Inverse association of calcium intake with abdominal adiposity and C-reactive protein in Brazilian children

Suhett, Lara Gomes; Silveira, Brenda Kelly Souza; Filgueiras, Mariana De Santis; Pelúzio, Maria do Carmo Gouveia; Hermsdorff, Helen Hermana Miranda; Novaes, Juliana Farias de

doi:10.1017/s136898001800023x

Cited by 17 publications

(14 citation statements)

References 66 publications

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“…In this study, the excess total‐body and central adiposity were 22.8% and 24.6%, respectively, lower than 48.3% of prevalence of excess total‐body adiposity by the dual‐energy X‐ray absorptiometry method in healthy children from Southeastern Brazil, but higher than 12.2% of central adiposity in another cross‐sectional study with Brazilian healthy adolescent from public schools of the southern region in Brazil . The National Adolescent School‐based Health Survey (PeNSE) 2015 in five macro‐regions from Brazil found 22.2% of prevalence of overweight by BMI in healthy adolescents .…”

Section: Discussioncontrasting

confidence: 48%

“…However, for the first time in children and adolescents with congenital heart disease, we assessed excess total‐body adiposity by objective body fat measurement, which may explain these disparities. Another possible reason is the variability across region and the comparison with studies of healthy children, which could contribute to difference in prevalence of overweight and obesity. The central adiposity in this study was higher than the 9% of central obesity found in a previous study with children and adolescents with congenital heart disease .…”

Section: Discussionmentioning

confidence: 99%

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Added sugar and trans fatty acid intake and sedentary behavior were associated with excess total‐body and central adiposity in children and adolescents with congenital heart disease

et al. 2020

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Background: Over the past three decades, the prevalence rate of overweight and obesity has increased in survivors with congenital heart disease, and little is known about the body composition and its association with clinical characteristics and lifestyle factors.Objectives: To evaluate excess total-body adiposity and central adiposity and, to describe associated factors.Methods: Cross-sectional study with children and adolescents who underwent procedure to treat congenital heart disease, from January to July 2017. Sociodemographic and clinical characteristics, and lifestyle factors (dietary intake, physical activity, and sedentary behavior) were assessed. Adiposity was assessed using air-displacement plethysmography and waist circumference. Factors associated with excess total-body adiposity and central adiposity were analyzed using logistic regression models. Results: Of 232 patients, 22.4% were identified with excess total-body adiposity and 24.6% with central adiposity. Significant factors positively associated with excess total-body adiposity were intake of added sugar and trans fatty acids, adjusted for confounding factors. Similarly, lifestyle factors were positively associated with central adiposity: intake of added sugar and trans fatty acids, sedentary behavior, and family history of obesity. Conclusions: Lifestyle factors were associated with excess total-body adiposity and central adiposity. Assessment of body composition and healthy-lifestyle counseling into outpatient care may be the key point to prevent obesity in children and adolescents with congenital heart disease.

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Section: Discussioncontrasting

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Added sugar and trans fatty acid intake and sedentary behavior were associated with excess total‐body and central adiposity in children and adolescents with congenital heart disease

et al. 2020

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“…Inverse association of calcium intake with abdominal adiposity was also identified in the current investigation, which is in accordance with the results of other studies carried out with 8–9-year-old [32], 9–12-year-old [17], and 12–19-year-old [3] children with various BMI values as well as 7–18-year-old children and adolescents with obesity [33]. Interestingly, Barr [17] demonstrated that calcium intake below the median was independently associated with higher trunk fat% in 9–12-year-old girls.…”

Section: Discussionsupporting

confidence: 93%

“…It appeared that only 15.4% ( n = 19) met their daily calcium intake EAR, similarly to the results of other studies in children and adolescents [3,32,35]. In fact, most studies have observed that more than 90% of studied children and adolescents do not meet the required daily calcium intake [3,32,35]. Therefore, calcium appears to be one of the micronutrients with the highest rate of inadequate consumption worldwide [36].…”

Section: Discussionsupporting

confidence: 87%

Association between Dietary Calcium Intake and Adiposity in Male Adolescents

et al. 2019

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The aim was to investigate the possible association of dietary calcium intake with adiposity, insulin resistance, and adipocytokine values in adolescent boys. In this cross-sectional study, participants were 123 adolescent boys aged 13–15 years, who were divided into tertiles according to their dietary calcium intake. Dietary calcium intake was assessed using three 24 h dietary recalls. In addition, energy intake, body composition, physical activity (PA), and blood biochemical values were also measured. Mean body fat%, fat mass (FM), trunk FM, trunk fat%, and leptin differed between high and low tertiles of calcium intake after adjustment for age, pubertal stage, and PA. For the entire cohort, mean calcium intake was 786 ± 380 mg/day and was related to body mass index (BMI), FM, and trunk fat% but not to insulin resistance or adipocytokine values after adjusting for possible confounders. In addition, only 15.4% of the participants obtained or exceeded their mean dietary calcium intake requirements. These subjects who met their dietary calcium intake had significantly lower body fat% in comparison with subjects not meeting their dietary calcium intake. Odds ratio of being in the highest tertile of FM, trunk FM, and trunk fat% was 3.2–4.4 (95% confidence interval 1.19–12.47; p < 0.05) times higher for boys in low calcium intake tertile, compared to those boys in high calcium intake tertile. In conclusion, dietary calcium intake is inversely associated with total body and abdominal adiposity values in a specific group of healthy male adolescents with different body mass values.

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“…They also provide a reasonable basis for adult dietary preferences [ 16 ]. Although the majority of information linking diet to chronic disease is available for adults, there is some evidence suggesting that encouraging consumption of foods that provide shortfall nutrients while reducing nutrients to limit may reduce risk factors for chronic diseases, including cardiovascular disease (CVD) [ 17 ], hypertension [ 18 ], insulin sensitivity [ 19 ], obesity [ 20 ], and abdominal adiposity [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Food Sources of Energy and Nutrients of Public Health Concern and Nutrients to Limit with a Focus on Milk and other Dairy Foods in Children 2 to 18 Years of Age: National Health and Nutrition Examination Survey, 2011–2014

2018

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Many children are not meeting current nutrient recommendations. The objective of this study was to determine the food sources of energy, nutrients of public health concern, and nutrients to limit with a focus on dairy foods. Twenty-four-hour dietary recall data from children 2–5 (n = 1511), 6–11 (n = 2193), and 12–18 years (n = 2172) participating in NHANES 2011–2014 were analyzed. Energy, fiber, calcium, potassium, vitamin D, added sugars, saturated fatty acids (SFA), and sodium intakes were sample-weighted and ranked on percentage contribution to the diet using specific food group intake and disaggregated data for dairy foods. For children 2–5, 6–11, and 12–18 years, milk, sweet bakery products, and sweetened beverages, respectively were the top food sources of energy, respectively. For calcium, potassium, and vitamin D, milk was the top ranked food source in all age groups. For children 2–5, 6–11, and 12–18 years, milk, sweet bakery products, and pizza, respectively were the top three ranked food sources of SFA; and sugar sweetened beverages and sweet bakery products were to top two food group sources of added sugars. Cured meats/poultry, pizza, and pizza, respectively, were the top ranked food sources of sodium for the three age groups. Identification of food sources of these nutrients can help health professionals implement appropriate dietary recommendations and plan age-appropriate interventions.

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Inverse association of calcium intake with abdominal adiposity and C-reactive protein in Brazilian children

Abstract: Lower Ca intake was associated with excess abdominal adiposity and subclinical inflammation in Brazilian children. Monitoring of adequate Ca intake is important, especially in poorer communities.

Cited by 17 publications

References 66 publications

Added sugar and trans fatty acid intake and sedentary behavior were associated with excess total‐body and central adiposity in children and adolescents with congenital heart disease

Added sugar and trans fatty acid intake and sedentary behavior were associated with excess total‐body and central adiposity in children and adolescents with congenital heart disease

Association between Dietary Calcium Intake and Adiposity in Male Adolescents

Food Sources of Energy and Nutrients of Public Health Concern and Nutrients to Limit with a Focus on Milk and other Dairy Foods in Children 2 to 18 Years of Age: National Health and Nutrition Examination Survey, 2011–2014

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