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Prospective associations between dietary patterns and high sensitivity C-reactive protein in European children : the IDEFICS study

(2018) EUROPEAN JOURNAL OF NUTRITION. 57(4). p.1397-1407
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Abstract
Purpose: This prospective study explores high sensitivity C-reactive protein (hs-CRP) levels in relation to dietary patterns at two time points in European children. Methods: Out of the baseline sample of the IDEFICS study (n = 16,228), 4020 children, aged 2-9 years at baseline, with available hs-CRP levels and valid data from a food frequency questionnaire (FFQ) at baseline (T0) and 2 years later (T1) were included. K-means clustering algorithm based on the similarities between relative food consumption frequencies of the FFQ was applied. hs-CRP was dichotomized according to sex-specific cutoff points. Multilevel logistic regression was performed to assess the relationship between dietary patterns and hs-CRP adjusting for covariates. Results: Three consistent dietary patterns were found at T0 and T1: 'animal protein and refined carbohydrate', 'sweet and processed' and 'healthy'. Children allocated to the 'protein' and 'sweet and processed' clusters at both time points had significantly higher odds of being in the highest category of hs-CRP (OR 1.47; 95% CI 1.03-2.09 for 'animal protein and refined carbohydrate' and OR 1.44; 95% CI 1.08-1.92 for 'sweet and processed') compared to the 'healthy' cluster. The odds remained significantly higher for the 'sweet and processed' pattern (OR 1.39; 95% CI 1.05-1.84) when covariates were included. Conclusions: A dietary pattern characterized by frequent consumption of sugar and processed products and infrequent consumption of vegetables and fruits over time was independently related with inflammation in European children. Efforts to improve the quality of the diet in childhood may prevent future diseases related with chronic inflammation.
Keywords
Dietary patterns, Inflammation, C-reactive protein, European, Children, IDEFICS, CLUSTER-ANALYSIS, CONSUMPTION FREQUENCIES, INSULIN-RESISTANCE, ADIPOSE-TISSUE, RISK-FACTORS, INFLAMMATION, ATHEROSCLEROSIS, DISEASE, COHORT, MULTICENTER

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Citation

Please use this url to cite or link to this publication:

Chicago
González-Gil, Esther María, Gianluca Tognon, Lauren Lissner, Timm Intemann, Valeria Pala, Claudio Galli, Maike Wolters, et al. 2018. “Prospective Associations Between Dietary Patterns and High Sensitivity C-reactive Protein in European Children : the IDEFICS Study.” European Journal of Nutrition 57 (4): 1397–1407.
APA
González-Gil, Esther María, Tognon, G., Lissner, L., Intemann, T., Pala, V., Galli, C., Wolters, M., et al. (2018). Prospective associations between dietary patterns and high sensitivity C-reactive protein in European children : the IDEFICS study. EUROPEAN JOURNAL OF NUTRITION, 57(4), 1397–1407.
Vancouver
1.
González-Gil EM, Tognon G, Lissner L, Intemann T, Pala V, Galli C, et al. Prospective associations between dietary patterns and high sensitivity C-reactive protein in European children : the IDEFICS study. EUROPEAN JOURNAL OF NUTRITION. 2018;57(4):1397–407.
MLA
González-Gil, Esther María, Gianluca Tognon, Lauren Lissner, et al. “Prospective Associations Between Dietary Patterns and High Sensitivity C-reactive Protein in European Children : the IDEFICS Study.” EUROPEAN JOURNAL OF NUTRITION 57.4 (2018): 1397–1407. Print.
@article{8522374,
  abstract     = {Purpose: This prospective study explores high sensitivity C-reactive protein (hs-CRP) levels in relation to dietary patterns at two time points in European children. 
Methods: Out of the baseline sample of the IDEFICS study (n = 16,228), 4020 children, aged 2-9 years at baseline, with available hs-CRP levels and valid data from a food frequency questionnaire (FFQ) at baseline (T0) and 2 years later (T1) were included. K-means clustering algorithm based on the similarities between relative food consumption frequencies of the FFQ was applied. hs-CRP was dichotomized according to sex-specific cutoff points. Multilevel logistic regression was performed to assess the relationship between dietary patterns and hs-CRP adjusting for covariates. 
Results: Three consistent dietary patterns were found at T0 and T1: 'animal protein and refined carbohydrate', 'sweet and processed' and 'healthy'. Children allocated to the 'protein' and 'sweet and processed' clusters at both time points had significantly higher odds of being in the highest category of hs-CRP (OR 1.47; 95\% CI 1.03-2.09 for 'animal protein and refined carbohydrate' and OR 1.44; 95\% CI 1.08-1.92 for 'sweet and processed') compared to the 'healthy' cluster. The odds remained significantly higher for the 'sweet and processed' pattern (OR 1.39; 95\% CI 1.05-1.84) when covariates were included. 

Conclusions: A dietary pattern characterized by frequent consumption of sugar and processed products and infrequent consumption of vegetables and fruits over time was independently related with inflammation in European children. Efforts to improve the quality of the diet in childhood may prevent future diseases related with chronic inflammation.},
  author       = {Gonz{\'a}lez-Gil, Esther Mar{\'i}a and Tognon, Gianluca and Lissner, Lauren and Intemann, Timm and Pala, Valeria and Galli, Claudio and Wolters, Maike and Siani, Alfonso and Veidebaum, Toomas and Michels, Nathalie and Molnar, Denes and Kaprio, Jaakko and Kourides, Yannis and Fraterman, Arno and Iacoviello, Licia and Pic{\'o}, Catalina and Fern{\'a}ndez-Alvira, Juan Miguel and Moreno Aznar, Luis Alberto},
  issn         = {1436-6207},
  journal      = {EUROPEAN JOURNAL OF NUTRITION},
  keyword      = {Dietary patterns,Inflammation,C-reactive protein,European,Children,IDEFICS,CLUSTER-ANALYSIS,CONSUMPTION FREQUENCIES,INSULIN-RESISTANCE,ADIPOSE-TISSUE,RISK-FACTORS,INFLAMMATION,ATHEROSCLEROSIS,DISEASE,COHORT,MULTICENTER},
  language     = {eng},
  number       = {4},
  pages        = {1397--1407},
  title        = {Prospective associations between dietary patterns and high sensitivity C-reactive protein in European children : the IDEFICS study},
  url          = {http://dx.doi.org/10.1007/s00394-017-1419-x},
  volume       = {57},
  year         = {2018},
}

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