Michele Honicky1, Juliana Nicolodi Souza2, Silvia Meyer Cardoso3,4, Isabela de Carlos Back4, Francilene Gracieli Kunradi Vieira1,5, Patricia de Fragas Hinnig1,5, Yara Maria Franco Moreno6,7. 1. Postgraduate Program in Nutrition, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil. 2. Undergraduate Nutrition Course, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil. 3. Hospital Universitário Polydoro Ernanni de São Tiago da Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil. 4. Postgraduate Program in Public Health, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil. 5. Department of Nutrition, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil. 6. Postgraduate Program in Nutrition, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil. yara.moreno@ufsc.br. 7. Department of Nutrition, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil. yara.moreno@ufsc.br.
Abstract
PURPOSE: Unhealthy dietary patterns (DP) in childhood are associated with cardiovascular disease in adulthood. DP in children and adolescents with congenital heart disease (CHD) are unknown. The aims of this study were to describe DPs of children and adolescents with CHD and to evaluate their associations with central adiposity, high-sensitivity C-reactive protein (hs-CRP) and carotid intima-media thickness (cIMT). METHODS: A cross-sectional study including 232 children and adolescents with CHD. Dietary data were based on three 24-h dietary recalls. Central adiposity was evaluated by waist circumference. hs-CRPs were determined by nephelometry. The cIMT was measured using ultrasound. DPs were identified using principal component analysis. Data were examined using logistic and linear regressions. RESULTS: Six DPs were identified. In multivariable-adjusted analysis, unhealthy DP (high intake of poultry, red meat, cold cuts and processed meats, soft drinks and sweetened beverages) and healthy DP (high intake of fish, eggs, bread, beans, tubers and roots, fruit and fruit juice) were associated with increased and decreased odds of central adiposity, respectively (Odds ratio (OR): 2.10; 95% confidence interval (95% CI) 1.09; 4.02; OR: 0.48 95% CI 0.24; 0.93). Besides, low-fat dairy DP (high intake of low-fat milk and dairy, mixed dishes, ultra-processed breads, candy and chocolate) was inversely associated with cIMT (β: - 0.024; 95% CI - 0.04; - 0.01). CONCLUSION: Unhealthy DP seems to increase the risk of central adiposity, while the healthy DP seems to decrease the risk of central adiposity. Still, low-fat dairy DP was inversely associated with cIMT. These findings may be helpful to develop nutrition recommendations for early cardiovascular disease prevention in children and adolescents with CHD.
PURPOSE: Unhealthy dietary patterns (DP) in childhood are associated with cardiovascular disease in adulthood. DP in children and adolescents with congenital heart disease (CHD) are unknown. The aims of this study were to describe DPs of children and adolescents with CHD and to evaluate their associations with central adiposity, high-sensitivity C-reactive protein (hs-CRP) and carotid intima-media thickness (cIMT). METHODS: A cross-sectional study including 232 children and adolescents with CHD. Dietary data were based on three 24-h dietary recalls. Central adiposity was evaluated by waist circumference. hs-CRPs were determined by nephelometry. The cIMT was measured using ultrasound. DPs were identified using principal component analysis. Data were examined using logistic and linear regressions. RESULTS: Six DPs were identified. In multivariable-adjusted analysis, unhealthy DP (high intake of poultry, red meat, cold cuts and processed meats, soft drinks and sweetened beverages) and healthy DP (high intake of fish, eggs, bread, beans, tubers and roots, fruit and fruit juice) were associated with increased and decreased odds of central adiposity, respectively (Odds ratio (OR): 2.10; 95% confidence interval (95% CI) 1.09; 4.02; OR: 0.48 95% CI 0.24; 0.93). Besides, low-fat dairy DP (high intake of low-fat milk and dairy, mixed dishes, ultra-processed breads, candy and chocolate) was inversely associated with cIMT (β: - 0.024; 95% CI - 0.04; - 0.01). CONCLUSION: Unhealthy DP seems to increase the risk of central adiposity, while the healthy DP seems to decrease the risk of central adiposity. Still, low-fat dairy DP was inversely associated with cIMT. These findings may be helpful to develop nutrition recommendations for early cardiovascular disease prevention in children and adolescents with CHD.
Authors: Miriam B Vos; Jill L Kaar; Jean A Welsh; Linda V Van Horn; Daniel I Feig; Cheryl A M Anderson; Mahesh J Patel; Jessica Cruz Munos; Nancy F Krebs; Stavra A Xanthakos; Rachel K Johnson Journal: Circulation Date: 2016-08-22 Impact factor: 29.690
Authors: Adam L Ware; Paul C Young; Cindy Weng; Angela P Presson; L LuAnn Minich; Shaji C Menon Journal: Pediatr Cardiol Date: 2017-10-23 Impact factor: 1.655
Authors: Bernard Srour; Léopold K Fezeu; Emmanuelle Kesse-Guyot; Benjamin Allès; Caroline Méjean; Roland M Andrianasolo; Eloi Chazelas; Mélanie Deschasaux; Serge Hercberg; Pilar Galan; Carlos A Monteiro; Chantal Julia; Mathilde Touvier Journal: BMJ Date: 2019-05-29