RT Journal Article
T1 Associations of dietary energy density with body composition and cardiometabolic risk in children with overweight and obesity: role of energy density calculations, under-reporting energy intake and physical activity.
A1 Gomez-Bruton, Alejandro
A1 Arenaza, Lide
A1 Medrano, Maria
A1 Mora-Gonzalez, Jose
A1 Cadenas-Sanchez, Cristina
A1 Migueles, Jairo H
A1 Muñoz-Hernández, Victoria
A1 Merchan-Ramirez, Elisa
A1 Martinez-Avila, Wendy Daniela
A1 Maldonado, Jose
A1 Oses, Maddi
A1 Tobalina, Ignacio
A1 Gracia-Marco, Luis
A1 Vicente-Rodriguez, German
A1 Ortega, Francisco B
A1 Labayen, Idoia
K1 BF% body fat percentage
K1 DXA dual-energy X-ray absorptiometry
K1 ED energy density
K1 EDS energy density from solid
K1 EDSL energy density from solid plus liquids
K1 EI energy intake
K1 FMI fat mass index
K1 MVPA moderate to vigorous physical activity
K1 Adiposity
K1 Childhood
K1 Diet
K1 Dual-energy X-ray absorptiometry
K1 Moderate to vigorous physical activity
K1 Nutrition
AB This study examined (1) the association of dietary energy density from solid (EDS) and solid plus liquids (EDSL) with adiposity and cardiometabolic risk factors (CRF) in children with overweight and obesity, (2) the effect of under-reporting on the mentioned associations and (3) whether the association between ED and body composition and CRF is influenced by levels of physical activity. In a cross-sectional design, 208 overweight and obese children (8-12-year-old; 111 boys) completed two non-consecutive 24 h recalls. ED was calculated using two different approaches: EDS and EDSL. Under-reporters were determined with the Goldberg method. Body composition, anthropometry and fasting blood sample measurements were performed. Moderate to vigorous physical activity (MVPA) was registered with accelerometers (7-d-register). Linear regressions were performed to evaluate the association of ED with the previously mentioned variables. Neither EDS nor EDSL were associated with body composition or CRF. However, when under-reporters were excluded, EDS was positively associated with BMI (P=0·019), body fat percentage (P=0·005), abdominal fat (P=0·008) and fat mass index (P=0·018), while EDSL was positively associated with body fat percentage (P=0·008) and fat mass index (P=0·026). When stratifying the group according to physical activity recommendations, the aforementioned associations were only maintained for non-compliers. Cluster analysis showed that the low-ED and high-MVPA group presented the healthiest profile for all adiposity and CRF. These findings could partly explain inconsistencies in literature, as we found that different ED calculations entail distinct results. Physical activity levels and excluding under-reporters greatly influence the associations between ED and adiposity in children with overweight and obesity.
PB Cambridge University Press
YR 2019
FD 2019-01-27
LK http://hdl.handle.net/10668/13521
UL http://hdl.handle.net/10668/13521
LA en
NO Gomez-Bruton A, Arenaza L, Medrano M, Mora-Gonzalez J, Cadenas-Sanchez C, Migueles JH, et al. Associations of dietary energy density with body composition and cardiometabolic risk in children with overweight and obesity: role of energy density calculations, under-reporting energy intake and physical activity. Br J Nutr. 2019 May;121(9):1057-1068.
DS RISalud
RD Apr 14, 2025