Helmut Schröder1, Michelle A Mendez, Santiago F Gomez, Montserrat Fíto, Lourdes Ribas, Javier Aranceta, Lluis Serra-Majem. 1. Cardiovascular Risk and Nutrition Research Group (CARIN), Research Programme in Inflammatory and Cardiovascular Disorders (RICAD), IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain; CIBER Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Spain. Electronic address: hschroeder@imim.es.
Abstract
OBJECTIVES: To determine the impact of energy density on diet quality and anthropometric proxy measures for central body fat in young Spaniards. METHODS: Data were obtained from a representative national sample of 2513 young Spaniards aged 10 to 24 y. Dietary assessment was performed with a 24-h recall. Adherence to the Mediterranean diet was measured by the KIDMED index. Reduced rank regression analysis was used to identify energy-density dietary patterns. Waist circumferences and height were measured. RESULTS: Pastries and sausages showed the strongest loading for the dietary energy density factor score (DED-FS), with fruits and vegetables at the opposite end of the scale. Multiple linear regression analysis showed a positive association (P < 0.01) of dietary energy density (DED) and the DED-FS with waist circumferences regressed on height and age (WCheight+age) and waist-to-height ratio (WHtR). The adjusted odds ratio for elevated WCheight+age and WHtR increased across quartile distribution of DED (P < 0.001) and DED-FS (P < 0.05). Diet quality characterized by the KIDMED index was negatively associated (P < 0.001) with DED and the DED-FS. CONCLUSIONS: Higher DED is a risk for increased central fat distribution and is associated with low adherence to the Mediterranean diet.
OBJECTIVES: To determine the impact of energy density on diet quality and anthropometric proxy measures for central body fat in young Spaniards. METHODS: Data were obtained from a representative national sample of 2513 young Spaniards aged 10 to 24 y. Dietary assessment was performed with a 24-h recall. Adherence to the Mediterranean diet was measured by the KIDMED index. Reduced rank regression analysis was used to identify energy-density dietary patterns. Waist circumferences and height were measured. RESULTS: Pastries and sausages showed the strongest loading for the dietary energy density factor score (DED-FS), with fruits and vegetables at the opposite end of the scale. Multiple linear regression analysis showed a positive association (P < 0.01) of dietary energy density (DED) and the DED-FS with waist circumferences regressed on height and age (WCheight+age) and waist-to-height ratio (WHtR). The adjusted odds ratio for elevated WCheight+age and WHtR increased across quartile distribution of DED (P < 0.001) and DED-FS (P < 0.05). Diet quality characterized by the KIDMED index was negatively associated (P < 0.001) with DED and the DED-FS. CONCLUSIONS: Higher DED is a risk for increased central fat distribution and is associated with low adherence to the Mediterranean diet.
Authors: Helmut Schröder; Michelle A Mendez; Lourdes Ribas; Anna N Funtikova; Santiago F Gomez; Montserrat Fíto; Javier Aranceta; Lluis Serra-Majem Journal: Eur J Pediatr Date: 2014-04-06 Impact factor: 3.183
Authors: Rowaedh Ahmed Bawaked; Helmut Schröder; Lourdes Ribas-Barba; Maria Izquierdo-Pulido; Carmen Pérez-Rodrigo; Montserrat Fíto; Lluis Serra-Majem Journal: Food Nutr Res Date: 2017-06-07 Impact factor: 3.894
Authors: Helmut Schröder; Santiago F Gomez; Lourdes Ribas-Barba; Carmen Pérez-Rodrigo; Rowaedh Ahmed Bawaked; Montserrat Fíto; Lluis Serra-Majem Journal: PLoS One Date: 2016-09-13 Impact factor: 3.240