Safety of a fat-reduced diet: The Dietary Intervention Study in Children
Objective. To assess the relationship between energy intake from fat and anthropometric, biochemical, and dietary measures of nutritional adequacy and safety. Design. Three-year longitudinal study of children participating in a randomized controlled trial; intervention and usual care group data pool...
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| Veröffentlicht in: | Pediatrics (Evanston) 1997-07, Vol.100 (1), p.51-59 |
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| creator | Obarzanek, E. (National Heart, Lung, and Blood Institute, Bethesda, MD.) Hunsberger, S.A Van Horn, L Hartmuller, V.V Barton, B.A Stevens, V.J Kwiterovitch, P.O Franklin, F.A Kimm, S.Y.S |
| description | Objective. To assess the relationship between energy intake from fat and anthropometric, biochemical, and dietary measures of nutritional adequacy and safety. Design. Three-year longitudinal study of children participating in a randomized controlled trial; intervention and usual care group data pooled to assess effects of self-reported fat intake; longitudinal regression analyses of measurements at baseline, year 1, and year 3. Participants. Six hundred sixty-three children (362 boys and 301 girls), 8 to 10 years of age at baseline, with elevated low-density lipoprotein cholesterol, who are participants of the Dietary Intervention Study in Children. Measures. Energy intake from fat assessed from three 24-hour recalls at each time point was the independent variable. Outcomes were anthropometric measures (height, weight, body mass index, and sum of skinfolds), nutritional biochemical determinations (serum ferritin, zinc, retinol, albumin, beta-carotene, and vitamin E, red blood cell folate, and hemoglobin), and dietary micronutrients (vitamins A, C, E, thiamin, riboflavin, niacin, vitamins B-6, B-12, folate, calcium, iron, zinc, magnesium, and phosphorus). Results. Lower fat intake was not related to anthropometric measures or serum zinc, retinol, albumin, beta-carotene, or vitamin E. Lower fat intake was related to: 1) higher levels of red blood cell folate and hemoglobin, with a trend toward higher serum ferritin; 2) higher intakes of folate, vitamin C, and vitamin A, with a trend toward higher iron intake; 3) lower intakes of calcium, zinc, magnesium, phosphorus, vitamin B-12, thiamin, niacin, and riboflavin; 4) increased risk of consuming less than two-thirds of the Recommended Dietary Allowances for calcium in girls at baseline, and zinc and vitamin E in boys and girls at all visits. Conclusions |
| doi_str_mv | 10.1542/peds.100.1.51 |
| format | Article |
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(National Heart, Lung, and Blood Institute, Bethesda, MD.) ; Hunsberger, S.A ; Van Horn, L ; Hartmuller, V.V ; Barton, B.A ; Stevens, V.J ; Kwiterovitch, P.O ; Franklin, F.A ; Kimm, S.Y.S</creator><creatorcontrib>Obarzanek, E. (National Heart, Lung, and Blood Institute, Bethesda, MD.) ; Hunsberger, S.A ; Van Horn, L ; Hartmuller, V.V ; Barton, B.A ; Stevens, V.J ; Kwiterovitch, P.O ; Franklin, F.A ; Kimm, S.Y.S</creatorcontrib><description>Objective. To assess the relationship between energy intake from fat and anthropometric, biochemical, and dietary measures of nutritional adequacy and safety. Design. Three-year longitudinal study of children participating in a randomized controlled trial; intervention and usual care group data pooled to assess effects of self-reported fat intake; longitudinal regression analyses of measurements at baseline, year 1, and year 3. Participants. Six hundred sixty-three children (362 boys and 301 girls), 8 to 10 years of age at baseline, with elevated low-density lipoprotein cholesterol, who are participants of the Dietary Intervention Study in Children. Measures. Energy intake from fat assessed from three 24-hour recalls at each time point was the independent variable. Outcomes were anthropometric measures (height, weight, body mass index, and sum of skinfolds), nutritional biochemical determinations (serum ferritin, zinc, retinol, albumin, beta-carotene, and vitamin E, red blood cell folate, and hemoglobin), and dietary micronutrients (vitamins A, C, E, thiamin, riboflavin, niacin, vitamins B-6, B-12, folate, calcium, iron, zinc, magnesium, and phosphorus). Results. Lower fat intake was not related to anthropometric measures or serum zinc, retinol, albumin, beta-carotene, or vitamin E. Lower fat intake was related to: 1) higher levels of red blood cell folate and hemoglobin, with a trend toward higher serum ferritin; 2) higher intakes of folate, vitamin C, and vitamin A, with a trend toward higher iron intake; 3) lower intakes of calcium, zinc, magnesium, phosphorus, vitamin B-12, thiamin, niacin, and riboflavin; 4) increased risk of consuming less than two-thirds of the Recommended Dietary Allowances for calcium in girls at baseline, and zinc and vitamin E in boys and girls at all visits. Conclusions</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.100.1.51</identifier><identifier>PMID: 9200359</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: Am Acad Pediatrics</publisher><subject>Adipose Tissue ; Age Factors ; Biological and medical sciences ; Child ; Children & youth ; Cholesterol, LDL - blood ; Diet ; Diet therapy ; Dietary Fats ; DIETAS RESTRICTAS EN GRASAS ; Energy Intake ; ENFANT ; Erythrocytes - chemistry ; Evaluation Studies as Topic ; Female ; Folic Acid - blood ; Hemoglobinometry ; Human physiology applied to population studies and life conditions. Human ecophysiology ; Humans ; Hypercholesterolemia in children ; INNOCUITE DES PRODUITS ALIMENTAIRES ; INOCUIDAD ALIMENTARIA ; Longitudinal Studies ; Low fat diet ; Male ; Medical sciences ; Minerals - administration & dosage ; NINOS ; Nutrition ; Nutritional Status ; Nutritional survey. Food supply and nutritional requirement ; Oils & fats ; Pediatric hypercholesterolemia ; Pediatrics ; Physical growth ; Physiological aspects ; REGIME ALLEGE EN GRAISSE ; Regression Analysis ; Safety ; Sex Factors ; Skinfold Thickness ; Time Factors ; Trace Elements - blood ; Vitamins - administration & dosage</subject><ispartof>Pediatrics (Evanston), 1997-07, Vol.100 (1), p.51-59</ispartof><rights>1997 INIST-CNRS</rights><rights>COPYRIGHT 1997 American Academy of Pediatrics</rights><rights>COPYRIGHT 1997 American Academy of Pediatrics</rights><rights>Copyright American Academy of Pediatrics Jul 1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c546t-dbec2d7fb6f25177ac4bddac8d629d4578252faf16814aee8b3e73bce09d04823</citedby><cites>FETCH-LOGICAL-c546t-dbec2d7fb6f25177ac4bddac8d629d4578252faf16814aee8b3e73bce09d04823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2741907$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9200359$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Obarzanek, E. (National Heart, Lung, and Blood Institute, Bethesda, MD.)</creatorcontrib><creatorcontrib>Hunsberger, S.A</creatorcontrib><creatorcontrib>Van Horn, L</creatorcontrib><creatorcontrib>Hartmuller, V.V</creatorcontrib><creatorcontrib>Barton, B.A</creatorcontrib><creatorcontrib>Stevens, V.J</creatorcontrib><creatorcontrib>Kwiterovitch, P.O</creatorcontrib><creatorcontrib>Franklin, F.A</creatorcontrib><creatorcontrib>Kimm, S.Y.S</creatorcontrib><title>Safety of a fat-reduced diet: The Dietary Intervention Study in Children</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>Objective. To assess the relationship between energy intake from fat and anthropometric, biochemical, and dietary measures of nutritional adequacy and safety. Design. Three-year longitudinal study of children participating in a randomized controlled trial; intervention and usual care group data pooled to assess effects of self-reported fat intake; longitudinal regression analyses of measurements at baseline, year 1, and year 3. Participants. Six hundred sixty-three children (362 boys and 301 girls), 8 to 10 years of age at baseline, with elevated low-density lipoprotein cholesterol, who are participants of the Dietary Intervention Study in Children. Measures. Energy intake from fat assessed from three 24-hour recalls at each time point was the independent variable. Outcomes were anthropometric measures (height, weight, body mass index, and sum of skinfolds), nutritional biochemical determinations (serum ferritin, zinc, retinol, albumin, beta-carotene, and vitamin E, red blood cell folate, and hemoglobin), and dietary micronutrients (vitamins A, C, E, thiamin, riboflavin, niacin, vitamins B-6, B-12, folate, calcium, iron, zinc, magnesium, and phosphorus). Results. Lower fat intake was not related to anthropometric measures or serum zinc, retinol, albumin, beta-carotene, or vitamin E. Lower fat intake was related to: 1) higher levels of red blood cell folate and hemoglobin, with a trend toward higher serum ferritin; 2) higher intakes of folate, vitamin C, and vitamin A, with a trend toward higher iron intake; 3) lower intakes of calcium, zinc, magnesium, phosphorus, vitamin B-12, thiamin, niacin, and riboflavin; 4) increased risk of consuming less than two-thirds of the Recommended Dietary Allowances for calcium in girls at baseline, and zinc and vitamin E in boys and girls at all visits. Conclusions</description><subject>Adipose Tissue</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Children & youth</subject><subject>Cholesterol, LDL - blood</subject><subject>Diet</subject><subject>Diet therapy</subject><subject>Dietary Fats</subject><subject>DIETAS RESTRICTAS EN GRASAS</subject><subject>Energy Intake</subject><subject>ENFANT</subject><subject>Erythrocytes - chemistry</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Folic Acid - blood</subject><subject>Hemoglobinometry</subject><subject>Human physiology applied to population studies and life conditions. Human ecophysiology</subject><subject>Humans</subject><subject>Hypercholesterolemia in children</subject><subject>INNOCUITE DES PRODUITS ALIMENTAIRES</subject><subject>INOCUIDAD ALIMENTARIA</subject><subject>Longitudinal Studies</subject><subject>Low fat diet</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Minerals - administration & dosage</subject><subject>NINOS</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Nutritional survey. Food supply and nutritional requirement</subject><subject>Oils & fats</subject><subject>Pediatric hypercholesterolemia</subject><subject>Pediatrics</subject><subject>Physical growth</subject><subject>Physiological aspects</subject><subject>REGIME ALLEGE EN GRAISSE</subject><subject>Regression Analysis</subject><subject>Safety</subject><subject>Sex Factors</subject><subject>Skinfold Thickness</subject><subject>Time Factors</subject><subject>Trace Elements - blood</subject><subject>Vitamins - administration & dosage</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0kFv0zAUAGALgUYZHLkgIUUIIQ5LsR27TrhNBbZJlXbodrYc-zn1lDqd7QD997i0Ghuqcohf3ie_p5eH0FuCp4Qz-mUDJk4JztGUk2doQnBTl4wK_hxNMK5IyTDmL9GrGO8wxowLeoJOGppTvJmgy6WykLbFYAtVWJXKAGbUYArjIH0tblZQfMsnFbbFlU8QfoJPbvDFMo1mWzhfzFeuNwH8a_TCqj7Cm8P7FN3--H4zvywX1xdX8_NFqTmbpdK0oKkRtp1ZyokQSrPWGKVrM6ONyd3VlFOrLJnVhCmAuq1AVK0G3BjMalqdok_7ezdhuB8hJrl2UUPfKw_DGKVocFZiBz_8B--GMfjcm6S0rjjNc8nobI861YN03g4pKN2Bh6D6wYN1-fM5aXiN-V9eHuH5MbB2-pj__MRnkuB36tQYo6wvFk_o2TGqh76HDmSe4fz6WCc6DDEGsHIT3Dr_Jkmw3O2F3O1FDnIkOcn-_WEaY7sG86APi5DzHw95FbXqbVBeu_jAqGCkweJf2ZXrVr9cgF0Zp1JwOj46Pir7bu-tGqTqQr7ydtkIxgRn1R8dFNUs</recordid><startdate>19970701</startdate><enddate>19970701</enddate><creator>Obarzanek, E. (National Heart, Lung, and Blood Institute, Bethesda, MD.)</creator><creator>Hunsberger, S.A</creator><creator>Van Horn, L</creator><creator>Hartmuller, V.V</creator><creator>Barton, B.A</creator><creator>Stevens, V.J</creator><creator>Kwiterovitch, P.O</creator><creator>Franklin, F.A</creator><creator>Kimm, S.Y.S</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>FBQ</scope><scope>IQODW</scope><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>8GL</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>19970701</creationdate><title>Safety of a fat-reduced diet: The Dietary Intervention Study in Children</title><author>Obarzanek, E. (National Heart, Lung, and Blood Institute, Bethesda, MD.) ; Hunsberger, S.A ; Van Horn, L ; Hartmuller, V.V ; Barton, B.A ; Stevens, V.J ; Kwiterovitch, P.O ; Franklin, F.A ; Kimm, S.Y.S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c546t-dbec2d7fb6f25177ac4bddac8d629d4578252faf16814aee8b3e73bce09d04823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adipose Tissue</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Children & youth</topic><topic>Cholesterol, LDL - blood</topic><topic>Diet</topic><topic>Diet therapy</topic><topic>Dietary Fats</topic><topic>DIETAS RESTRICTAS EN GRASAS</topic><topic>Energy Intake</topic><topic>ENFANT</topic><topic>Erythrocytes - chemistry</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Folic Acid - blood</topic><topic>Hemoglobinometry</topic><topic>Human physiology applied to population studies and life conditions. Human ecophysiology</topic><topic>Humans</topic><topic>Hypercholesterolemia in children</topic><topic>INNOCUITE DES PRODUITS ALIMENTAIRES</topic><topic>INOCUIDAD ALIMENTARIA</topic><topic>Longitudinal Studies</topic><topic>Low fat diet</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Minerals - administration & dosage</topic><topic>NINOS</topic><topic>Nutrition</topic><topic>Nutritional Status</topic><topic>Nutritional survey. Food supply and nutritional requirement</topic><topic>Oils & fats</topic><topic>Pediatric hypercholesterolemia</topic><topic>Pediatrics</topic><topic>Physical growth</topic><topic>Physiological aspects</topic><topic>REGIME ALLEGE EN GRAISSE</topic><topic>Regression Analysis</topic><topic>Safety</topic><topic>Sex Factors</topic><topic>Skinfold Thickness</topic><topic>Time Factors</topic><topic>Trace Elements - blood</topic><topic>Vitamins - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Obarzanek, E. (National Heart, Lung, and Blood Institute, Bethesda, MD.)</creatorcontrib><creatorcontrib>Hunsberger, S.A</creatorcontrib><creatorcontrib>Van Horn, L</creatorcontrib><creatorcontrib>Hartmuller, V.V</creatorcontrib><creatorcontrib>Barton, B.A</creatorcontrib><creatorcontrib>Stevens, V.J</creatorcontrib><creatorcontrib>Kwiterovitch, P.O</creatorcontrib><creatorcontrib>Franklin, F.A</creatorcontrib><creatorcontrib>Kimm, S.Y.S</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Obarzanek, E. (National Heart, Lung, and Blood Institute, Bethesda, MD.)</au><au>Hunsberger, S.A</au><au>Van Horn, L</au><au>Hartmuller, V.V</au><au>Barton, B.A</au><au>Stevens, V.J</au><au>Kwiterovitch, P.O</au><au>Franklin, F.A</au><au>Kimm, S.Y.S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safety of a fat-reduced diet: The Dietary Intervention Study in Children</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>1997-07-01</date><risdate>1997</risdate><volume>100</volume><issue>1</issue><spage>51</spage><epage>59</epage><pages>51-59</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>Objective. To assess the relationship between energy intake from fat and anthropometric, biochemical, and dietary measures of nutritional adequacy and safety. Design. Three-year longitudinal study of children participating in a randomized controlled trial; intervention and usual care group data pooled to assess effects of self-reported fat intake; longitudinal regression analyses of measurements at baseline, year 1, and year 3. Participants. Six hundred sixty-three children (362 boys and 301 girls), 8 to 10 years of age at baseline, with elevated low-density lipoprotein cholesterol, who are participants of the Dietary Intervention Study in Children. Measures. Energy intake from fat assessed from three 24-hour recalls at each time point was the independent variable. Outcomes were anthropometric measures (height, weight, body mass index, and sum of skinfolds), nutritional biochemical determinations (serum ferritin, zinc, retinol, albumin, beta-carotene, and vitamin E, red blood cell folate, and hemoglobin), and dietary micronutrients (vitamins A, C, E, thiamin, riboflavin, niacin, vitamins B-6, B-12, folate, calcium, iron, zinc, magnesium, and phosphorus). Results. Lower fat intake was not related to anthropometric measures or serum zinc, retinol, albumin, beta-carotene, or vitamin E. Lower fat intake was related to: 1) higher levels of red blood cell folate and hemoglobin, with a trend toward higher serum ferritin; 2) higher intakes of folate, vitamin C, and vitamin A, with a trend toward higher iron intake; 3) lower intakes of calcium, zinc, magnesium, phosphorus, vitamin B-12, thiamin, niacin, and riboflavin; 4) increased risk of consuming less than two-thirds of the Recommended Dietary Allowances for calcium in girls at baseline, and zinc and vitamin E in boys and girls at all visits. Conclusions</abstract><cop>Elk Grove Village, IL</cop><pub>Am Acad Pediatrics</pub><pmid>9200359</pmid><doi>10.1542/peds.100.1.51</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0031-4005 |
| ispartof | Pediatrics (Evanston), 1997-07, Vol.100 (1), p.51-59 |
| issn | 0031-4005 1098-4275 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79082372 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adipose Tissue Age Factors Biological and medical sciences Child Children & youth Cholesterol, LDL - blood Diet Diet therapy Dietary Fats DIETAS RESTRICTAS EN GRASAS Energy Intake ENFANT Erythrocytes - chemistry Evaluation Studies as Topic Female Folic Acid - blood Hemoglobinometry Human physiology applied to population studies and life conditions. Human ecophysiology Humans Hypercholesterolemia in children INNOCUITE DES PRODUITS ALIMENTAIRES INOCUIDAD ALIMENTARIA Longitudinal Studies Low fat diet Male Medical sciences Minerals - administration & dosage NINOS Nutrition Nutritional Status Nutritional survey. Food supply and nutritional requirement Oils & fats Pediatric hypercholesterolemia Pediatrics Physical growth Physiological aspects REGIME ALLEGE EN GRAISSE Regression Analysis Safety Sex Factors Skinfold Thickness Time Factors Trace Elements - blood Vitamins - administration & dosage |
| title | Safety of a fat-reduced diet: The Dietary Intervention Study in Children |
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