Adherence to the Mediterranean dietary pattern and BMI change among U.S. adolescents

Background: Among adults, the Mediterranean dietary pattern (MDP) is inversely related to body mass index (BMI). Data are lacking on adherence to the MDP among youth in the United States and whether the MDP is related to weight change in that group. Objective: To assess whether adherence to the M...

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Main Authors: Martin-Calvo, N. (Nerea), Chavarro, J.E. (Jorge E.), Falbe, J. (Jennifer), Hu, F.B. (Frank B.), Field, A.E. (A. E.)
Format: info:eu-repo/semantics/article
Language:English
Published: 2022
Subjects:
Online Access:https://hdl.handle.net/10171/63898
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author Martin-Calvo, N. (Nerea)
Chavarro, J.E. (Jorge E.)
Falbe, J. (Jennifer)
Hu, F.B. (Frank B.)
Field, A.E. (A. E.)
author_facet Martin-Calvo, N. (Nerea)
Chavarro, J.E. (Jorge E.)
Falbe, J. (Jennifer)
Hu, F.B. (Frank B.)
Field, A.E. (A. E.)
author_sort Martin-Calvo, N. (Nerea)
collection DSpace
description Background: Among adults, the Mediterranean dietary pattern (MDP) is inversely related to body mass index (BMI). Data are lacking on adherence to the MDP among youth in the United States and whether the MDP is related to weight change in that group. Objective: To assess whether adherence to the MDP was associated with BMI change among adolescents. To examine temporality, we studied the association between baseline and 2-3-year changes in adherence to the MDP with concurrent changes in BMI, as well as subsequent changes in BMI over a 7-year period. Methods: We prospectively followed 6002 females and 4916 males in the Growing Up Today Study II, aged 8-15 years in 2004, living across United States. Data were collected by questionnaire in 2004, 2006, 2008 and 2011. Dietary intake was assessed by the Youth/Adolescent Questionnaire. The KidMed Index was derived to measure the adherence to the MDP. We used generalized estimating equations with repeated measures within subjects to assess the association between MDP and BMI change. Results: A two-point increment in the KidMed Index was independently associated with a lower gain in BMI (-0.04 kg m(-2); P=0.001). A greater increase in adherence to the KidMed Index was independently related to a lower gain in BMI in both the concurrent (P-for-trend<0.001) and the subsequent period (P-for-trend=0.002). Conclusions: Adherence to MDP was inversely associated with change in BMI among adolescents. Two-year improvement in adherence to MDP was independently associated with less steep gain in the BMI in both the concurrent and the subsequent period.
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spelling oai:dadun.unav.edu:10171-638982022-08-11T07:58:22Z Adherence to the Mediterranean dietary pattern and BMI change among U.S. adolescents Martin-Calvo, N. (Nerea) Chavarro, J.E. (Jorge E.) Falbe, J. (Jennifer) Hu, F.B. (Frank B.) Field, A.E. (A. E.) Área de Medicina Clínica y Epidemiología Background: Among adults, the Mediterranean dietary pattern (MDP) is inversely related to body mass index (BMI). Data are lacking on adherence to the MDP among youth in the United States and whether the MDP is related to weight change in that group. Objective: To assess whether adherence to the MDP was associated with BMI change among adolescents. To examine temporality, we studied the association between baseline and 2-3-year changes in adherence to the MDP with concurrent changes in BMI, as well as subsequent changes in BMI over a 7-year period. Methods: We prospectively followed 6002 females and 4916 males in the Growing Up Today Study II, aged 8-15 years in 2004, living across United States. Data were collected by questionnaire in 2004, 2006, 2008 and 2011. Dietary intake was assessed by the Youth/Adolescent Questionnaire. The KidMed Index was derived to measure the adherence to the MDP. We used generalized estimating equations with repeated measures within subjects to assess the association between MDP and BMI change. Results: A two-point increment in the KidMed Index was independently associated with a lower gain in BMI (-0.04 kg m(-2); P=0.001). A greater increase in adherence to the KidMed Index was independently related to a lower gain in BMI in both the concurrent (P-for-trend<0.001) and the subsequent period (P-for-trend=0.002). Conclusions: Adherence to MDP was inversely associated with change in BMI among adolescents. Two-year improvement in adherence to MDP was independently associated with less steep gain in the BMI in both the concurrent and the subsequent period. 2022-08-10T13:31:29Z 2022-08-10T13:31:29Z 2016 info:eu-repo/semantics/article https://hdl.handle.net/10171/63898 en info:eu-repo/semantics/openAccess application/pdf
spellingShingle Área de Medicina Clínica y Epidemiología
Martin-Calvo, N. (Nerea)
Chavarro, J.E. (Jorge E.)
Falbe, J. (Jennifer)
Hu, F.B. (Frank B.)
Field, A.E. (A. E.)
Adherence to the Mediterranean dietary pattern and BMI change among U.S. adolescents
title Adherence to the Mediterranean dietary pattern and BMI change among U.S. adolescents
title_full Adherence to the Mediterranean dietary pattern and BMI change among U.S. adolescents
title_fullStr Adherence to the Mediterranean dietary pattern and BMI change among U.S. adolescents
title_full_unstemmed Adherence to the Mediterranean dietary pattern and BMI change among U.S. adolescents
title_short Adherence to the Mediterranean dietary pattern and BMI change among U.S. adolescents
title_sort adherence to the mediterranean dietary pattern and bmi change among u.s. adolescents
topic Área de Medicina Clínica y Epidemiología
url https://hdl.handle.net/10171/63898
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AT falbejjennifer adherencetothemediterraneandietarypatternandbmichangeamongusadolescents
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