Dietary behaviors throughout childhood are associated with adiposity and estimated insulin resistance in early adolescence: a longitudinal study

BackgroundDespite the growing prevalence of excess weight and prediabetes in children, the contributing role of dietary behaviors throughout childhood remains poorly understood. We examined longitudinal associations of dietary behaviors throughout childhood with adiposity and estimated insulin resistance (HOMA-IR) in adolescence.MethodsAmong 995 children from Project Viva, a pre-birth cohort, we examined associations of child dietary behaviors (frequency of eating breakfast, fast food, family dinner, and eating meals while watching television) reported annually throughout childhood (from ages 4 to 11years) with body mass index z-score (BMI-z; n=991), waist circumference (WC; n=995), DXA overall and central adiposity measurements (n=721), and HOMA-IR (n=579) in early adolescence (13.20.9years old). We used mixed effects models adjusted for potential confounders.ResultsEating breakfast daily throughout childhood was associated with lower BMI-z and DXA-measured overall and central adiposity in boys and girls (e.g. for whole-body fat %: -1.43% [95% CI: -2.42, -0.45] and-1.47% [-2.25, -0.68]), and with lower HOMA-IR in boys (% difference-15.6% [-22.7, -7.9]). Daily family dinner and eating fast food less than once per week throughout childhood were both associated with lower BMI-z and adiposity in girls (for BMI-z: -0.17units [-0.24, -0.11] and -0.09units [-0.17, -0.02]) and lower insulin resistance in boys (% difference-7.3% [-12.4,-1.8] and-7.6% [-13.2, -1.7]). Finally, eating meals while watching television <1/week throughout childhood was associated with lower adolescent adiposity (e.g. WC: -1.55cm [-2.39, -0.71]) and HOMA-IR (% difference: -10.7% [-15.8, -5.2]) in boys.ConclusionHealthful dietary behaviors throughout childhood are associated with less adiposity and lower estimated insulin resistance in early adolescence.Trial registrationNCT02820402