Breakfast and dinner insulin index and insulin load in relation to overweight in children and adolescents.
Purpose: Hyperinsulinemia is related to the development of several chronic diseases, particularly obesity. Therefore, this study aimed to examine the association between the insulinemic potential of both total diet and meals, measured by the glycemic index (GI), glycemic load (GL), insulin index (II...
| Publicado en: | European Journal of Nutrition Vol. 60; no. 5; pp. 2819 - 2830 |
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| Autores principales: | , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151386838&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151386838 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14366207 CR0 jtl: European Journal of Nutrition issn: 14366207 maglogo: N pubinfo: dt: Aug2021 vid: 60 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 151386838 148008201 151386838 151386838 10.1007/s00394-020-02478-9 151386838 ppf: 2819 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Breakfast and dinner insulin index and insulin load in relation to overweight in children and adolescents. aug: au: Caferoglu, Zeynep Erdal, Busra Akin, Leyla Kurtoglu, Selim affil: Department of Nutrition and Dietetics, Faculty of Health Sciences, Erciyes University, Melikgazi, 38039, Kayseri, Turkey sug: subj: Pediatric Obesity Risk Factors Breakfast Meals Risk Assessment Glycemic Index Glycemic Load Insulin Blood Insulin Blood Human Child Adolescence Cross Sectional Studies Comparative Studies Body Mass Index Turkiye Multiple Regression Multivariate Analysis Confidence Intervals Descriptive Statistics Odds Ratio Child: 6-12 years Adolescent: 13-18 years ab: Purpose: Hyperinsulinemia is related to the development of several chronic diseases, particularly obesity. Therefore, this study aimed to examine the association between the insulinemic potential of both total diet and meals, measured by the glycemic index (GI), glycemic load (GL), insulin index (II), and insulin load (IL), and overweight risk among children and adolescents. Methods: This cross-sectional study was conducted on 205 overweight and 146 normal-weight participants aged 6–18 years. Overweight was defined as body mass index ≥ 85th percentile of Turkish growth-reference data. Through the use of standard methodology, dietary and meal GI, GL, II, and IL were derived from dietary data collected via a 3-day dietary record. Associations were investigated using multivariable-adjusted regression analysis. Results: When controlling for potential covariates, a greater dietary II (OR 2.69, 95% CI 1.28, 5.68) and IL (OR 5.22, 95% CI 2.39, 11.38), as well as GL (OR 3.89, 95% CI 1.77, 8.56), was strongly associated with higher odds of overweight (both Pfor trend < 0.001). Furthermore, breakfast GL (OR 4.87, 95% CI 2.15, 11.01), II (OR 3.88, 95% CI 1.79, 8.39), IL (OR 4.93, 95% CI 2.20, 11.05) and dinner GL (OR 2.39, 95% CI 1.10, 5.20), II (OR 3.81, 95% CI 1.73, 8.41), IL (OR 3.63, 95% CI 1.67, 7.91) were found to be a significant independent predictor of overweight (all Pfor trend < 0.001) in pediatric population. Conclusion: Our results suggest that dietary insulin demand, particularly for breakfast and dinner, was independently associated with overweight in children and adolescents. These findings may shed light on the relevance of considering meal insulin demand while developing dietary strategies in this population. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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