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Greater adherence to the Planetary Health Diet is inversely associated with dyslipidemia in children: PASE
Érica Priulli1, Mariana de Santis Filgueiras1, Dayane de Castro Morais1
1Department of Nutrition and Health, Universidade Federal de Viçosa, Viçosa, Minas Gerais, Brazil.
Insights
Higher adherence to the Planetary Health Diet (PHD) in children is linked to better lipid profiles, reducing risks associated with dyslipidemia. This suggests that adopting healthy, sustainable diets early can prevent cardiovascular disease (CVD).
Area of Science:
- Nutritional Science
- Pediatric Health
- Cardiovascular Disease Prevention
Background:
- Healthy and sustainable diets, like the Planetary Health Diet (PHD), are associated with cardiovascular disease (CVD) prevention.
- Evidence linking PHD adherence to lipid profiles in children is limited.
- This study investigates the association between PHD adherence and lipid markers in a pediatric population.
Purpose of the Study:
- To assess the relationship between adherence to the Planetary Health Diet (PHD) and lipid markers in children.
- To determine if greater adherence to the PHD is associated with improved lipid profiles and reduced dyslipidemia in children.
Main Methods:
- A cross-sectional study was conducted with 378 children aged 8-9 years in Brazil.
- Dietary intake was assessed using three 24-hour recalls, and PHD adherence was measured by the Planetary Health Diet Index (PHDI).
- Dyslipidemia was defined by altered lipid markers (total cholesterol, triglycerides, LDL-c, HDL-c), and associations were analyzed using adjusted linear regression.
Main Results:
- Increased adherence to the PHDI was associated with reduced serum concentrations of total cholesterol (TC) and low-density lipoprotein cholesterol (LDL-c).
- The Adequacy and Ratio components of the PHDI showed inverse associations with the number of altered lipid markers.
- Higher PHDI scores correlated with increased carbohydrate and fiber intake, and decreased calorie, saturated fat, and dietary cholesterol intake.
Conclusions:
- Greater adherence to the Planetary Health Diet (PHD) is inversely associated with dyslipidemia in children.
- Adopting the PHD in childhood may offer protective benefits by improving lipid profiles and reducing cardiovascular disease risk factors.
- Findings suggest the potential benefit of promoting healthy and sustainable dietary patterns from early childhood.
Background/Objectives:
Healthy and sustainable diets, such as the Planetary Health Diet (PHD), may contribute to the prevention and control of cardiovascular disease (CVD). However, there is a lack of evidence on this relationship in childhood. This study assessed the association between adherence to the PHD and lipid markers in children.
Methods:
Cross-sectional study with a representative sample of 378 children aged 8 and 9 in Viçosa, Minas Gerais, Brazil. The food consumption was assessed using three 24-h dietary recalls and the adherence to the PHD was measured through the Planetary Health Diet Index (PHDI). Dyslipidemia was defined by the presence of one or more altered lipid markers (total cholesterol-TC, triglycerides-TG, low-density lipoprotein-LDL-c, and high-density lipoprotein-HDL-c). Associations between PHDI and lipid outcomes were assessed using adjusted linear regression models.
Results:
The mean PHDI was 37.5 (SD: 10.6) and 70% of the children had dyslipidemia. The increase of one standard deviation (SD) of PHDI was associated with a reduction in serum concentrations of TC (β = -2.81, 95% CI: -5.57; -0.05) and LDL-c (β = -2.81, 95% CI: -5.07; -0.56). The Moderation component of the PHDI was also inversely associated with LDL-c (β = -2.88, 95% CI: -5.13; -0.64). In addition, the PHDI and its Adequacy and Ratio components showed inverse associations with the number of altered lipid markers (p-trend < 0.05). The PHDI was positively associated with carbohydrate and fiber intake, and inversely associated with calorie intake, saturated fat and dietary cholesterol.
Conclusion:
The greater adherence to the PHD was inversely associated with dyslipidemia in children, such as reduced TC, LDL-c, and fewer altered lipid markers, suggesting a potential benefit of adopting healthy and sustainable diet since childhood.
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