A traditional dietary pattern is associated with lower odds of overweight and obesity among preschool children in Lebanon: a cross-sectional study.

Purpose: The high burden of preschool overweight in the Middle East and North Africa highlights the need for rigorous investigations of its determinants. This study aims at identifying dietary patterns amongst preschoolers in Lebanon and assessing their association with overweight and obesity.Method...

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Publicado en:European Journal of Nutrition Vol. 58; no. 1; pp. 91 - 103
Autores principales: Nasreddine, Lara, Shatila, Hiba, Itani, Leila, Hwalla, Nahla, Jomaa, Lamis, Naja, Farah
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2019
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: European Journal of Nutrition
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      dt: Feb2019
      vid: 58
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00394-017-1574-0
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        atl: A traditional dietary pattern is associated with lower odds of overweight and obesity among preschool children in Lebanon: a cross-sectional study.
      aug:
        au:
          Nasreddine, Lara
          Shatila, Hiba
          Itani, Leila
          Hwalla, Nahla
          Jomaa, Lamis
          Naja, Farah
        affil: Nutrition and Food Sciences Department, Faculty of Agriculture and Food Sciences, American University of Beirut, P.O. BOX 11-0.236, Riad El Solh, 11072020, Beirut, Lebanon
      sug:
        subj:
          Diet In Infancy and Childhood
          Eating Behavior In Infancy and Childhood
          Pediatric Obesity
          Human
          Child, Preschool
          Cross Sectional Studies
          Lebanon
          Surveys
          Factor Analysis
          Fast Foods
          Sweetened Beverages
          Cereals
          Dairy Products
          Fruit
          Vegetables
          Child, Preschool: 2-5 years
      ab: Purpose: The high burden of preschool overweight in the Middle East and North Africa highlights the need for rigorous investigations of its determinants. This study aims at identifying dietary patterns amongst preschoolers in Lebanon and assessing their association with overweight and obesity.Methods: A national cross-sectional survey was conducted amongst 2-5-year-old children (n = 525). Socio-demographic, dietary, lifestyle and anthropometric variables were collected. Dietary patterns were derived by factor analysis. Overweight/obesity was defined based on the World Health Organization 2006 criteria (BMI-for-age z-score > + 2).Results: Two patterns, "Fast Food and Sweets" and "Traditional Lebanese", were identified. The "Fast Food and Sweets" pattern was characterized by higher consumption of sweetened beverages, fast foods, salty snacks and sweets. The "Traditional Lebanese" was driven by higher intakes of cereals, dairy products, fruits and vegetables. Children belonging to the 3rd tertile of the Traditional pattern scores had significantly lower odds of overweight/obesity compared to the 1st tertile (OR 0.33; 95% CI 0.11, 0.97). Higher maternal education and higher frequency of eating with family predicted adherence to the traditional pattern, while the presence of a household helper was a negative determinant. Adherence to the Fast Food and Sweets pattern was positively associated with the child's age, and negatively associated with female gender and maternal education.Conclusions: The "Traditional Lebanese" pattern was associated with decreased risk of preschool overweight. Policies aiming at re-anchoring this traditional dietary pattern in contemporary lifestyles may be developed as potential preventive strategies against overweight in this age group.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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