BACKGROUND/OBJECTIVES: Lignan-rich diets have been associated with favorable health effects through improved metabolic profile. In this study, we hypothesized that dietary lignan intake could be also associated with childhood obesity. SUBJECTS/METHODS: We studied prevalent obesity in relation to lignan intake within the enKid study that involved 3438 children, adolescents and young adults (2-24 years old). Participant's dietary records were used to calculate lignan dietary intake using a lignan composition database adapted to the Spanish diet. RESULTS: The mean intake of the dietary lignans was calculated as B1 mg/day, corresponding mainly (37%) to pinoresinol. No gender differences were found, but lignan intake was positively associated with age, physical activity level and dietary fiber intake, and negatively with the intake of polyunsaturated and saturated fatty acids. The main sources of dietary lignans were refined wheat, olive oil and whole-wheat bread. A strong association between dietary lignan intake and prevalent obesity was found only for boys, with odds ratio (highest versus lowest quartile of lignan intake) of 0.34 (95% confidence interval, 0.17-0.70) after adjusting for main confounders, including dietary fiber. CONCLUSIONS: Boys with the highest lignan-rich products including cereals, whole-grain products and olive oil, presented less cases of obesity in this representative sample of Spanish children and adolescents. It is unknown whether this association implies an active role of dietary lignans on obesity development, or is merely an indicator of a healthier lifestyle.
INTRODUCTIONChildhood obesity has become a major public health issue, both for its increased prevalence worldwide, and its progression to major cardiovascular events later in life that further increases morbidity and mortality. As a disorder of energy balance, obesity is associated with insulin resistance and dyslipidemia. Different bioactive compounds in the diet are currently acknowledged to have favorable effects in these processes. 1 Lignans are fiberrelated phenolic compounds widely distributed in the diet 2 as part of the dietary fiber complex. 3 Lignans are especially abundant in grains, oilseeds, legumes and cruciferous vegetables. [4][5][6] Six different lignans, that is, pinoresinol, lariciresinol, syringaresinol, medioresinol, matairesinol and secoisolariciresinol can be found at relevant concentrations in the human diet. 7 These dietary lignans are absorbed, and to a certain extent (17%) excreted, 8 although the major fraction undergoes an extensive metabolism by the gut microflora that results in the formation of the so-called enterolignans, 9 attending to their colonic origin. These metabolites have been inversely associated with lower weight in women, 10 and further with improved cardiovascular risk factors, and lower risks of acute cardiovascular events. [11][12][13][14][15] There is no information on the intake of lignans in children and adolescents. The aim of this study was to determine the lignan intake and it...