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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Dietary phytochemical index and overweight/obesity in children: a cross-sectional study
Omid Eslami1, Mahdi Khoshgoo1, Farzad Shidfar2
1Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Insights
Higher intake of phytochemical-rich foods, measured by the dietary phytochemical index (DPI), was associated with lower odds of overweight and obesity in children. This suggests a protective role for plant-based diets in pediatric weight management.
Area of Science:
- Nutrition Science
- Pediatric Health
- Public Health
Background:
- Childhood overweight and obesity are significant global health concerns.
- Dietary patterns play a crucial role in pediatric weight management.
- Phytochemicals, abundant in plant-based foods, possess antioxidant and anti-inflammatory properties.
Purpose of the Study:
- To investigate the association between the dietary phytochemical index (DPI) and the prevalence of overweight/obesity in children.
- To explore the relationship between DPI and intake of key nutrients like fiber, vitamin C, and potassium.
Main Methods:
- A cross-sectional study involving 356 children aged 7-10 years in Tehran, Iran.
- Dietary intake assessed using a validated food frequency questionnaire.
- Dietary Phytochemical Index (DPI) calculated based on energy from phytochemical-rich foods; overweight/obesity defined by US CDC criteria.
Main Results:
- The prevalence of overweight/obesity was 35.1% among the study participants.
- Children in the highest quartile of DPI showed significantly lower odds of being overweight/obese (OR: 0.47, 95% CI: 0.25-0.87).
- Higher DPI quartiles correlated with increased intake of dietary fiber, vitamin C, and potassium.
Conclusions:
- A higher dietary phytochemical index is associated with a reduced risk of overweight and obesity in children.
- Encouraging consumption of phytochemical-rich foods may be a beneficial strategy for preventing childhood obesity.
- Further research into the specific mechanisms linking phytochemicals and weight status in children is warranted.
Objective:
The aim of the present study was to examine the relationship between the dietary phytochemical index (DPI) and overweight/obesity in children. This cross-sectional study was comprised of 356 children aged 7 to 10 years-old study in the city of Tehran, Iran. The dietary intake of participants was collected using a validated food frequency questionnaire. The DPI was calculated based on the daily energy derived from phytochemical-rich foods. The definition of overweight and obesity was based on the criteria developed by the US Chronic Disease Center for prevention and health promotion.
Results:
The overall prevalence of overweight/obesity was 35.1%. The mean (standard deviation) of the DPI was 14.25 (4.13), 24.12 (2.64), 35.41 (3.62) and 61.52 (16.47) in the first, second, third and fourth quartiles (Q), respectively. Subjects in the higher quartiles of DPI had a significantly higher intake of dietary fiber, vitamin C, and potassium compared to those in the lower quartiles. In the multiple regression analysis, subjects in the highest quartile of DPI had significantly lower odds of being overweight/obese compared to those in the first quartile [odds ratio and 95% confidence intervals for Q4 vs. Q1: 0.47 (0.25, 0.87); P for trend = 0.02].
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