Analysis of dietary patterns on cardiovascular risks in children: from a cross-sectional and a longitudinal study

作者全名："Ren, Y.; Feng, Y.; Wang, Q.; Qu, P.; Luo, S.; Huang, D.; Chen, L.; Zhao, L.; Liang, X."

作者地址："[Ren, Y.; Qu, P.; Luo, S.; Huang, D.; Chen, L.; Zhao, L.; Liang, X.] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Dept Clin Epidemiol & Biostat,Key Lab Child Hlth &, Minist Educ,Key Lab Child Dev & Disorders,Children, Chongqing, Peoples R China; [Wang, Q.] Beijing Jishuitan Hosp, Inst Traumatol & Orthopaed, Dept Epidemiol & Biostat, Beijing, Peoples R China"

通信作者："Liang, X (通讯作者)，Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Dept Clin Epidemiol & Biostat,Key Lab Child Hlth &, Minist Educ,Key Lab Child Dev & Disorders,Children, Chongqing, Peoples R China."

来源：PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001013022400001

JCR分区：Q1

影响因子：3.9

年份：2023

卷号：220

期号：　

开始页：35

结束页：42

文献类型：Article

关键词：Dietary patterns; Children; Cardiovascular disease; Risk factor; Cohort study

摘要："Objectives: Diet is one of the main risk factors for cardiovascular disease (CVD), while the evidence about the relationship between dietary pattern (DP) and CVD in children is scarce. This study aims to explore the association between DP and CVD risk in children. Study design: This was a cross-sectional and longitudinal study. Methods: This research was conducted among 4351 children aged 6-12 years old in 2014, then the subgroup children in 2014 were followed up in 2019. Dietary intakes were assessed using a food frequency questionnaire. DP was clustered based on 15 food items, and finally, four main DPs were obtained. Results: Four major DPs were identified: (1) low intake of nuts and algae pattern, (2) low-energy intake pattern, (3) high-energy intake pattern, and (4) regular DP. Compared with the regular diet pattern, the low intake of nuts and algae pattern was associated with the increased risk of higher systolic blood pressure (107.71 mm Hg vs 105.78 mm Hg, P < 0.001), diastolic blood pressure (64.98 mm Hg vs 63.91 mm Hg, P = 0.0056), hypertension (odds ratio [OR]:1.44, 95% confidence interval [CI]: 1.10, 1.88; P = 0.0036), dyslipidemia (OR: 2.41, 95% CI: 1.28, 4.52; P = 0.0194), and obesity (OR: 1.48, 95% CI: 1.16, 1.89; P = 0.0003) in children from a cross-sectional aspect in 2014 and it was also found associated with an increased risk of hypertension (OR: 2.67, 95% CI: 1.45, 4.92; P = 0.0017) in 2019. Conclusions: Low nuts and algae intake combinations in children seemed associated with increased CVD risk. Such findings are imperative for national development of dietary recommendation for the prevention of CVDs. & COPY; 2023 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved."

基金机构：Key Development Project of Big Health of Chongqing Science and Technology Bureau [CSTC2021jscx-gksb-N0001]; Program for Youth Innovation in Future Medicine from Chongqing Medical University [W0088]; Basic Research Project of Key Laboratory of Ministry of Education of China [GBRP-202106]; Joint Medical Research Project of Chongqing Municipal Health Commission; Chongqing Science and Technology Bureau [2020MSXM062]; Technology Foresight and Institutional Innovation Project of Chongqing Science and Technology Bureau [cstc2020jsyj-zzysbAX0016]; Natural Science Foundation of Youth Project [81502826]; Education Commission of Chongqing Municipality [KJQN201900443]; China Postdoctoral Science Foundation [2014M562289]; Chongqing Postdoctoral Research Funded Projects [Xm2014129]

基金资助正文："& nbsp;This work was supported by Key Development Project of Big Health of Chongqing Science and Technology Bureau (No. CSTC2021jscx-gksb-N0001) , Program for Youth Innovation in Future Medicine from Chongqing Medical University (No. W0088) , the Basic Research Project of Key Laboratory of Ministry of Education of China in 2021 (No. GBRP-202106) , the Joint Medical Research Project of Chongqing Municipal Health Commission and Chongqing Science and Technology Bureau (No. 2020MSXM062) , the Technology Foresight and Institutional Innovation Project of Chongqing Science and Technology Bureau (No. cstc2020jsyj-zzysbAX0016) , the Natural Science Foundation of Youth Project (81502826) , the Education Commission of Chongqing Municipality (No. KJQN201900443) , the China Postdoctoral Science Foundation (No. 2014M562289) , and Chongqing Postdoctoral Research Funded Projects (No. Xm2014129) ."