Diet quality scores associated with improved cardiometabolic measures among African American adolescents

被引:3
作者
Ducharme-Smith, Kirstie [1 ]
Brady, Tammy M. [2 ]
Vizthum, Diane [3 ]
Caulfield, Laura E. [1 ]
Mueller, Noel T. [4 ]
Rosenstock, Summer [5 ]
Garcia-Larsen, Vanessa [1 ]
机构
[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Program Human Nutr, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Sch Med, Pediat Hypertens Program, Baltimore, MD USA
[3] Johns Hopkins Univ Hosp, Inst Clin & Translat Res, Baltimore, MD 21287 USA
[4] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Program Cardiovasc & Clin Epidemiol, Baltimore, MD USA
[5] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Social & Behav Intervent, Baltimore, MD USA
关键词
PHYSICAL-ACTIVITY; BLOOD-PRESSURE; CHILDREN; HEALTH; RISK; POTASSIUM; OBESITY; SODIUM;
D O I
10.1038/s41390-021-01893-w
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background The Reversing the Negative cardiovascular Effects on Weight (ReNEW) Clinic is a prospective cohort study in children and adolescents (<= 21 years) at the Johns Hopkins Children's Center. Methods Cross-sectional analysis between diet quality using the Alternative Healthy Eating Index (AHEI-2010), pro-inflammatory potential using the Children's Dietary Inflammatory Index (C-DII), and cardiometabolic outcomes. AHEI-2010 and C-DII scores were assessed by median intake determined from the sample distribution and associated with cardiometabolic measures using linear regression models. Changes in measures were evaluated in a sub-sample of participants invited to attend follow-up visits due to the presence of hypertensive blood pressure (n = 33). Results Participants (n = 90) reported an average energy intake of 1790 kcal/day (SD +/- 734), AHEI-2010 score of 55.04 (SD +/- 9.86) (range: 0 to 110) and C-DII score of -0.12 (+/- 0.86) (range -5 to 5). Participants with higher quality/anti-inflammatory diets trended towards more favorable cardiometabolic measures at baseline. Among the sub-sample (n = 33), there was a significant reduction in total energy (m = -302 kcal/day; p-value= 0.03) but no change in AHEI-2010 (p-value = 0.73) or C-DII score (p-value = 0.85) over follow-up. Conclusions Despite stable diet quality scores, outpatient dietary and behavioral counseling may be an effective tool to reduce energy intake in youth with overweight/obesity and elevated blood pressure. Impact Diet quality scores among obese, hypertensive, African American adolescents were low and reflect a pro-inflammatory diet. Reported intake was negligible for fruits, whole grains, nuts, and legumes, and well above the daily limit for sodium and saturated fat. Participants with high quality/anti-inflammatory diet quality scores trended toward improved cardiometabolic measures. Outpatient dietary counseling resulted in reduced total energy intake.
引用
收藏
页码:853 / 861
页数:9
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