Socio-economic differences in cardiometabolic risk markers are mediated by diet and body fatness in 8- to 11-year-old Danish children: a cross-sectional study
To explore whether socio-economic differences exist in cardiometabolic risk markers in children and whether lifestyle-related factors potentially mediate these differences. Cross-sectional study including measurements of fasting blood lipids, glucose, homeostasis model assessment of insulin resistan...
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| Veröffentlicht in: | Public health nutrition 2016-08, Vol.19 (12), p.2229-2239 |
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| creator | Hauger, Hanne Groth, Margit V Ritz, Christian Biltoft-Jensen, Anja Andersen, Rikke Dalskov, Stine-Mathilde Hjorth, Mads F Sjödin, Anders Astrup, Arne Michaelsen, Kim F Damsgaard, Camilla T |
| description | To explore whether socio-economic differences exist in cardiometabolic risk markers in children and whether lifestyle-related factors potentially mediate these differences.
Cross-sectional study including measurements of fasting blood lipids, glucose, homeostasis model assessment of insulin resistance (HOMA-IR), blood pressure and heart rate. Potential mediators examined were fat mass index (FMI); intakes of fruit, vegetables, dietary fibre and added sugar; whole-blood n-3 long-chain PUFA (LCPUFA) as a biomarker of fish intake; and physical activity and sedentary time.
Nine primary schools in Denmark.
Children aged 8-11 years (n 715).
Children of parents with the shortest compared with longest education had higher TAG by 0·12 (95 % CI 0·04, 0·21) mmol/l and HOMA-IR by 0·36 (0·10, 0·62), whereas children of parents with a vocational education had higher total cholesterol by 0·14 (0·02, 0·27) mmol/l and LDL cholesterol by 0·14 (0·03, 0·25) mmol/l compared with children of parents with the longest education; all P |
| doi_str_mv | 10.1017/S1368980015003766 |
| format | Article |
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Cross-sectional study including measurements of fasting blood lipids, glucose, homeostasis model assessment of insulin resistance (HOMA-IR), blood pressure and heart rate. Potential mediators examined were fat mass index (FMI); intakes of fruit, vegetables, dietary fibre and added sugar; whole-blood n-3 long-chain PUFA (LCPUFA) as a biomarker of fish intake; and physical activity and sedentary time.
Nine primary schools in Denmark.
Children aged 8-11 years (n 715).
Children of parents with the shortest compared with longest education had higher TAG by 0·12 (95 % CI 0·04, 0·21) mmol/l and HOMA-IR by 0·36 (0·10, 0·62), whereas children of parents with a vocational education had higher total cholesterol by 0·14 (0·02, 0·27) mmol/l and LDL cholesterol by 0·14 (0·03, 0·25) mmol/l compared with children of parents with the longest education; all P<0·05. FMI explained 25 % of the difference in TAG, 64 % of the difference in HOMA-IR and 21-29 % of the differences in cholesterols. FMI and whole-blood n-3 LCPUFA combined explained 42 % of the difference in TAG, whereas FMI, whole-blood n-3 LCPUFA and dietary fibre explained 89 % of the difference in HOMA-IR.
Socio-economic differences were present in blood lipids and insulin resistance among 8- to 11-year-olds and were mediated by body fatness, whole-blood n-3 LCPUFA and dietary fibre. These lifestyle factors may be targets in public initiatives to reduce socio-economic differences. Confirmation in longitudinal studies and trials is warranted.</description><identifier>ISSN: 1368-9800</identifier><identifier>EISSN: 1475-2727</identifier><identifier>DOI: 10.1017/S1368980015003766</identifier><identifier>PMID: 26926594</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adiposity ; Biomarkers ; Blood pressure ; Body Mass Index ; Child ; Cholesterol ; Cross-Sectional Studies ; Denmark - epidemiology ; Diet ; Dietary fiber ; Economics ; Education ; Educational Status ; Exercise ; Female ; Health care ; Health risks ; Heart rate ; Homeostasis ; Humans ; Industrialized nations ; Insulin Resistance ; Lifestyles ; Lipids ; Lipids - blood ; Longitudinal studies ; Male ; Mediators ; Metabolism ; Nutrition research ; Nutritional epidemiology ; Parents ; Research Papers ; Secondary education ; Socioeconomic Factors ; Socioeconomics</subject><ispartof>Public health nutrition, 2016-08, Vol.19 (12), p.2229-2239</ispartof><rights>Copyright © The Authors 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-24e4ac9e2bd93bc63a2defdffc08dba2f5e7a09734944da17c8b3408dabb165c3</citedby><cites>FETCH-LOGICAL-c449t-24e4ac9e2bd93bc63a2defdffc08dba2f5e7a09734944da17c8b3408dabb165c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26926594$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hauger, Hanne</creatorcontrib><creatorcontrib>Groth, Margit V</creatorcontrib><creatorcontrib>Ritz, Christian</creatorcontrib><creatorcontrib>Biltoft-Jensen, Anja</creatorcontrib><creatorcontrib>Andersen, Rikke</creatorcontrib><creatorcontrib>Dalskov, Stine-Mathilde</creatorcontrib><creatorcontrib>Hjorth, Mads F</creatorcontrib><creatorcontrib>Sjödin, Anders</creatorcontrib><creatorcontrib>Astrup, Arne</creatorcontrib><creatorcontrib>Michaelsen, Kim F</creatorcontrib><creatorcontrib>Damsgaard, Camilla T</creatorcontrib><title>Socio-economic differences in cardiometabolic risk markers are mediated by diet and body fatness in 8- to 11-year-old Danish children: a cross-sectional study</title><title>Public health nutrition</title><addtitle>Public Health Nutr</addtitle><description>To explore whether socio-economic differences exist in cardiometabolic risk markers in children and whether lifestyle-related factors potentially mediate these differences.
Cross-sectional study including measurements of fasting blood lipids, glucose, homeostasis model assessment of insulin resistance (HOMA-IR), blood pressure and heart rate. Potential mediators examined were fat mass index (FMI); intakes of fruit, vegetables, dietary fibre and added sugar; whole-blood n-3 long-chain PUFA (LCPUFA) as a biomarker of fish intake; and physical activity and sedentary time.
Nine primary schools in Denmark.
Children aged 8-11 years (n 715).
Children of parents with the shortest compared with longest education had higher TAG by 0·12 (95 % CI 0·04, 0·21) mmol/l and HOMA-IR by 0·36 (0·10, 0·62), whereas children of parents with a vocational education had higher total cholesterol by 0·14 (0·02, 0·27) mmol/l and LDL cholesterol by 0·14 (0·03, 0·25) mmol/l compared with children of parents with the longest education; all P<0·05. FMI explained 25 % of the difference in TAG, 64 % of the difference in HOMA-IR and 21-29 % of the differences in cholesterols. FMI and whole-blood n-3 LCPUFA combined explained 42 % of the difference in TAG, whereas FMI, whole-blood n-3 LCPUFA and dietary fibre explained 89 % of the difference in HOMA-IR.
Socio-economic differences were present in blood lipids and insulin resistance among 8- to 11-year-olds and were mediated by body fatness, whole-blood n-3 LCPUFA and dietary fibre. These lifestyle factors may be targets in public initiatives to reduce socio-economic differences. Confirmation in longitudinal studies and trials is warranted.</description><subject>Adiposity</subject><subject>Biomarkers</subject><subject>Blood pressure</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>Cholesterol</subject><subject>Cross-Sectional Studies</subject><subject>Denmark - epidemiology</subject><subject>Diet</subject><subject>Dietary fiber</subject><subject>Economics</subject><subject>Education</subject><subject>Educational Status</subject><subject>Exercise</subject><subject>Female</subject><subject>Health care</subject><subject>Health risks</subject><subject>Heart rate</subject><subject>Homeostasis</subject><subject>Humans</subject><subject>Industrialized nations</subject><subject>Insulin Resistance</subject><subject>Lifestyles</subject><subject>Lipids</subject><subject>Lipids - blood</subject><subject>Longitudinal studies</subject><subject>Male</subject><subject>Mediators</subject><subject>Metabolism</subject><subject>Nutrition research</subject><subject>Nutritional epidemiology</subject><subject>Parents</subject><subject>Research Papers</subject><subject>Secondary education</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomics</subject><issn>1368-9800</issn><issn>1475-2727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNkc1u1TAQhS0EoqXwAGyQJTZsDHZixw471PInVeqisI7G9oS6TeJiO4u8DM-Ke3tBiKpSVx7pfHNGPoeQl4K_FVzod-ei7UxvOBeK81Z33SNyKKRWrNGNflznKrMb_YA8y_mSc6601k_JQdP1Tad6eUh-nUcXIkMXlzgHR30YR0y4OMw0LNRB8iHOWMDGqcop5Cs6Q7rClCkkpDP6AAU9tVvdxUJhqXP0Gx2hLJh3LobREqkQbENILE6ensAS8gV1F2Hy9dp7CtSlmDPL6EqIC0w0l9Vvz8mTEaaML_bvEfn-6eO34y_s9Ozz1-MPp8xJ2RfWSJTgemys71vruhYaj6MfR8eNt9CMCjXwXreyl9KD0M7YVlYNrBWdcu0ReXPre53izxVzGeaQHU4TLBjXPAijtZGqxvoAVHCltBGioq__Qy_jmurndoZCy8ZIUylxS-0SSDgO1ynUjLdB8OGm5-FOz3Xn1d55tbWCvxt_iq1AuzeF2abgf-A_t--1_Q3497N9</recordid><startdate>201608</startdate><enddate>201608</enddate><creator>Hauger, Hanne</creator><creator>Groth, Margit V</creator><creator>Ritz, Christian</creator><creator>Biltoft-Jensen, Anja</creator><creator>Andersen, Rikke</creator><creator>Dalskov, Stine-Mathilde</creator><creator>Hjorth, Mads F</creator><creator>Sjödin, Anders</creator><creator>Astrup, Arne</creator><creator>Michaelsen, Kim F</creator><creator>Damsgaard, Camilla T</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7T2</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>7U2</scope></search><sort><creationdate>201608</creationdate><title>Socio-economic differences in cardiometabolic risk markers are mediated by diet and body fatness in 8- to 11-year-old Danish children: a cross-sectional study</title><author>Hauger, Hanne ; Groth, Margit V ; Ritz, Christian ; Biltoft-Jensen, Anja ; Andersen, Rikke ; Dalskov, Stine-Mathilde ; Hjorth, Mads F ; Sjödin, Anders ; Astrup, Arne ; Michaelsen, Kim F ; Damsgaard, Camilla T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c449t-24e4ac9e2bd93bc63a2defdffc08dba2f5e7a09734944da17c8b3408dabb165c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adiposity</topic><topic>Biomarkers</topic><topic>Blood pressure</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>Cholesterol</topic><topic>Cross-Sectional Studies</topic><topic>Denmark - epidemiology</topic><topic>Diet</topic><topic>Dietary fiber</topic><topic>Economics</topic><topic>Education</topic><topic>Educational Status</topic><topic>Exercise</topic><topic>Female</topic><topic>Health care</topic><topic>Health risks</topic><topic>Heart rate</topic><topic>Homeostasis</topic><topic>Humans</topic><topic>Industrialized nations</topic><topic>Insulin Resistance</topic><topic>Lifestyles</topic><topic>Lipids</topic><topic>Lipids - blood</topic><topic>Longitudinal studies</topic><topic>Male</topic><topic>Mediators</topic><topic>Metabolism</topic><topic>Nutrition research</topic><topic>Nutritional epidemiology</topic><topic>Parents</topic><topic>Research Papers</topic><topic>Secondary education</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hauger, Hanne</creatorcontrib><creatorcontrib>Groth, Margit V</creatorcontrib><creatorcontrib>Ritz, Christian</creatorcontrib><creatorcontrib>Biltoft-Jensen, Anja</creatorcontrib><creatorcontrib>Andersen, Rikke</creatorcontrib><creatorcontrib>Dalskov, Stine-Mathilde</creatorcontrib><creatorcontrib>Hjorth, Mads F</creatorcontrib><creatorcontrib>Sjödin, Anders</creatorcontrib><creatorcontrib>Astrup, Arne</creatorcontrib><creatorcontrib>Michaelsen, Kim F</creatorcontrib><creatorcontrib>Damsgaard, Camilla T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Career & Technical Education Database</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Agricultural Science Collection</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Safety Science and Risk</collection><jtitle>Public health nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hauger, Hanne</au><au>Groth, Margit V</au><au>Ritz, Christian</au><au>Biltoft-Jensen, Anja</au><au>Andersen, Rikke</au><au>Dalskov, Stine-Mathilde</au><au>Hjorth, Mads F</au><au>Sjödin, Anders</au><au>Astrup, Arne</au><au>Michaelsen, Kim F</au><au>Damsgaard, Camilla T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Socio-economic differences in cardiometabolic risk markers are mediated by diet and body fatness in 8- to 11-year-old Danish children: a cross-sectional study</atitle><jtitle>Public health nutrition</jtitle><addtitle>Public Health Nutr</addtitle><date>2016-08</date><risdate>2016</risdate><volume>19</volume><issue>12</issue><spage>2229</spage><epage>2239</epage><pages>2229-2239</pages><issn>1368-9800</issn><eissn>1475-2727</eissn><abstract>To explore whether socio-economic differences exist in cardiometabolic risk markers in children and whether lifestyle-related factors potentially mediate these differences.
Cross-sectional study including measurements of fasting blood lipids, glucose, homeostasis model assessment of insulin resistance (HOMA-IR), blood pressure and heart rate. Potential mediators examined were fat mass index (FMI); intakes of fruit, vegetables, dietary fibre and added sugar; whole-blood n-3 long-chain PUFA (LCPUFA) as a biomarker of fish intake; and physical activity and sedentary time.
Nine primary schools in Denmark.
Children aged 8-11 years (n 715).
Children of parents with the shortest compared with longest education had higher TAG by 0·12 (95 % CI 0·04, 0·21) mmol/l and HOMA-IR by 0·36 (0·10, 0·62), whereas children of parents with a vocational education had higher total cholesterol by 0·14 (0·02, 0·27) mmol/l and LDL cholesterol by 0·14 (0·03, 0·25) mmol/l compared with children of parents with the longest education; all P<0·05. FMI explained 25 % of the difference in TAG, 64 % of the difference in HOMA-IR and 21-29 % of the differences in cholesterols. FMI and whole-blood n-3 LCPUFA combined explained 42 % of the difference in TAG, whereas FMI, whole-blood n-3 LCPUFA and dietary fibre explained 89 % of the difference in HOMA-IR.
Socio-economic differences were present in blood lipids and insulin resistance among 8- to 11-year-olds and were mediated by body fatness, whole-blood n-3 LCPUFA and dietary fibre. These lifestyle factors may be targets in public initiatives to reduce socio-economic differences. Confirmation in longitudinal studies and trials is warranted.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>26926594</pmid><doi>10.1017/S1368980015003766</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Public health nutrition, 2016-08, Vol.19 (12), p.2229-2239 |
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| subjects | Adiposity Biomarkers Blood pressure Body Mass Index Child Cholesterol Cross-Sectional Studies Denmark - epidemiology Diet Dietary fiber Economics Education Educational Status Exercise Female Health care Health risks Heart rate Homeostasis Humans Industrialized nations Insulin Resistance Lifestyles Lipids Lipids - blood Longitudinal studies Male Mediators Metabolism Nutrition research Nutritional epidemiology Parents Research Papers Secondary education Socioeconomic Factors Socioeconomics |
| title | Socio-economic differences in cardiometabolic risk markers are mediated by diet and body fatness in 8- to 11-year-old Danish children: a cross-sectional study |
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