODS: A cross-sectional study was conducted on 456 children aged 11–18 years, who were selected by random cluster sampling. The usual food intake for each participant assessed using a validated Food frequency questionnaire (FFQ). To calculate the dietary diversity score, food items were categorized into 5 broad groups and 23 subgroups based on the US Department of Agriculture Food Guide Pyramid. Participants were categorized based on the DDS tertile cut-off points. Anthropometric measurements were conducted based on standard protocols. Overweight and obesity were defined as 85th ≤ BMI < 95th, and ≥ 95th percentiles of BMI, respectively. Additionally, abdominal obesity was considered as WC ≥ 85th percentile. RESULTS: Mean and standard deviation (SD) of subjects’ Body Mass Index (BMI) and waist circumference were 20.88 (SD 4.22) kg/m(2) and 74.27 (SD 10.31) cm, respectively. The probability of overweight and obesity was increased as tertiles of DDS increased (OR among tertiles: 1.00, 1.82 and 2.13 for overweight and 1.00, 2.60 and 3.45 for obesity; this was the same for abdominal obesity: 1.00, 2.22 and 3.45, P <  0.001 for all). However, no statistically significant results were found after adjustment for energy intake. CONCLUSION: Dietary diversity positively affected obesity through higher energy intake. Despite the wide recommendation of having high dietary diversity, public health programs should emphasize to improve dietary diversity only in selective food items. BioMed Central 2020-12-11 /pmc/articles/PMC7733278/ /pubmed/33308202 http://dx.doi.org/10.1186/s12902-020-00662-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Golpour-Hamedani, Sahar
Rafie, Nahid
Pourmasoumi, Makan
Saneei, Parvane
Safavi, Sayyed Morteza
The association between dietary diversity score and general and abdominal obesity in Iranian children and adolescents
title The association between dietary diversity score and general and abdominal obesity in Iranian children and adolescents
title_full The association between dietary diversity score and general and abdominal obesity in Iranian children and adolescents
title_fullStr The association between dietary diversity score and general and abdominal obesity in Iranian children and adolescents
title_full_unstemmed The association between dietary diversity score and general and abdominal obesity in Iranian children and adolescents
title_short The association between dietary diversity score and general and abdominal obesity in Iranian children and adolescents
title_sort association between dietary diversity score and general and abdominal obesity in iranian children and adolescents
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733278/
https://www.ncbi.nlm.nih.gov/pubmed/33308202
http://dx.doi.org/10.1186/s12902-020-00662-w
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