TY - JOUR
T1 - Diet quality scores associated with improved cardiometabolic measures among African American adolescents
AU - Ducharme-Smith, Kirstie
AU - Brady, Tammy M.
AU - Vizthum, Diane
AU - Caulfield, Laura E.
AU - Mueller, Noel T.
AU - Rosenstock, Summer
AU - Garcia-Larsen, Vanessa
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.
PY - 2022/9
Y1 - 2022/9
N2 - Background: The Reversing the Negative cardiovascular Effects on Weight (ReNEW) Clinic is a prospective cohort study in children and adolescents (≤21 years) at the Johns Hopkins Children’s Center. Methods: Cross-sectional analysis between diet quality using the Alternative Healthy Eating Index (AHEI-2010), pro-inflammatory potential using the Children’s Dietary Inflammatory Index (C-DII), and cardiometabolic outcomes. AHEI-2010 and C-DII scores were assessed by median intake determined from the sample distribution and associated with cardiometabolic measures using linear regression models. Changes in measures were evaluated in a sub-sample of participants invited to attend follow-up visits due to the presence of hypertensive blood pressure (n = 33). Results: Participants (n = 90) reported an average energy intake of 1790 kcal/day (SD ± 734), AHEI-2010 score of 55.04 (SD ± 9.86) (range: 0 to 110) and C-DII score of −0.12 (±0.86) (range −5 to 5). Participants with higher quality/anti-inflammatory diets trended towards more favorable cardiometabolic measures at baseline. Among the sub-sample (n = 33), there was a significant reduction in total energy (m = −302 kcal/day; p-value= 0.03) but no change in AHEI-2010 (p-value = 0.73) or C-DII score (p-value = 0.85) over follow-up. Conclusions: Despite stable diet quality scores, outpatient dietary and behavioral counseling may be an effective tool to reduce energy intake in youth with overweight/obesity and elevated blood pressure. Impact: Diet quality scores among obese, hypertensive, African American adolescents were low and reflect a pro-inflammatory diet.Reported intake was negligible for fruits, whole grains, nuts, and legumes, and well above the daily limit for sodium and saturated fat.Participants with high quality/anti-inflammatory diet quality scores trended toward improved cardiometabolic measures.Outpatient dietary counseling resulted in reduced total energy intake.
AB - Background: The Reversing the Negative cardiovascular Effects on Weight (ReNEW) Clinic is a prospective cohort study in children and adolescents (≤21 years) at the Johns Hopkins Children’s Center. Methods: Cross-sectional analysis between diet quality using the Alternative Healthy Eating Index (AHEI-2010), pro-inflammatory potential using the Children’s Dietary Inflammatory Index (C-DII), and cardiometabolic outcomes. AHEI-2010 and C-DII scores were assessed by median intake determined from the sample distribution and associated with cardiometabolic measures using linear regression models. Changes in measures were evaluated in a sub-sample of participants invited to attend follow-up visits due to the presence of hypertensive blood pressure (n = 33). Results: Participants (n = 90) reported an average energy intake of 1790 kcal/day (SD ± 734), AHEI-2010 score of 55.04 (SD ± 9.86) (range: 0 to 110) and C-DII score of −0.12 (±0.86) (range −5 to 5). Participants with higher quality/anti-inflammatory diets trended towards more favorable cardiometabolic measures at baseline. Among the sub-sample (n = 33), there was a significant reduction in total energy (m = −302 kcal/day; p-value= 0.03) but no change in AHEI-2010 (p-value = 0.73) or C-DII score (p-value = 0.85) over follow-up. Conclusions: Despite stable diet quality scores, outpatient dietary and behavioral counseling may be an effective tool to reduce energy intake in youth with overweight/obesity and elevated blood pressure. Impact: Diet quality scores among obese, hypertensive, African American adolescents were low and reflect a pro-inflammatory diet.Reported intake was negligible for fruits, whole grains, nuts, and legumes, and well above the daily limit for sodium and saturated fat.Participants with high quality/anti-inflammatory diet quality scores trended toward improved cardiometabolic measures.Outpatient dietary counseling resulted in reduced total energy intake.
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U2 - 10.1038/s41390-021-01893-w
DO - 10.1038/s41390-021-01893-w
M3 - Article
C2 - 34916627
AN - SCOPUS:85121421663
SN - 0031-3998
VL - 92
SP - 853
EP - 861
JO - Pediatric Research
JF - Pediatric Research
IS - 3
ER -