Dietary predictors of childhood obesity in a representative sample of children in north east of Iran / 中国当代儿科杂志
Chinese Journal of Contemporary Pediatrics
; (12): 501-508, 2013.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-241485
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>The prevalence of obesity is increasing in Iranian youngsters. This study aimed to assess some dietary determinants of obesity in a representative sample of children in Neishabour, a city in northeastern, Iran.</p><p><b>METHODS</b>This case-control study was conducted among 114 school students, aged 6-12 years, with a body mass index (BMI) ≥95th (based on percentile of Iranian children) as the case group and 102 age- and gender-matched controls, who were selected from their non-obese classmates. Nutrient intake data were collected by trained nutritionists by using two 24-hour-dietary recalls through maternal interviews in the presence of their child. A food frequency questionnaire was used for detecting the snack consumption patterns. Statistical analysis was done using univariate and multivariate logistic regression (MLR) by SPSS version 16.</p><p><b>RESULTS</b>In univariate logistic regression, total energy, protein, carbohydrate, fat (including saturated, mono- and poly-unsaturated fat), and dietary fiber were the positive predictors of obesity in studied children. The estimated crude ORs for frequency of corn-based extruded snacks, carbonated beverages, potato chips, fast foods, and chocolate consumption were statistically significant. After MLR analysis, the association of obesity remained significant with energy intake (OR = 2.489, 95%CI 1.667-3.716), frequency of corn-based extruded snacks (OR = 1.122, 95%CI 1.007-1.250), and potato chips (OR = 1.143, 95%CI1.024-1.276). The MLR analysis showed that dietary fiber (OR = 0.601, 95%CI 0.368-0.983) and natural fruit juice intake (OR = 0.909, 95%CI 0.835-0.988) were protective factors against obesity.</p><p><b>CONCLUSIONS</b>The findings serve to confirm the role of an unhealthy diet, notably calorie-dense snacks, in childhood obesity. Healthy dietary habits, such as the consumption of high-fiber foods, should be encouraged among children.</p>
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Energy Intake
/
Case-Control Studies
/
Logistic Models
/
Epidemiology
/
Feeding Behavior
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Iran
/
Obesity
Type of study:
Observational study
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Prognostic study
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Risk factors
Limits:
Child
/
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Chinese Journal of Contemporary Pediatrics
Year:
2013
Document type:
Article