Dietary patterns associated with body mass index (BMI) and lifestyle in Mexican adolescents


Background:
The objetive in this study is to determine the relationship between dietary patterns, BMI, type 2 diabetes mellitus family history (T2DMFH) and some lifestyle variables such as smoking and skipping breakfast in a Mexican adolescent population.

Methods:
Cross-sectional, observational, analytical study.Subjetcts: 14-16 years old male and female adolescents (n 373). A previously validated food frequency questionnaire (FFQ) was used and dietary patterns were derived using principal component analysis (PCA). Scores for dietary patterns were categorized by tertiles.

Results:
Three major dietary patterns that explained 47 % of variance were found: westernized, high in protein/fat and prudent pattern. Subjects at the highest tertile of prudent pattern had lower BMI. And was also associated with less T2DMFH and less smoking habit when compared with the lowest tertile. We found a positive correlation between BMI and high scores for westernized and high in protein/fat pattern.

Conclusions:
Dietary patterns of adolescents are a public health concern because there is a direct association between inadequate diet at this early age and obesity.

Keywords:
Dietary patterns, Adolescence, BMI, Lifestyle habits


Autoři: Laura Elisa Gutiérrez-Pliego 1,2;  Eneida Del Socorro Camarillo-Romero 2;  Laura Patricia Montenegro-Morales 2;  And José De Jesus Garduño-García 2,3*
Působiště autorů: Facultad de Medicina Universidad Autónoma del Estado de México, Av. Paseo Tollocan 48 Universidad, Toluca Estado de México CP501 0, Mexico. 1;  Centro de Investigación en Ciencias Médicas UAEMex, Cuerpo académico salud del Universitario Av. Jesús Carranza 205, Universidad, Toluca Estado de México CP 501 0, Mexico. 2;  Instituto Mexicano del Seguro Social HGR251, Metepec Estado de, Mexico. 3
Vyšlo v časopise: BMC Public Health 2016, 16:850
Kategorie: Research article
prolekare.web.journal.doi_sk: 10.1186/s12889-016-3527-6

© 2016 The Author(s).

Open access
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. 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.
The electronic version of this article is the complete one and can be found online at: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3527-6

Souhrn

Background:
The objetive in this study is to determine the relationship between dietary patterns, BMI, type 2 diabetes mellitus family history (T2DMFH) and some lifestyle variables such as smoking and skipping breakfast in a Mexican adolescent population.

Methods:
Cross-sectional, observational, analytical study.Subjetcts: 14-16 years old male and female adolescents (n 373). A previously validated food frequency questionnaire (FFQ) was used and dietary patterns were derived using principal component analysis (PCA). Scores for dietary patterns were categorized by tertiles.

Results:
Three major dietary patterns that explained 47 % of variance were found: westernized, high in protein/fat and prudent pattern. Subjects at the highest tertile of prudent pattern had lower BMI. And was also associated with less T2DMFH and less smoking habit when compared with the lowest tertile. We found a positive correlation between BMI and high scores for westernized and high in protein/fat pattern.

Conclusions:
Dietary patterns of adolescents are a public health concern because there is a direct association between inadequate diet at this early age and obesity.

Keywords:
Dietary patterns, Adolescence, BMI, Lifestyle habits


Zdroje

1. Aldana MF. Aplicaciones, dificultades y perspectivas del uso de patrones dietarios para entender la relación entre dieta y salud. Salud Publica Mex. 2007;49:106.

2. Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13:3–9.

3. Kant AK. Dietary patterns and health outcomes. J Am Diet Assoc. 2004;104:615–35.

4. Pinho L, Silveira MF, Botelho ACC, et al. Identification of dietary patterns of adolescents attending public schools. J Pediatr (Rio J). 2014;90:267–72.

5. Romero-Polvo A, Denova-Gutierrez E, Rivera-Paredez B, et al. Association between dietary patterns and insulin resistance in Mexican children and adolescents. Ann Nutr Metab. 2012;61:142–50.

6. Lozada AL, Flores M, Rodríguez S, et al. Patrones dietarios en adolescentes mexicanas. Una comparación de dos métodos. Encuesta Nacional de Nutrición, 1999. Salud Publica Mex. 2007;49:263–73.

7. Matthys C, De Henauw S, Devos C, et al. Estimated energy intake, macronutrient intake and meal pattern of Flemish adolescents. Eur J Clin Nutr. 2003;57:366–75.

8. HernÁNdez-Avila M, Romieu I, Parra S, et al. Validity and reproducibility of a food frequency questionnaire to assess dietary intake of women living in Mexico City. Salud Publica Mex. 1998;40:133–40.

9. de Onis M, Onyango AW, Borghi E, et al. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85:660–7.

10. Denova-Gutierrez E, Castanon S, Talavera JO, et al. Dietary patterns are associated with metabolic syndrome in an urban Mexican population. J Nutr. 2010;140:1855–63.

11. Denova-Gutierrez E, Castanon S, Talavera JO, et al. Dietary patterns are associated with different indexes of adiposity and obesity in an urban Mexican population. J Nutr. 2011;141:921–7.

12. Denova-Gutiérrez E, Castañón S, Talavera JO, et al. Dietary Patterns Are Associated with Metabolic Syndrome in an Urban Mexican Population. J Nutr. 2010;140(10):1855-63.

13. Denova-Gutierrez E, Hernandez-Ramirez RU, Lopez-Carrillo L. Dietary patterns and gastric cancer risk in Mexico. Nutr Cancer. 2014;66:369–76.

14. Rosner B. Percentage points for a generalized ESD many-outlier procedure. Technometrics. 1983;25:165–72.

15. Proimos J, Sawyer S. Obesity in childhood and adolescence. Aust Fam Physician. 2000;29:321–7.

16. Calle EE, Thun MJ, Petrelli JM, et al. Body-mass index and mortality in a prospective cohort of US adults. New England J Med. 1999;341:1097–105.

17. Rossner S. Obesity: the disease of the twenty-first century. Int J Obes Relat Metab Disord. 2002;26 Suppl 4:S2–4.

18. Rtveladze K, Marsh T, Barquera S, et al. Obesity prevalence in Mexico: impact on health and economic burden. Public Health Nutr. 2014;17:233–9.

19. Gutierrez JP, Rivera-Dommarco J, Shamah-Levy T, et al. Encuesta nacional de salud y nutrición 2012. Resultados Nacionales Cuernavaca: Instituto Nacional de Salud Pública; 2012.

20. Lobstein T, Jackson-Leach R, Moodie ML, et al. Child and adolescent obesity: part of a bigger picture. Lancet. 2015;385(9986):2510-20.

21. Marcos Sánchez A. Alimentación y valoración del estado nutricional de los adolescentes españoles (Estudio AVENA). Evaluación de riesgos y propuesta de intervención. I. Descripción metodológica del proyecto. Nutr Hosp. 2003;18:15–28.

22. Gomez Perez FJ, Rios JM, Aguilar-Salinas C. Posición de la Sociedad Mexicana de Nutrición y Endocrinología sobre el manejo del síndrome metabólico. Revista de Endocrinología y Nutrición. 2005;13:9–23.

23. Katzmarzyk PT, Pérusse L, Rao DC, et al. Familial risk of overweight and obesity in the Canadian population using the WHO/NIH criteria. Obes Res. 2000;8:194–7.

24. Martínez-Munguía C, Navarro-Contreras G. [Psychological, social and cultural factors of overweight and obesity in children and adolescents in México]. Rev Med Inst Mex Seguro Soc. 2014;52 Suppl 1:S94-101.

25. Aguilar P. Una visión integral de la alimentación: cuerpo, mente y sociedad. Cuadernos de Nutrición. 2002;25.

26. Murillo OO, Consuelo M, Rey PA. Panorama de prácticas de alimentación de adolescentes escolarizados Overview of feeding practices in school adolescents Panorama de práticas de alimentação. Avances en enfermería. 2009;27.

27. Marcos A, Montero A, López-Varela S, et al. Eating disorders (obesity, anorexia nervosa, bulimia nervosa), immunity, and infection. Nutr Immun Infect Infants Child. 2001;45:243–62.

28. Markaki I, Linos D, Linos A. The influence of dietary patterns on the development of thyroid cancer. Eur J Cancer. 2003;39:1912–9.

29. Newby PK, Muller D, Hallfrisch J, et al. Dietary patterns and changes in body mass index and waist circumference in adults. Am J Clin Nutr. 2003;77:1417–25.

30. Shimizu K, Takeda S, Noji H, et al. Dietary patterns and further survival in Japanese centenarians. J Nutr Sci Vitaminol. 2003;49:133–8.

31. Appel LJ, Miller ER, Jee SH, et al. Effect of dietary patterns on serum homocysteine results of a randomized, controlled feeding study. Circulation. 2000;102:852–7.

32. McCann SE, Marshall JR, Brasure JR, et al. Analysis of patterns of food intake in nutritional epidemiology: food classification in principal components analysis and the subsequent impact on estimates for endometrial cancer. Public Health Nutr. 2001;4:989–97.

33. Osler M, Heitmann BL, Gerdes LU, et al. Dietary patterns and mortality in Danish men and women: a prospective observational study. Br J Nutr. 2001;85:219–25.

34. Terry P, Hu FB, Hansen H, et al. Prospective study of major dietary patterns and colorectal cancer risk in women. Am J Epidemiol. 2001;154:1143–9.

35. Terry P, Suzuki R, Hu FB, et al. A prospective study of major dietary patterns and the risk of breast cancer. Cancer Epidemiol Biomarkers Prev. 2001;10:1281–5.

36. Williams DEM, Prevost AT, Whichelow MJ, et al. A cross-sectional study of dietary patterns with glucose intolerance and other features of the metabolic syndrome. Br J Nutr. 2000;83:257–66.

37. Hu FB, Rimm E, Smith-Warner SA, et al. Reproducibility and validity of dietary patterns assessed with a food-frequency questionnaire. Am J Clin Nutr. 1999;69:243–9.

38. Hu FB, Rimm EB, Stampfer MJ, et al. Prospective study of major dietary patterns and risk of coronary heart disease in men. Am J Clin Nutr. 2000;72:912–21.

39. Fung TT, Rimm EB, Spiegelman D, et al. Association between dietary patterns and plasma biomarkers of obesity and cardiovascular disease risk. Am J Clin Nutr. 2001;73:61–7.

40. Slattery ML, Boucher KM, Caan BJ, et al. Eating patterns and risk of colon cancer. Am J Epidemiol. 1998;148:4–16.

41. Chen H, Ward MH, Graubard BI, et al. Dietary patterns and adenocarcinoma of the esophagus and distal stomach. Am J Clin Nutr. 2002;75:137–44.

42. Huijbregts PP, Feskens EJM, Kromhout D. Dietary patterns and cardiovascular risk factors in elderly men: the Zutphen Elderly Study. Int J Epidemiol. 1995;24:313–20.

43. Newby PK, Weismayer C, Åkesson A, et al. Long-term stability of food patterns identified by use of factor analysis among Swedish women. J Nutr. 2006;136:626–33.

44. Kerver JM, Yang EJ, Bianchi L, et al. Dietary patterns associated with risk factors for cardiovascular disease in healthy US adults. Am J Clin Nutr. 2003;78:1103–10.

45. Masaki M, Sugimori H, K-i N, et al. Dietary patterns and stomach cancer among middle-aged male workers in Tokyo. Asian Pac J Cancer Prev. 2003;4:61–6.

46. Sánchez-Villegas A, Delgado-Rodriguez M, Martínez-González MÁ, et al. Gender, age, socio-demographic and lifestyle factors associated with major dietary patterns in the Spanish Project SUN (Seguimiento Universidad de Navarra). Eur J Clin Nutr. 2003;57:285–92.

47. Sichieri R. Dietary patterns and their associations with obesity in the Brazilian city of Rio de Janeiro. Obes Res. 2002;10:42–8.

48. Fung TT, Willett WC, Stampfer MJ, et al. Dietary patterns and the risk of coronary heart disease in women. Arch Intern Med. 2001;161:1857–62.

49. Osler M, Helms Andreasen A, Heitmann B, et al. Food intake patterns and risk of coronary heart disease: a prospective cohort study examining the use of traditional scoring techniques. Eur J Clin Nutr. 2002;56:568–74.

50. Diehr P, Beresford SAA. The relation of dietary patterns to future survival, health, and cardiovascular events in older adults. J Clin Epidemiol. 2003;56:1224–35.

51. Martikainen P, Brunner E, Marmot M. Socioeconomic differences in dietary patterns among middle-aged men and women. Soc Sci Med. 2003;56:1397–410.

52. Tsai Y-Y, McGlynn KA, Hu Y, et al. Genetic susceptibility and dietary patterns in lung cancer. Lung Cancer. 2003;41:269–81.

53. Millen BA, Quatromoni PA, Copenhafer DL, et al. Validation of a dietary pattern approach for evaluating nutritional risk: the Framingham Nutrition Studies. J Am Diet Assoc. 2001;101:187–94.

54. Newby PK, Muller D, Tucker KL. Associations of empirically derived eating patterns with plasma lipid biomarkers: a comparison of factor and cluster analysis methods. Am J Clin Nutr. 2004;80:759–67.

55. Tseng M, Breslow RA, DeVellis RF, et al. Dietary patterns and prostate cancer risk in the National Health and Nutrition Examination Survey Epidemiological Follow-up Study cohort. Cancer Epidemiol Biomarkers Prev. 2004;13:71–7.

56. Whichelow MJ, Prevost AT. Dietary patterns and their associations with demographic, lifestyle and health variables in a random sample of British adults. Br J Nutr. 1996;76:17–30.

57. Handa K, Kreiger N. Diet patterns and the risk of renal cell carcinoma. Public Health Nutr. 2002;5:757–67.

58. Maskarinec G, Novotny R, Tasaki K. Dietary patterns are associated with body mass index in multiethnic women. J Nutr. 2000;130:3068–72.

59. Wilson DB, Smith BN, Speizer IS, et al. Differences in food intake and exercise by smoking status in adolescents. Prev Med. 2005;40:872–9.

60. Sjöberg A, Hallberg L, Höglund D, et al. Meal pattern, food choice, nutrient intake and lifestyle factors in The Göteborg Adolescence Study. Eur J Clin Nutr. 2003;57:1569–78.

61. Croezen S, Visscher TLS, Ter Bogt NCW, et al. Skipping breakfast, alcohol consumption and physical inactivity as risk factors for overweight and obesity in adolescents: results of the E-MOVO project. Eur J Clin Nutr. 2009;63:405–12.

62. Busdiecker B, Castillo D, Salas A. Cambios en los hábitos de alimentación durante la infancia: una visión antropológica. Rev Chil Pediatr. 2000;71:5–11.

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