(24-08-10) Dietary patterns associated with fat and bone mass in young children1,2,3
Karen S Wosje, Philip R Khoury, Randal P Claytor, Kristen A Copeland, Richard W Hornung, Stephen R Daniels and Heidi J Kalkwarf
1 From the Division of General and Community Pediatrics (KSW, KAC, RWH, and HJK) and the Division of Cardiology (PRK and RPC), Cincinnati Children's Hospital Medical Center, Cincinnati, OH, and the Department of Pediatrics, The Children's Hospital, Aurora, CO (SRD).
2 Supported by grant 1R21DK077100-01A1 from the National Institutes of Health/National Institute of Diabetes and Digestive and Kidney Diseases.
3 Address correspondence to KS Wosje, c/o Heidi Kalkwarf, Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Mail Location 7035, Cincinnati, OH 45229. E-mail: [email protected] .
Background: Obesity and osteoporosis have origins in childhood, and both are affected by dietary intake and physical activity. However, there is little information on what constitutes a diet that simultaneously promotes low fat mass and high bone mass accrual early in life.
Objective: Our objective was to identify dietary patterns related to fat and bone mass in children during the age period of 3.8?7.8 y.
Design: A total of 325 children contributed data from 13 visits over 4 separate study years (age ranges: 3.8?4.8, >4.8?5.8, >5.8?6.8, and >6.8?7.8 y). We performed reduced-rank regression to identify dietary patterns related to fat mass and bone mass measured by dual-energy X-ray absorptiometry for each study year. Covariables included race, sex, height, weight, energy intake, calcium intake, physical activity measured by accelerometry, and time spent viewing television and playing outdoors.
Results: A dietary pattern characterized by a high intake of dark-green and deep-yellow vegetables was related to low fat mass and high bone mass; high processed-meat intake was related to high bone mass; and high fried-food intake was related to high fat mass. Dietary pattern scores remained related to fat mass and bone mass after all covariables were controlled for (P < 0.001?0.03).
Conclusion: Beginning at preschool age, diets rich in dark-green and deep-yellow vegetables and low in fried foods may lead to healthy fat and bone mass accrual in young children.
Source: Am J Clin Nutr 92: 294-303, 2010.
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