Associations of dietary patterns and obesity development in school‐aged children: results from the CHILD Cohort Study
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Wiley
2025
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| author | Zheng Hao Chen Gabrielle Jacobson Myrtha E. Reyna Paula Parvulescu Russell J. de Souza Mark R. Palmert Wendy Lou Susan C. Campisi Elinor Simons Stuart E. Turvey Theo J. Moraes Piushkumar J. Mandhane Padmaja Subbarao Kozeta Miliku |
| author_facet | Zheng Hao Chen Gabrielle Jacobson Myrtha E. Reyna Paula Parvulescu Russell J. de Souza Mark R. Palmert Wendy Lou Susan C. Campisi Elinor Simons Stuart E. Turvey Theo J. Moraes Piushkumar J. Mandhane Padmaja Subbarao Kozeta Miliku Zheng Hao Chen Gabrielle Jacobson Myrtha E. Reyna Paula Parvulescu Russell J. de Souza Mark R. Palmert Wendy Lou Susan C. Campisi Elinor Simons Stuart E. Turvey Theo J. Moraes Piushkumar J. Mandhane Padmaja Subbarao Kozeta Miliku |
| collection | Wiley Open Access |
| contents | Associations of dietary patterns and obesity development in school‐aged children: results from the CHILD Cohort Study Zheng Hao Chen Gabrielle Jacobson Myrtha E. Reyna Paula Parvulescu Russell J. de Souza Mark R. Palmert Wendy Lou Susan C. Campisi Elinor Simons Stuart E. Turvey Theo J. Moraes Piushkumar J. Mandhane Padmaja Subbarao Kozeta Miliku Obesity AbstractObjectiveWe aimed to understand data‐driven dietary patterns in Canadian preschoolers and their impact on obesity development among male and female individuals.MethodsIn the prospective, population‐based Canadian pregnancy cohort, the CHILD Cohort Study (N = 2219), dietary intake was assessed at age 3 years using a previously developed 112‐item food frequency questionnaire. At age 5 years, we measured height, weight, and waist circumference and calculated BMI and waist circumference z scores. Obesity was defined as BMI z score > 2. We used principal components analysis to derive dietary patterns and multivariable‐adjusted regression analyses to determine dietary patterns' associations with BMI and waist circumference z scores, as well as obesity status.ResultsAmong Canadian preschoolers, we identified three dietary patterns: “Prudent” (high in vegetables, fruits, legumes, and fish); “Western‐like” (high in fast foods, red/processed meats, and carbonated drinks); and “Refined Grain‐Snack” (high in refined grains, dairy, and salty snacks). At age 5 years, 4.7% of the children were living with obesity (3.1% male individuals and 1.6% female individuals). Females adhering to the Refined Grain‐Snack pattern had higher waist circumference z scores (β = 0.14; 95% CI: 0.03–0.25) and 2.74‐fold odds of living with obesity (95% CI: 1.29–5.85). No significant associations were observed among male individuals or with other dietary patterns and obesity outcomes among female individuals.ConclusionsPreschool dietary patterns are associated with sex‐biased obesity development, highlighting the need for further research to explore these differences and inform targeted obesity prevention strategies during this important developmental period. 10.1002/oby.24294 http://creativecommons.org/licenses/by/4.0/ |
| doi_str_mv | 10.1002/oby.24294 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_oby_24294 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| publishDate | 2025 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Associations of dietary patterns and obesity development in school‐aged children: results from the CHILD Cohort Study Zheng Hao Chen Gabrielle Jacobson Myrtha E. Reyna Paula Parvulescu Russell J. de Souza Mark R. Palmert Wendy Lou Susan C. Campisi Elinor Simons Stuart E. Turvey Theo J. Moraes Piushkumar J. Mandhane Padmaja Subbarao Kozeta Miliku Obesity Associations of dietary patterns and obesity development in school‐aged children: results from the CHILD Cohort Study Zheng Hao Chen Gabrielle Jacobson Myrtha E. Reyna Paula Parvulescu Russell J. de Souza Mark R. Palmert Wendy Lou Susan C. Campisi Elinor Simons Stuart E. Turvey Theo J. Moraes Piushkumar J. Mandhane Padmaja Subbarao Kozeta Miliku Obesity AbstractObjectiveWe aimed to understand data‐driven dietary patterns in Canadian preschoolers and their impact on obesity development among male and female individuals.MethodsIn the prospective, population‐based Canadian pregnancy cohort, the CHILD Cohort Study (N = 2219), dietary intake was assessed at age 3 years using a previously developed 112‐item food frequency questionnaire. At age 5 years, we measured height, weight, and waist circumference and calculated BMI and waist circumference z scores. Obesity was defined as BMI z score > 2. We used principal components analysis to derive dietary patterns and multivariable‐adjusted regression analyses to determine dietary patterns' associations with BMI and waist circumference z scores, as well as obesity status.ResultsAmong Canadian preschoolers, we identified three dietary patterns: “Prudent” (high in vegetables, fruits, legumes, and fish); “Western‐like” (high in fast foods, red/processed meats, and carbonated drinks); and “Refined Grain‐Snack” (high in refined grains, dairy, and salty snacks). At age 5 years, 4.7% of the children were living with obesity (3.1% male individuals and 1.6% female individuals). Females adhering to the Refined Grain‐Snack pattern had higher waist circumference z scores (β = 0.14; 95% CI: 0.03–0.25) and 2.74‐fold odds of living with obesity (95% CI: 1.29–5.85). No significant associations were observed among male individuals or with other dietary patterns and obesity outcomes among female individuals.ConclusionsPreschool dietary patterns are associated with sex‐biased obesity development, highlighting the need for further research to explore these differences and inform targeted obesity prevention strategies during this important developmental period. 10.1002/oby.24294 http://creativecommons.org/licenses/by/4.0/ |
| title | Associations of dietary patterns and obesity development in school‐aged children: results from the CHILD Cohort Study |
| topic | Obesity |
| url | https://onlinelibrary.wiley.com/doi/10.1002/oby.24294 |