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Bagordo F, Panico A, Zizza A, Serio F, Idolo A, Tumolo MR, Guido M, Gambino I, Grassi T. Buccal micronucleus cytome assay in children living in an area with low anthropogenic pressure: The EFFE.BI.P. study. Mutat Res Genet Toxicol Environ Mutagen 2022; 873:503424. [PMID: 35094808 DOI: 10.1016/j.mrgentox.2021.503424] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 11/01/2021] [Accepted: 11/03/2021] [Indexed: 12/13/2022]
Abstract
The study aimed to evaluate the micronucleus (MN) frequency in exfoliated buccal cells (EBCs) of 256 6-8-years-old schoolchildren living in a rural area of Salento peninsula (Southern Italy) with low anthropogenic pressure and with a normal rate of chronic diseases in order to determine the basal level of MN and identify which factors are able to influence it. Information about the personal data, lifestyles and dietary habits of the children were obtained by the administration of a questionnaire to their parents. The buccal micronucleus cytome assay was performed to evaluate the presence of early genotoxic effects among the children. In addition, the level of environmental exposure was assessed by sampling atmospheric particulate fractions near the schools attended by participants. The association between MN frequency and individual or environmental factors was also assessed. The children had a mean MN frequency of 0.27 ± 0.43‰ (95%CI = 0.22-0.33). This frequency was positively associated with vehicular traffic (OR = 2.99; 95%CI = 1.15-7.74) and negatively associated with a high educational level of the mother (OR = 0.41; 95%CI = 0.18-0.95) and physical exercise (OR = 0.56; 95%CI = 0.32-0.57). Data on genotoxic effects in buccal cells found in this study could be considered as the MN level in a pediatric population not exposed to environmental pollution.
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Affiliation(s)
- Francesco Bagordo
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Via Monteroni 165, 73100, Lecce, Italy.
| | - Alessandra Panico
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Via Monteroni 165, 73100, Lecce, Italy.
| | - Antonella Zizza
- Institute of Clinical Physiology, National Research Council, 73100, Lecce, Italy.
| | - Francesca Serio
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Via Monteroni 165, 73100, Lecce, Italy.
| | - Adele Idolo
- Department of Prevention, Local Health Authority (ASL LE), 73100, Lecce, Italy.
| | - Maria Rosaria Tumolo
- Institute for Research on Population & Social Policies, National Research Council, Research Unit of Brindisi, c/o ex Osp. Di Summa, Piazza Di Summa, 72100, Brindisi, Italy.
| | - Marcello Guido
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Via Monteroni 165, 73100, Lecce, Italy.
| | - Isabella Gambino
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Via Monteroni 165, 73100, Lecce, Italy.
| | - Tiziana Grassi
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Via Monteroni 165, 73100, Lecce, Italy.
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Panico A, Grassi T, Bagordo F, Idolo A, Serio F, Tumolo MR, De Giorgi M, Guido M, Tutino M, De Donno A. Micronucleus Frequency in Exfoliated Buccal Cells of Children Living in an Industrialized Area of Apulia (Italy). Int J Environ Res Public Health 2020; 17:ijerph17041208. [PMID: 32069990 PMCID: PMC7068596 DOI: 10.3390/ijerph17041208] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 02/05/2020] [Accepted: 02/11/2020] [Indexed: 12/11/2022]
Abstract
Micronuclei (MN) are biomarkers of early biological effect often used for detecting DNA damage in human population exposed to genotoxic agents. The aim of this study was to evaluate the frequency of MN in exfoliated buccal cells of children living in an industrialized (impacted) area compared with that found in children living in a control area without significant anthropogenic impacts. A total of 462 6–8-year-old children (206 in the impacted area, 256 in the control area) attending primary school were enrolled. A questionnaire was administered to the parents of the recruited children to obtain information about personal data, lifestyles, and food habits of their children. Atmospheric particulate fractions were collected near the involved schools to assess the level of environmental exposure of the children. The presence of MN was highlighted in 68.4% of children living in the impacted area with a mean MN frequency of 0.66‰ ± 0.61‰. MN positivity and frequency were significantly lower in the control area (37.1% and 0.27‰ ± 0.43‰, respectively). The frequency of MN was positively associated with quasi-ultrafine particulate matter (PM0.5), traffic near the home, and consuming barbecued food; while adherence to the Mediterranean diet and practicing sport were negatively associated.
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Affiliation(s)
- Alessandra Panico
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
| | - Tiziana Grassi
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
| | - Francesco Bagordo
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
- Correspondence: ; Tel.: +39-832-298-951
| | - Adele Idolo
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
| | - Francesca Serio
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
| | - Maria Rosaria Tumolo
- Institute for Research on Population and Social Policies, National Research Council (IRPPS-CNR), 72100 Brindisi, Italy;
- Institute of Clinical Physiology (CNR-IFC), 73100 Lecce, Italy
| | - Mattia De Giorgi
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
| | - Marcello Guido
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
| | - Maria Tutino
- Regional Agency for Environmental Protection (ARPA Puglia), 70126 Bari, Italy;
| | - Antonella De Donno
- Department of Biological and Environmental Sciences and Technologies, University of Salento, 73100 Lecce, Italy; (A.P.); (T.G.); (A.I.); (F.S.); (M.D.G.); (M.G.); (A.D.D.)
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Suissa K, Benedetti A, Henderson M, Gray-Donald K, Paradis G. Effects of dietary glycemic index and load on children's cardiovascular risk factors. Ann Epidemiol 2019; 40:1-7.e3. [PMID: 31780200 DOI: 10.1016/j.annepidem.2019.10.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Revised: 10/12/2019] [Accepted: 10/17/2019] [Indexed: 02/08/2023]
Abstract
PURPOSE Consumption of foods high in glycemic index (GI) and glycemic load (GL) is associated with cardiovascular (CV) diseases in adulthood. We examined whether GI and GL predict CV risk factors in children after 2 years of follow-up. METHODS Three 24-hour recalls were administered at baseline, and individual average daily GI and GL scores were calculated in a cohort of 8-10 year-old children. CV risk factors included body mass index z-score (BMIz), percent fat mass, triglycerides (TGs), low-density lipoprotein and high-density lipoprotein (HDL) cholesterol, and systolic and diastolic blood pressure. Main analyses consisted of multiple linear regression adjusted for anthropometric, socioeconomic, and dietary factors. RESULTS After 2 years, the highest dietary GL tertile compared with the lowest was associated with increased BMIz (mean difference [MD], 1.1; 95% CI, 0.88-1.31), fat mass (MD, 10.8%; 95% CI, 8.62-13.0), TGs (MD, 0.17 mmol/L; 95% CI, 0.07-0.28), and decreased HDL (MD, -0.13 mmol/L; 95% CI, -0.19 to -0.07). The GL-TG and the GL-HDL associations were mediated by BMIz. CONCLUSIONS GL predicts increased BMIz, percent fat mass, and TGs and decreased HDL in young children after 2 years. Recommendations to decrease CV risk in children should include lowering foods high in GL.
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Affiliation(s)
- Karine Suissa
- Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada
| | - Andrea Benedetti
- Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada; Department of Medicine, McGill University, Montreal, Quebec, Canada; Respiratory Epidemiology and Clinical Research Unit, McGill University Health Centre, Montreal, Quebec, Canada
| | - Mélanie Henderson
- Research Center, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec, Canada; Department of Pediatrics, Faculty of Medicine, Université de Montréal, Montreal, Quebec, Canada
| | - Katherine Gray-Donald
- School of Human Nutrition, Faculty of Agricultural and Environmental Sciences, McGill University, Montreal, Quebec, Canada
| | - Gilles Paradis
- Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada.
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Grassi T, Bagordo F, Panico A, De Giorgi M, Idolo A, Serio F, Tumolo MR, De Donno A. Adherence to Mediterranean diet of children living in small Southern Italian villages. Int J Food Sci Nutr 2019; 71:490-499. [DOI: 10.1080/09637486.2019.1679725] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Tiziana Grassi
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
| | - Francesco Bagordo
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
| | - Alessandra Panico
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
| | - Mattia De Giorgi
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
| | - Adele Idolo
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
| | - Francesca Serio
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
| | - Maria Rosaria Tumolo
- Institute for Research on Population and Social Policies, National Research Council (IRPPS-CNR), Brindisi, Italy
| | - Antonella De Donno
- Department of Biological and Environmental Sciences and Technologies, University of Salento, Lecce, Italy
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Villarini M, Levorato S, Salvatori T, Ceretti E, Bonetta S, Carducci A, Grassi T, Vannini S, Donato F, Bonetta S, Verani M, de Donno A, Bonizzoni S, Bonetti A, Moretti M, Gelatti U; MAPEC LIFE Study Group. Buccal micronucleus cytome assay in primary school children: A descriptive analysis of the MAPEC_LIFE multicenter cohort study. Int J Hyg Environ Health 2018; 221:883-92. [PMID: 29914775 DOI: 10.1016/j.ijheh.2018.05.014] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Revised: 05/22/2018] [Accepted: 05/30/2018] [Indexed: 01/24/2023]
Abstract
BACKGROUND Recent data support the hypothesis that genetic damage occurring early in life during childhood can play an important role in the development of chronic diseases in adulthood, including cancer. OBJECTIVES The objective of this paper, part of the MAPEC_LIFE project, is to describe the frequency of micronuclei and meta-nuclear alterations in exfoliated buccal cells of 6-8year-old Italian children recruited in five Italian towns (i.e., Brescia, Torino, Pisa, Perugia and Lecce) with different air pollution levels. METHODS About 200 children per town were recruited from primary schools. Biological samples were collected twice from the same children, in two different seasons (winter 2014-15 and late spring 2015). Cytogenetic damage was evaluated by the buccal micronucleus cytome assay. RESULTS Overall,n = 1046 children represent the final cohort of the MAPEC_LIFE study. On the whole, the results showed a higher mean MN frequency in winter (0.42 ± 0.54‰) than late-spring (0.22 ± 0.34‰). MN frequency observed among the five Italian towns showed a trend that follows broadly the levels of air pollution in Italy: the highest MN frequency was observed in Brescia during both seasons, the lowest in Lecce (winter) and Perugia (late-spring). CONCLUSIONS To the best of our knowledge, the number of recruited children included in the analysis (n = 1046) is the highest compared to previous studies evaluating the frequency of MN in exfoliated buccal cells so far. MN frequency was associated with winter season and living in towns at various levels of air pollution, suggesting an important role of this exposure in determining early cytogenetic effects.
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Murakami K, Sasaki S. A low–glycemic index and –glycemic load diet is associated with not only higher intakes of micronutrients but also higher intakes of saturated fat and sodium in Japanese children and adolescents: the National Health and Nutrition Survey. Nutr Res 2018; 49:37-47. [DOI: 10.1016/j.nutres.2017.10.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Revised: 10/20/2017] [Accepted: 10/20/2017] [Indexed: 10/18/2022]
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Jones M, Barclay AW, Brand-miller JC, Louie JCY. Dietary glycaemic index and glycaemic load among Australian children and adolescents: results from the 2011–2012 Australian Health Survey. Br J Nutr 2016; 116:178-87. [DOI: 10.1017/s0007114516001823] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractThis study aimed to examine the dietary glycaemic index (GI) and glycaemic load (GL) of Australian children and adolescents, as well as the major food groups contributing to GL, in the recent 2011–2012 Australian Health Survey. Plausible food intake data from 1876 children and adolescents (51 % boys), collected using a multiple-pass 24-h recall, were analysed. The GI of foods was assigned based on a step-wise published method using values from common GI databases. Descriptive statistics were calculated for dietary GI, GL and contribution to GL by food groups, stratified by age group and sex. Linear regression was used to test for trends across age groups for BMI, dietary GI and GL, and intakes of energy, nutrients and food groups. Pearson’s χ2 test was used to test for differences between age groups for categorical subject characteristic variables. Mean dietary GI and GL of participants were 55·5 (sd 5·3) and 137·4 (sd 50·8), respectively. The main contributors to dietary GL were starchy foods: breads, cereal-based dishes, breakfast cereals, flours, grains and potatoes accounted for 41 % of total GL. Sweetened beverages, fruit and vegetable juices/drinks, cake-type desserts and sweet biscuits contributed 15 %. No significant difference (at P<0·001) was observed between sexes. In conclusion, Australian children and adolescents appear to consume diets with a lower GI than European children. Exchanging high-GI foods for low-GI alternatives within core and non-core foods may improve diet quality of Australian children and adolescents.
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Castro-quezada I, Artacho R, Molina-montes E, Serrano FA, Ruiz-lópez MD. Dietary glycaemic index and glycaemic load in a rural elderly population (60–74 years of age) and their relationship with cardiovascular risk factors. Eur J Nutr 2015; 54:523-34. [DOI: 10.1007/s00394-014-0733-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2013] [Accepted: 06/30/2014] [Indexed: 10/25/2022]
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Marrodán MD, Álvarez JRM, de Espinosa MGM, Carmenate MM, López-Ejeda N, Cabañas MD, Pacheco JL, Mesa MS, Romero-Collazos JF, Prado C, Villarino A. Predicting percentage body fat through waist-to-height ratio (WtHR) in Spanish schoolchildren. Public Health Nutr 2014; 17:870-6. [PMID: 23537776 PMCID: PMC10282214 DOI: 10.1017/s1368980013000888] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2012] [Revised: 01/31/2013] [Accepted: 02/13/2013] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To analyse the association between waist-to-height ratio (WtHR) and body fat and to develop predictive adiposity equations that will simplify the diagnosis of obesity in the paediatric age group. DESIGN Cross-sectional study conducted in Spain during 2007 and 2008. Anthropometric dimensions were taken according to the International Biology Program. The children were classified as underweight, normal weight, overweight or obese according to national standards of percentage body fat (%BF). WtHR differences among nutritional status categories were evaluated using ANOVA. Correlation analysis and regression analysis were carried out using WtHR as a predictor variable for %BF. A t test was applied to the results obtained by the regression model and by the Siri equation. The degree of agreement between both methods was evaluated by estimating the intra-class correlation coefficient. SETTING Elementary and secondary schools in Madrid (Spain). SUBJECTS Girls (n 1158) and boys (n 1161) from 6 to 14 years old. RESULTS WtHR differed significantly (P < 0.001) depending on nutritional status category. This index was correlated (P < 0.001) with all adiposity indicators. The mean %BF values estimated by the regression model (boys: %BF = 106.50 × WtHR - 28.36; girls: %BF = 89.73 × WtHR - 15.40) did not differ from those obtained by the Siri equation. The intra-class correlation coefficient (0.85 in boys, 0.79 in girls) showed a high degree of concordance between both methods. CONCLUSIONS WtHR proved to be an effective method for predicting relative adiposity in 6-14-year-olds. The developed equations can help to simplify the diagnosis of obesity in schoolchildren.
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Affiliation(s)
- MD Marrodán
- Dpto. de Zoología y Antropología Física, Facultad de Biología, Research Group EPINUT, Complutense University of Madrid, c/ José Antonio Novais 2, 28891 Madrid, Spain
- Spanish Diet and Food Science Association, Madrid, Spain
| | - JR Martínez Álvarez
- Dpto. de Zoología y Antropología Física, Facultad de Biología, Research Group EPINUT, Complutense University of Madrid, c/ José Antonio Novais 2, 28891 Madrid, Spain
- Spanish Diet and Food Science Association, Madrid, Spain
| | - M González-Montero de Espinosa
- Dpto. de Zoología y Antropología Física, Facultad de Biología, Research Group EPINUT, Complutense University of Madrid, c/ José Antonio Novais 2, 28891 Madrid, Spain
| | - MM Carmenate
- Biology Department, Faculty of Sciences Autónoma University of Madrid, Madrid, Spain
| | - N López-Ejeda
- Dpto. de Zoología y Antropología Física, Facultad de Biología, Research Group EPINUT, Complutense University of Madrid, c/ José Antonio Novais 2, 28891 Madrid, Spain
| | - MD Cabañas
- Dpto. de Zoología y Antropología Física, Facultad de Biología, Research Group EPINUT, Complutense University of Madrid, c/ José Antonio Novais 2, 28891 Madrid, Spain
| | - JL Pacheco
- Dpto. de Zoología y Antropología Física, Facultad de Biología, Research Group EPINUT, Complutense University of Madrid, c/ José Antonio Novais 2, 28891 Madrid, Spain
| | - MS Mesa
- Dpto. de Zoología y Antropología Física, Facultad de Biología, Research Group EPINUT, Complutense University of Madrid, c/ José Antonio Novais 2, 28891 Madrid, Spain
| | - JF Romero-Collazos
- Dpto. de Zoología y Antropología Física, Facultad de Biología, Research Group EPINUT, Complutense University of Madrid, c/ José Antonio Novais 2, 28891 Madrid, Spain
- Biology Department, Faculty of Sciences Autónoma University of Madrid, Madrid, Spain
| | - C Prado
- Biology Department, Faculty of Sciences Autónoma University of Madrid, Madrid, Spain
| | - A Villarino
- Dpto. de Zoología y Antropología Física, Facultad de Biología, Research Group EPINUT, Complutense University of Madrid, c/ José Antonio Novais 2, 28891 Madrid, Spain
- Spanish Diet and Food Science Association, Madrid, Spain
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Rouhani MH, Kelishadi R, Hashemipour M, Esmaillzadeh A, Azadbakht L. Glycemic index, glycemic load and childhood obesity: A systematic review. Adv Biomed Res 2014; 3:47. [PMID: 24627855 PMCID: PMC3949335 DOI: 10.4103/2277-9175.125757] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2012] [Accepted: 08/02/2012] [Indexed: 02/07/2023] Open
Abstract
Background: Several evidences have been reported so far in terms of the relationship between obesity and glycemic index and glycemic load in children. However, the number of review studies that have dealt with recent findings is quite low. The purpose of present study is to review the existing evidences in this regard. Materials and Methods: First of all, the phrases: “Glycaemic index”, “Glycaemic load”, “Glycemic index” OR “Glycemic load” accompanied by one of the words: “Adolescent”, “Young”, “Youth” “Children” OR “Child” were searched in texts of articles existing in ISI and PUBMED databases which were obtained out of 1001 articles. Among these, some articles, which reviewed the relationship of obesity with glycemic index and glycemic load, were selected. Finally, 20 articles were studied in current review study. Results: The majority of cross-sectional studies have found children's obesity directly linked with glycemic index and glycemic load; however, cohort studies found controversial results. Also, the intervention studies indicate the negative effect of glycemic index and glycemic load on obesity in children. Conclusion: Published evidences reported inconsistent results. It seems that existing studies are not sufficient and more studies are needed in this regard.
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Affiliation(s)
- Mohammad Hossein Rouhani
- Food Security Research Center, Isfahan University of Medical Sciences and Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Roya Kelishadi
- Department of Pediatrics, Child Growth and Development Research Center, and School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mahin Hashemipour
- Department of Pediatrics, Child Growth and Development Research Center, and School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran ; Department of Pediatric Endocrinology and Metabolism Diseases, Endocrinology and Metabolism Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ahmad Esmaillzadeh
- Food Security Research Center, Isfahan University of Medical Sciences and Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Leila Azadbakht
- Food Security Research Center, Isfahan University of Medical Sciences and Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
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Diamanti A, Capriati T, Basso MS, Panetta F, Di Ciommo Laurora VM, Bellucci F, Cristofori F, Francavilla R. Celiac disease and overweight in children: an update. Nutrients 2014; 6:207-20. [PMID: 24451308 PMCID: PMC3916856 DOI: 10.3390/nu6010207] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2013] [Revised: 12/19/2013] [Accepted: 12/20/2013] [Indexed: 02/07/2023] Open
Abstract
The clinical presentation of celiac disease in children is very variable and differs with age. The prevalence of atypical presentations of celiac disease has increased over the past 2 decades. Several studies in adults and children with celiac disease indicate that obesity/overweight at disease onset is not unusual. In addition, there is a trend towards the development of overweight/obesity in celiac patients who strictly comply with a gluten-free diet. However, the pathogenesis and clinical implications of the coexistence of classic malabsorption (e.g., celiac disease) and overweight/obesity remain unclear. This review investigated the causes and main clinical factors associated with overweight/obesity at the diagnosis of celiac disease and clarified whether gluten withdrawal affects the current trends of the nutritional status of celiac disease patients.
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Affiliation(s)
- Antonella Diamanti
- Gastroenterology-Hepatology and Nutrition Unit, "Bambino Gesù" Children's Hospital, Piazza Sant'Onofrio 4, Rome 00165, Italy.
| | - Teresa Capriati
- Gastroenterology-Hepatology and Nutrition Unit, "Bambino Gesù" Children's Hospital, Piazza Sant'Onofrio 4, Rome 00165, Italy.
| | - Maria Sole Basso
- Gastroenterology-Hepatology and Nutrition Unit, "Bambino Gesù" Children's Hospital, Piazza Sant'Onofrio 4, Rome 00165, Italy.
| | - Fabio Panetta
- Gastroenterology-Hepatology and Nutrition Unit, "Bambino Gesù" Children's Hospital, Piazza Sant'Onofrio 4, Rome 00165, Italy.
| | | | - Francesca Bellucci
- Gastroenterology-Hepatology and Nutrition Unit, "Bambino Gesù" Children's Hospital, Piazza Sant'Onofrio 4, Rome 00165, Italy.
| | - Fernanda Cristofori
- Gastroenterology Unit, Pediatric Clinic of University, Piazza Giulio Cesare 11, Bari 70124, Italy.
| | - Ruggiero Francavilla
- Gastroenterology Unit, Pediatric Clinic of University, Piazza Giulio Cesare 11, Bari 70124, Italy.
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Rouhani MH, Kelishadi R, Hashemipour M, Esmaillzadeh A, Azadbakht L. The effect of low glycemic index diet on body weight status and blood pressure in overweight adolescent girls: a randomized clinical trial. Nutr Res Pract 2013; 7:385-92. [PMID: 24133618 PMCID: PMC3796664 DOI: 10.4162/nrp.2013.7.5.385] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2012] [Revised: 04/15/2013] [Accepted: 05/14/2013] [Indexed: 11/04/2022] Open
Abstract
Although several studies have assessed the influence of the glycemic index on body weight and blood pressure among adults, limited evidence exists for the pediatric age population. In the current study, we compared the effects of low glycemic index (LGI) diet to the healthy nutritional recommendation (HNR)-based diet on obesity and blood pressure among adolescent girls in pubertal ages. This 10-week parallel randomized clinical trial comprised of 50 overweight or obese and sexually mature girls less than 18 years of age years, who were randomly assigned to LGI or HNR-based diet. Macronutrient distribution was equivalently prescribed in both groups. Blood pressure, weight and waist circumference were measured at baseline and after intervention. Of the 50 participants, 41 subjects (include 82%) completed the study. The GI of the diet in the LGI group was 42.67 ± 0.067. A within-group analysis illustrated that in comparison to the baseline values, the body weight and body mass index (not waist circumference and blood pressure) decreased significantly after the intervention in both groups (P = 0.0001). The percent changes of the body weight status, waist circumference and blood pressure were compared between the two groups and the findings did not show any difference between the LGI diet consumers and those in the HNR group. In comparison to the HNR, LGI diet could not change the weight and blood pressure following a 10-week intervention. Further longitudinal studies with a long-term follow up should be conducted in this regard.
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Affiliation(s)
- Mohammad Hossein Rouhani
- Food Security Research Center and Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Roya Kelishadi
- Department of Pediatrics, Child Growth and Development Research Center, and School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mahin Hashemipour
- Department of Pediatrics, Child Growth and Development Research Center, and School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
- Department of Pediatric Endocrinology and Metabolism Diseases, Endocrinology and Metabolism Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ahmad Esmaillzadeh
- Food Security Research Center and Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, PO Box 81745, Isfahan, Iran
| | - Leila Azadbakht
- Food Security Research Center and Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, PO Box 81745, Isfahan, Iran
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Rouhani MH, Salehi-Abargouei A, Azadbakht L. Effect of glycemic index and glycemic load on energy intake in children. Nutrition 2013; 29:1100-5. [DOI: 10.1016/j.nut.2013.02.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2012] [Revised: 12/28/2012] [Accepted: 02/01/2013] [Indexed: 02/07/2023]
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Marrodán MD, Martínez-álvarez JR, González-montero De Espinosa M, López-ejeda N, Cabañas MD, Prado C. Precisión diagnóstica del índice cintura-talla para la identificación del sobrepeso y de la obesidad infantil. Med Clin (Barc) 2013; 140:296-301. [DOI: 10.1016/j.medcli.2012.01.032] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2011] [Revised: 01/03/2012] [Accepted: 01/10/2012] [Indexed: 11/30/2022]
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15
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Murakami K, Mccaffrey TA, Livingstone MBE. Dietary glycaemic index and glycaemic load in relation to food and nutrient intake and indices of body fatness in British children and adolescents. Br J Nutr 2013; 110:1512-23. [DOI: 10.1017/s000711451300072x] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The diversity of the associations of dietary glycaemic index (GI) and glycaemic load (GL) with dietary intake and body fatness observed in epidemiological studies may be partly due to the differences in underlying dietary intake patterns. We examined the cross-sectional associations of dietary GI and GL with food and nutrient intakes and indices of body fatness in 818 children aged 4–10 years and 818 adolescents aged 11–18 years in Britain, based on the data from the National Diet and Nutrition Survey. Dietary intake was assessed using a 7 d weighed dietary record. Overweight was defined as BMI ≥ 85th percentile of the age- and sex-specific British growth reference data. Central obesity was defined as waist:height ratio (WHtR) ≥ 0·5 (adolescents only). Breads, breakfast cereals and potatoes were the positive predictive food groups for dietary GI, while dairy products, fruit juice, other cereals and fruit were the negative predictors. Dietary GL was closely correlated with carbohydrate intake. Dietary GI showed no associations with overweight or central obesity. Conversely, dietary GL showed an independent association with a higher risk of overweight in children and a higher risk of central obesity (but not overweight) in adolescents. However, dietary GI and GL were not associated with BMI z-score in children and adolescents or WHtR in adolescents. In conclusion, the present study showed that dietary GL was independently associated with overweight in children and with central obesity in adolescents. Nevertheless, given no associations when body fatness measures were treated as continuous variables, the results must be interpreted cautiously.
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Bautista-Castaño I, Sánchez-Villegas A, Estruch R, Martínez-González MA, Corella D, Salas-Salvadó J, Covas MI, Schroder H, Alvarez-Pérez J, Quilez J, Lamuela-Raventós RM, Ros E, Arós F, Fiol M, Lapetra J, Muñoz MA, Gómez-Gracia E, Tur J, Pintó X, Ruiz-Gutierrez V, Portillo-Baquedano MP, Serra-Majem L; PREDIMED Study Investigators. Changes in bread consumption and 4-year changes in adiposity in Spanish subjects at high cardiovascular risk. Br J Nutr 2013; 110:337-46. [PMID: 23199451 DOI: 10.1017/S000711451200476X] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The effects of bread consumption change over time on anthropometric measures have been scarcely studied. We analysed 2213 participants at high risk for CVD from the PREvención con DIeta MEDiterránea (PREDIMED) trial to assess the association between changes in the consumption of bread and weight and waist circumference gain over time. Dietary habits were assessed with validated FFQ at baseline and repeatedly every year during 4 years of follow-up. Using multivariate models to adjust for covariates, long-term weight and waist circumference changes according to quartiles of change in energy-adjusted white and whole-grain bread consumption were calculated. The present results showed that over 4 years, participants in the highest quartile of change in white bread intake gained 0·76 kg more than those in the lowest quartile (P for trend = 0·003) and 1·28 cm more than those in the lowest quartile (P for trend < 0·001). No significant dose-response relationships were observed for change in whole-bread consumption and anthropometric measures. Gaining weight (>2 kg) and gaining waist circumference (>2 cm) during follow-up was not associated with increase in bread consumption, but participants in the highest quartile of changes in white bread intake had a reduction of 33 % in the odds of losing weight (>2 kg) and a reduction of 36 % in the odds of losing waist circumference (>2 cm). The present results suggest that reducing white bread, but not whole-grain bread consumption, within a Mediterranean-style food pattern setting is associated with lower gains in weight and abdominal fat.
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Bautista-Castaño I, Serra-Majem L. Relationship between bread consumption, body weight, and abdominal fat distribution: evidence from epidemiological studies. Nutr Rev 2012; 70:218-33. [DOI: 10.1111/j.1753-4887.2012.00454.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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