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Pro-Inflammatory Diet Is Associated with Adiposity during Childhood and with Adipokines and Inflammatory Markers at
Sofia Barragán-Vázquez1, Ana Carolina Ariza1, Ivonne Ramírez Silva1
1Center for Nutrition and Health Research, Instituto Nacional de Salud Pública, Av. Universidad 655, Col. Santa María Ahuacatitlán, Cerrada los pinos y Caminera, Cuernavaca C.P. 62100, Morelos, Mexico.
Insights
A pro-inflammatory diet in childhood is linked to increased adiposity in girls and altered adipose tissue function and inflammation in 11-year-olds. This highlights the importance of diet
Area of Science:
- Pediatric Nutrition
- Inflammation Research
- Childhood Obesity
Background:
- Limited evidence exists on the inflammatory potential of diet in children.
- Dietary inflammatory index requires further investigation regarding its impact on child health outcomes.
- Understanding diet-inflammation-adiposity links is crucial for early life interventions.
Purpose of the Study:
- To evaluate the association between the Children's Dietary Inflammatory Index (C-DII) from ages 5 to 11 years.
- To assess the relationship between C-DII and adiposity and inflammatory biomarkers in Mexican children.
- To explore C-DII trajectories and their impact on health markers over time.
Main Methods:
- Analysis of 726 children from a birth cohort study with dietary and adiposity data at ages 5, 7, and 11 years.
- Measurement of inflammatory biomarkers (IL-6, hsCRP, leptin, adiponectin) in 286 children at age 11.
- Latent class linear mixed models for C-DII trajectories; linear mixed models and regression analyses for adiposity and biomarkers.
Main Results:
- In girls, higher C-DII scores correlated with increased adiposity (abdominal circumference, skinfold sum, BMI Z-score).
- At age 11, C-DII was associated with elevated leptin and hsCRP, and a lower adiponectin/leptin ratio in girls.
- In boys, a specific C-DII trajectory was linked to increased leptin and decreased adiponectin/leptin ratio.
Conclusions:
- The inflammatory potential of diet may significantly influence adiposity development in girls.
- Dietary inflammatory patterns impact adipose tissue homeostasis and chronic subclinical inflammation in children.
- Early life dietary choices have lasting effects on child health, emphasizing the need for nutritional guidance.
Abstract:
There is limited evidence about the inflammatory potential of diet in children. The aim of this study was to evaluate the association between the Children's Dietary Inflammatory Index (C-DII) from 5 to 11 years with adiposity and inflammatory biomarkers in Mexican children. We analyzed 726 children from a birth cohort study with complete dietary information and measurements to evaluate adiposity at 5, 7 and 11 y and 286 children with IL-6, hsCRP, leptin and adiponectin information at 11 y. C-DII trajectories were estimated using latent class linear mixed models. We used linear mixed models for adiposity and logistic and multinomial regression for biomarkers. In girls, each one-point increase in C-DII score was associated with greater adiposity (abdominal-circumference 0.41%, p = 0.03; skinfold-sum 1.76%, p = 0.01; and BMI Z-score 0.05, p = 0.01). At 11 y the C-DII was associated with greater leptin (34% ≥ 13.0 ng/mL, p = 0.03) and hsCRP concentrations (29% ≥ 3.00 mg/L, p = 0.06) and lower adiponectin/leptin ratio (75% < 2.45, p = 0.02). C-DII trajectory 3 in boys was associated with a 75.2% (p < 0.01) increase in leptin concentrations and a 37.9% decrease (p = 0.02) in the adiponectin/leptin ratio. This study suggests that the inflammatory potential of diet may influence adiposity in girls and the homeostasis of adipose tissue and chronic subclinical inflammation in 11-year-old children.
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