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Effect of infancy-onset dietary intervention on salivary cholesterol of children: a randomized controlled trial
S Karjalainen1, E Söderling, M Saarinen
1Institute of Dentistry, University of Turku, FIN-20520 Turku, Finland. sara.karjalainen@utu.fi
Insights
Dietary intervention effectively lowered children's salivary cholesterol levels. This study shows salivary cholesterol is a sensitive indicator of dietary changes in children, reflecting saturated fat intake more readily than serum cholesterol.
Area of Science:
- Pediatric Nutrition
- Biochemistry
- Public Health
Background:
- Childhood cholesterol levels are influenced by diet.
- Monitoring dietary impact on children's health is crucial.
- Salivary biomarkers offer a non-invasive method for health assessment.
Purpose of the Study:
- To investigate the effect of a dietary intervention on salivary cholesterol in children aged 6-16.
- To compare the sensitivity of salivary versus serum cholesterol to dietary changes.
- To analyze the relationship between saturated fat intake and cholesterol levels in children's saliva.
Main Methods:
- Prospective, randomized study involving 86 children completing an 10-year follow-up.
- Dietary intervention focused on restricting saturated fat and cholesterol intake.
- Saliva and blood samples collected periodically for cholesterol analysis; dietary intake assessed via food records.
Main Results:
- Salivary cholesterol increased significantly from age 6 to 16 in all children.
- The increase in salivary cholesterol was significantly smaller in the intervention group compared to the control group.
- Dietary intervention led to lower saturated fatty acid intake and was more sensitively reflected in salivary cholesterol than serum cholesterol.
Conclusions:
- Dietary intervention restricting saturated fat and cholesterol intake is effective in modulating salivary cholesterol levels in children.
- Salivary cholesterol is a more sensitive biomarker than serum cholesterol for reflecting dietary interventions in pediatric populations.
- This study highlights the potential of salivary cholesterol monitoring for assessing dietary adherence and cardiovascular risk factors in children.
Abstract:
This study investigated salivary cholesterol of children from 6 to 16 years of age in response to dietary intervention. One thousand sixty-two infants started in the prospective, randomized project. At 3 years of age, every fifth child was invited into the study (n=178). Of these, 148 enrolled, and 86 completed the oral sub-study at 16 years of age. The intervention aimed at restricting the child's saturated fat and cholesterol intake. Control children received no special recommendations. Every third year, paraffin-stimulated saliva samples (10.0 mL) were collected for cholesterol assays. Nutrient intakes and serum total cholesterol concentrations were regularly followed up by means of 4-day food records and blood samples. Intake of saturated fatty acids (SAFA) was lower in the intervention than in the control group (p<0.001). Salivary cholesterol concentration increased from 1.9 (±1.1) µmol/L at 6 years of age to 16.0 (±9.0) µmol/L at 16 years of age. The increase was smaller in the intervention than in the control group (p<0.001). The ratios of salivary to serum cholesterol concentrations tended to be higher in boys than in girls (p=0.07). Thus, dietary intervention was reflected in children's salivary cholesterol values more sensitively than in serum cholesterol values. (clinicaltrials.gov NCT00223600).
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