An Overweight Preventive Score associates with obesity and glycemic traits

Ioanna Ntalla; Mary Yannakoulia; George V Dedoussis

doi:10.1016/j.metabol.2015.09.021

An Overweight Preventive Score associates with obesity and glycemic traits

Metabolism. 2016 Jan;65(1):81-8. doi: 10.1016/j.metabol.2015.09.021. Epub 2015 Sep 30.

Authors

Ioanna Ntalla¹, Mary Yannakoulia², George V Dedoussis³

Affiliations

¹ Harokopio University of Athens Department of Nutrition and Dietetics, Athens, Greece; University of Leicester Department of Health Sciences, Leicester, United Kingdom.
² Harokopio University of Athens Department of Nutrition and Dietetics, Athens, Greece. Electronic address: myiannak@hua.gr.
³ Harokopio University of Athens Department of Nutrition and Dietetics, Athens, Greece.

PMID: 26683799
DOI: 10.1016/j.metabol.2015.09.021

Abstract

Purpose: To develop a multidimensional, simple index which incorporates targeted dietary and lifestyle behaviors for the prevention and evaluation of treatment of childhood and adolescent obesity.

Methods: A total of 1072 (53.8% females) healthy children and 857 (54.8% females) adolescents from GENDAI and TEENAGE studies respectively were included in the analysis. Both studies are cross-sectional, population-based studies. Dietary and lifestyle behaviors - either with negative or positive impact on obesity, based on the recommendations of Barlow and the Expert Committee - were assessed with use of two non-consecutive 24-h recalls and a dietary questionnaire. For each individual, cumulative exposures to 6 of these obesity-related behaviors, namely consumption of fruits and vegetables, breakfast and family meals, consumption of sugar sweetened beverages and fast-food meals, and screen time, were assessed through calculation of the Overweight Preventive Score. Obesity and glycemic control traits were also available for all individuals from both cohorts.

Results: Overweight Preventive Score was significantly associated (P<0.05) with all obesity traits and with decreased likelihood of becoming overweight [OR (95% CI): 0.90 (0.84, 0.97), P=0.003] in all individuals after adjustment for potential confounders and exclusion of low-energy reporters. Associations were also significant in stratified analyses by sex (P<0.05). The score was also associated with glycemic control traits in all individuals independently of body mass index, but these associations remained significant (P<0.05) only in males and after adjustment for potential confounders and exclusion of low-energy reporters.

Conclusions: The proposed Overweight Preventive Score is a simple index and could be proven as a useful tool for the assessment of preventive and therapeutic interventions in child and adolescent overweight and insulin resistance.

Keywords: Adolescents; Children; Dietary index; Glycemic control; Obesity.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Blood Glucose / analysis*
Body Mass Index
Child
Female
Humans
Insulin Resistance
Male
Obesity / prevention & control*
Overweight / prevention & control*

Substances

Blood Glucose