Determinants of a dietary pattern linked with greater metabolic risk and its tracking during adolescence

Background Although growing evidence suggests that dietary patterns associated with noncommunicable diseases in adulthood may develop early in life, when these are established, as well as their determinants, remains unclear. Methods We examined determinants and tracking of a dietary pattern (DP) ass...

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Veröffentlicht in:Journal of human nutrition and dietetics 2018-04, Vol.31 (2), p.218-227
Hauptverfasser: Appannah, G., Pot, G. K., Oddy, W. H., Jebb, S. A., Ambrosini, G. L.
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container_issue 2
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container_title Journal of human nutrition and dietetics
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creator Appannah, G.
Pot, G. K.
Oddy, W. H.
Jebb, S. A.
Ambrosini, G. L.
description Background Although growing evidence suggests that dietary patterns associated with noncommunicable diseases in adulthood may develop early in life, when these are established, as well as their determinants, remains unclear. Methods We examined determinants and tracking of a dietary pattern (DP) associated with metabolic risk and its key food groups among 860 adolescents in the Western Australian Pregnancy (Raine) Cohort study. Food intake was reported using a food frequency questionnaire (FFQ) at 14 and 17 years. Z‐scores for an ‘energy‐dense, high‐fat, low‐fibre’ DP were estimated by applying reduced rank regression at both ages. Tracking was based on the predictive value (PV) of remaining in the DPZ‐score or food intake quartile at 14 and 17 years. Early‐life exposures included: maternal age; maternal pre‐pregnancy body mass index; parent smoking status during pregnancy; and parent socio‐economic position (SEP) at 14 and 17 years. Associations between the DPZ‐scores, early‐life factors and SEP were analysed using regression analysis. Results Dietary tracking was strongest among boys with high DPZ‐scores, high intakes of processed meat, low‐fibre bread, crisps and savoury snacks (PV > 1) and the lowest intakes of vegetables, fruit and legumes. Lower maternal education (β = 0.09, P = 0.002 at 14 years; β = 0.14, P 
doi_str_mv 10.1111/jhn.12519
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K. ; Oddy, W. H. ; Jebb, S. A. ; Ambrosini, G. L.</creator><creatorcontrib>Appannah, G. ; Pot, G. K. ; Oddy, W. H. ; Jebb, S. A. ; Ambrosini, G. L.</creatorcontrib><description>Background Although growing evidence suggests that dietary patterns associated with noncommunicable diseases in adulthood may develop early in life, when these are established, as well as their determinants, remains unclear. Methods We examined determinants and tracking of a dietary pattern (DP) associated with metabolic risk and its key food groups among 860 adolescents in the Western Australian Pregnancy (Raine) Cohort study. Food intake was reported using a food frequency questionnaire (FFQ) at 14 and 17 years. Z‐scores for an ‘energy‐dense, high‐fat, low‐fibre’ DP were estimated by applying reduced rank regression at both ages. Tracking was based on the predictive value (PV) of remaining in the DPZ‐score or food intake quartile at 14 and 17 years. Early‐life exposures included: maternal age; maternal pre‐pregnancy body mass index; parent smoking status during pregnancy; and parent socio‐economic position (SEP) at 14 and 17 years. Associations between the DPZ‐scores, early‐life factors and SEP were analysed using regression analysis. Results Dietary tracking was strongest among boys with high DPZ‐scores, high intakes of processed meat, low‐fibre bread, crisps and savoury snacks (PV &gt; 1) and the lowest intakes of vegetables, fruit and legumes. Lower maternal education (β = 0.09, P = 0.002 at 14 years; β = 0.14, P &lt; 0.001 at 17 years) and lower maternal age at birth (β = 0.09, P = 0.003 at 14 years; β = 0.11, P = 0.004 at 17 years) were positively associated with higher DPZ‐scores. Conclusions An energy‐dense, high‐fat, low‐fibre dietary pattern tracks more strongly among adolescent boys who have high scores for this pattern at 14 years of age. These findings highlight target foods and population subgroups for early interventions aiming to improve dietary behaviours.</description><identifier>ISSN: 0952-3871</identifier><identifier>EISSN: 1365-277X</identifier><identifier>DOI: 10.1111/jhn.12519</identifier><identifier>PMID: 28975676</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adolescence ; Adolescent ; Adolescent Behavior ; Adolescents ; Age ; Australia ; Body Mass Index ; Body size ; Bread ; Cohort Studies ; Diet ; Diet Surveys ; Diet, Western ; dietary patterns ; Family ; Feeding Behavior ; Female ; Food ; Food groups ; Food intake ; Humans ; Legumes ; Male ; Maternal Age ; Meat ; Metabolic Diseases - etiology ; Metabolism ; Mothers ; Noncommunicable Diseases ; Pregnancy ; Raine Study ; Regression analysis ; Sex Factors ; Smoking ; Snack foods ; social determinants ; Socioeconomic Factors ; Subgroups ; Teenagers ; tracking ; Vegetables ; Western Australia</subject><ispartof>Journal of human nutrition and dietetics, 2018-04, Vol.31 (2), p.218-227</ispartof><rights>2017 The British Dietetic Association Ltd.</rights><rights>2018 The British Dietetic Association Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3889-dd95c3b29d30994d7068dafac462ffe6f19121cc9ff58d19edab23bece6447ab3</citedby><cites>FETCH-LOGICAL-c3889-dd95c3b29d30994d7068dafac462ffe6f19121cc9ff58d19edab23bece6447ab3</cites><orcidid>0000-0003-4636-6529 ; 0000-0002-6119-7017 ; 0000-0003-1001-4265</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjhn.12519$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjhn.12519$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28975676$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Appannah, G.</creatorcontrib><creatorcontrib>Pot, G. K.</creatorcontrib><creatorcontrib>Oddy, W. H.</creatorcontrib><creatorcontrib>Jebb, S. A.</creatorcontrib><creatorcontrib>Ambrosini, G. L.</creatorcontrib><title>Determinants of a dietary pattern linked with greater metabolic risk and its tracking during adolescence</title><title>Journal of human nutrition and dietetics</title><addtitle>J Hum Nutr Diet</addtitle><description>Background Although growing evidence suggests that dietary patterns associated with noncommunicable diseases in adulthood may develop early in life, when these are established, as well as their determinants, remains unclear. Methods We examined determinants and tracking of a dietary pattern (DP) associated with metabolic risk and its key food groups among 860 adolescents in the Western Australian Pregnancy (Raine) Cohort study. Food intake was reported using a food frequency questionnaire (FFQ) at 14 and 17 years. Z‐scores for an ‘energy‐dense, high‐fat, low‐fibre’ DP were estimated by applying reduced rank regression at both ages. Tracking was based on the predictive value (PV) of remaining in the DPZ‐score or food intake quartile at 14 and 17 years. Early‐life exposures included: maternal age; maternal pre‐pregnancy body mass index; parent smoking status during pregnancy; and parent socio‐economic position (SEP) at 14 and 17 years. Associations between the DPZ‐scores, early‐life factors and SEP were analysed using regression analysis. Results Dietary tracking was strongest among boys with high DPZ‐scores, high intakes of processed meat, low‐fibre bread, crisps and savoury snacks (PV &gt; 1) and the lowest intakes of vegetables, fruit and legumes. Lower maternal education (β = 0.09, P = 0.002 at 14 years; β = 0.14, P &lt; 0.001 at 17 years) and lower maternal age at birth (β = 0.09, P = 0.003 at 14 years; β = 0.11, P = 0.004 at 17 years) were positively associated with higher DPZ‐scores. Conclusions An energy‐dense, high‐fat, low‐fibre dietary pattern tracks more strongly among adolescent boys who have high scores for this pattern at 14 years of age. 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L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of a dietary pattern linked with greater metabolic risk and its tracking during adolescence</atitle><jtitle>Journal of human nutrition and dietetics</jtitle><addtitle>J Hum Nutr Diet</addtitle><date>2018-04</date><risdate>2018</risdate><volume>31</volume><issue>2</issue><spage>218</spage><epage>227</epage><pages>218-227</pages><issn>0952-3871</issn><eissn>1365-277X</eissn><abstract>Background Although growing evidence suggests that dietary patterns associated with noncommunicable diseases in adulthood may develop early in life, when these are established, as well as their determinants, remains unclear. Methods We examined determinants and tracking of a dietary pattern (DP) associated with metabolic risk and its key food groups among 860 adolescents in the Western Australian Pregnancy (Raine) Cohort study. Food intake was reported using a food frequency questionnaire (FFQ) at 14 and 17 years. Z‐scores for an ‘energy‐dense, high‐fat, low‐fibre’ DP were estimated by applying reduced rank regression at both ages. Tracking was based on the predictive value (PV) of remaining in the DPZ‐score or food intake quartile at 14 and 17 years. Early‐life exposures included: maternal age; maternal pre‐pregnancy body mass index; parent smoking status during pregnancy; and parent socio‐economic position (SEP) at 14 and 17 years. Associations between the DPZ‐scores, early‐life factors and SEP were analysed using regression analysis. Results Dietary tracking was strongest among boys with high DPZ‐scores, high intakes of processed meat, low‐fibre bread, crisps and savoury snacks (PV &gt; 1) and the lowest intakes of vegetables, fruit and legumes. Lower maternal education (β = 0.09, P = 0.002 at 14 years; β = 0.14, P &lt; 0.001 at 17 years) and lower maternal age at birth (β = 0.09, P = 0.003 at 14 years; β = 0.11, P = 0.004 at 17 years) were positively associated with higher DPZ‐scores. Conclusions An energy‐dense, high‐fat, low‐fibre dietary pattern tracks more strongly among adolescent boys who have high scores for this pattern at 14 years of age. These findings highlight target foods and population subgroups for early interventions aiming to improve dietary behaviours.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>28975676</pmid><doi>10.1111/jhn.12519</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-4636-6529</orcidid><orcidid>https://orcid.org/0000-0002-6119-7017</orcidid><orcidid>https://orcid.org/0000-0003-1001-4265</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescence
Adolescent
Adolescent Behavior
Adolescents
Age
Australia
Body Mass Index
Body size
Bread
Cohort Studies
Diet
Diet Surveys
Diet, Western
dietary patterns
Family
Feeding Behavior
Female
Food
Food groups
Food intake
Humans
Legumes
Male
Maternal Age
Meat
Metabolic Diseases - etiology
Metabolism
Mothers
Noncommunicable Diseases
Pregnancy
Raine Study
Regression analysis
Sex Factors
Smoking
Snack foods
social determinants
Socioeconomic Factors
Subgroups
Teenagers
tracking
Vegetables
Western Australia
title Determinants of a dietary pattern linked with greater metabolic risk and its tracking during adolescence
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