Inverse Association between Insulin Resistance and Frequency of Milk Consumption in Low-Income Argentinean School Children

Hirschler, Valeria; Oestreicher, Karin; Beccaria, Matin; Hidalgo, Mariana; Maccallini, Gustavo

doi:10.1016/j.jpeds.2008.06.036

Cited by 30 publications

(30 citation statements)

References 21 publications

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“…Previous cross-sectional [11] and [14] and prospective [15] and [16] studies show an inverse relationship between milk or dairy product intake and cardiometabolic risk factors, in children and adolescents. It seems that milk and/or dairy product intake reduces the risk of central obesity [11] and [14], high BP [15] and [16], and insulin resistance [14].…”

Section: Discussionmentioning

confidence: 88%

“…It seems that milk and/or dairy product intake reduces the risk of central obesity [11] and [14], high BP [15] and [16], and insulin resistance [14]. However, studies examining the association between dairy product intake and clustering of cardiometabolic risk factors are limited in the pediatric population.…”

Section: Discussionmentioning

confidence: 99%

“…However, previous studies have shown inverse associations between milk or dairy product intake and selected cardiometabolic risk factors [11], [14], [15] and [16]. In addition, questions remain as to whether different types of dairy products exert distinct effects against cardiometabolic risk.…”

Section: Introductionmentioning

confidence: 98%

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Intake of milk, but not total dairy, yogurt, or cheese, is negatively associated with the clustering of cardiometabolic risk factors in adolescents

Abreu

Moreira

et al. 2014

Nutrition Research

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Epidemiologic studies have reported an inverse association between dairy product consumption and cardiometabolic risk factors in adults, but this relation is relatively unexplored in adolescents. We hypothesized that a higher dairy product intake is associated with lower cardiometabolic risk factor clustering in adolescents. To test this hypothesis, a cross-sectional study was conducted with 494 adolescents aged 15 to 18 years from the Azorean Archipelago, Portugal. We measured fasting glucose, insulin, total cholesterol, high-density lipoprotein cholesterol, triglycerides, systolic blood pressure, body fat, and cardiorespiratory fitness. We also calculated homeostatic model assessment and total cholesterol/high-density lipoprotein cholesterol ratio. For each one of these variables, a z score was computed using age and sex. A cardiometabolic risk score (CMRS) was constructed by summing up the z scores of all individual risk factors. High risk was considered to exist when an individual had at least 1 SD from this score. Diet was evaluated using a food frequency questionnaire, and the intake of total dairy (included milk, yogurt, and cheese), milk, yogurt, and cheese was categorized as low (equal to or below the median of the total sample) or "appropriate" (above the median of the total sample).The association between dairy product intake and CMRS was evaluated using separate logistic regression, and the results were adjusted for confounders. Adolescents with high milk intake had lower CMRS, compared with those with low intake (10.6% vs 18.1%, P = .018). Adolescents with appropriate milk intake were less likely to have high CMRS than those with low milk intake (odds ratio, 0.531; 95% confidence interval, 0.302-0.931). No association was found between CMRS and total dairy, yogurt, and cheese intake. Only milk intake seems to be inversely related to CMRS in adolescents.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intake of milk, but not total dairy, yogurt, or cheese, is negatively associated with the clustering of cardiometabolic risk factors in adolescents

Abreu

Moreira

et al. 2014

Nutrition Research

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“…Several investigators have examined the impact of isolated nutrients/foods and physical activity/ sedentary life on several health outcomes (that is, IR; Pereira et al, 2002;Lara-Castro and Garvey, 2004;Isganaitis and Lustig, 2005;Slinger et al, 2008;Szamosi et al, 2008;Bremer et al, 2009;Hirschler et al, 2009;Kennedy et al, 2009). Although these studies reveal the effect of specific foods/nutrients/food groups and certain parameters of physical activity/sedentary lifestyle on health status, they do not reflect the cumulative effect of the overall dietlifestyle quality.…”

Section: Introductionmentioning

confidence: 99%

Development of a lifestyle–diet quality index for primary schoolchildren and its relation to insulin resistance: the Healthy Lifestyle–Diet Index

et al. 2010

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Objective: The aim of this work was to develop an index that evaluates the degree of adherence to existing dietary and lifestyle guidelines for primary school-aged children (Healthy Lifestyle-Diet Index (HLD-Index)) and examine its relationship with selected nutrient intake and insulin resistance (IR). Methods: Ten components were used to develop the HLD-Index. Scores from 0 to 4 were assigned to all components. The HLD-Index total score ranged between 0 and 40. A sample of 729 schoolchildren from Greece aged 10-12 years (The Healthy Growth Study) was used to evaluate the validation of the proposed index. Results: The overall mean ± standard deviation of the HLD-Index score was 20 ± 4.4. Higher HLD-Index scores were associated with lower proportion of children having intakes lower than Estimated Average Requirements by Institute of Medicine. On the basis of the cutoff point of 3.16 for homeostasis model assessment of IR, 20.9% of participants were found to be insulin resistant. After adjusting for potential confounders, logistic regression showed that a 1 unit increase in the score is associated with almost 8% lower odds for being insulin resistant. The cutoff point analysis revealed that score equal to or lower than 21 best discriminates children with IR from those without IR. On the basis of this cutoff point, the sensitivity of the HLD-Index was 70% and the corresponding specificity was 47%. Conclusions: The proposed HLD-Index could be used by public health policy makers and other health-care professionals to identify subgroups in the population with poor diet-lifestyle habits who are at increased probability for IR.

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“…In this group, after 6 months there was a reduction in WC as well as the total amount of body fat, compared with the group that consumed less low-fat dairy products. Hirschler and colleagues [104], in a cross-sectional study, also reported that increased milk consumption was associated with a lower WC in children under the age of 10 ± 2.3 years.…”

Section: Milk and Dairy Productsmentioning

confidence: 90%

Lifestyle Factors Affecting Abdominal Obesity in Children and Adolescents: Risks and Benefits

Suliga

2014

Nutrition in the Prevention and Treatment of Abdominal Obesity

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Inverse Association between Insulin Resistance and Frequency of Milk Consumption in Low-Income Argentinean School Children

Cited by 30 publications

References 21 publications

Intake of milk, but not total dairy, yogurt, or cheese, is negatively associated with the clustering of cardiometabolic risk factors in adolescents

Intake of milk, but not total dairy, yogurt, or cheese, is negatively associated with the clustering of cardiometabolic risk factors in adolescents

Development of a lifestyle–diet quality index for primary schoolchildren and its relation to insulin resistance: the Healthy Lifestyle–Diet Index

Lifestyle Factors Affecting Abdominal Obesity in Children and Adolescents: Risks and Benefits

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