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

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dc.contributor.authorGómez Bruton, Alejandro
dc.contributor.authorArenaza Etxeberría, Lide
dc.contributor.authorMedrano Echeverría, María
dc.contributor.authorMora González, José
dc.contributor.authorCadenas-Sánchez, Cristina
dc.contributor.authorMigueles, Jairo H.
dc.contributor.authorMuñoz-Hernández, Victoria
dc.contributor.authorMerchán Ramírez, Elisa
dc.contributor.authorMartínez Ávila, Wendy D.
dc.contributor.authorMaldonado, José
dc.contributor.authorOsés Recalde, Maddi
dc.contributor.authorTobalina, Ignacio
dc.contributor.authorGracia-Marco, Luis
dc.contributor.authorVicente Rodríguez, Germán
dc.contributor.authorOrtega, Francisco B.
dc.contributor.authorLabayen Goñi, Idoia
dc.contributor.departmentInstitute on Innovation and Sustainable Development in Food Chain - ISFOODen
dc.date.accessioned2019-12-10T12:48:35Z
dc.date.available2019-12-10T12:48:35Z
dc.date.issued2019
dc.description.abstractThis 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.en
dc.description.sponsorshipThe research leading to these results has received funding from la Caixa Foundation and Triptolemos Foundation, the Ministry of Health (FIS PI081297), the Research Network on Preventative Activities and Health Promotion (RD06/0018/ 0038), the Henning and Johan Throne-Holst Foundation (F. B. O.), the Spanish Ministry of Education, Culture and Sport (FPU14/03329 to M. M.), the Spanish Ministry of Economy and Competitiveness (DEP2013-47540 and DEP2016-78377-R; BES-2014-068829 to C. C.-S.), Fondo de Investigacion Sanitaria del Instituto de Salud Carlos III (PI13/01335), Fondos Estructurales de la Union Europea (FEDER), Una manera de hacer Europa, the Spanish Ministry of Science and Innovation (RYC-2011-09011 to F. B. O.), the University of Granada, Plan Propio de Investigacion 2016, Excellence Actions: Units of Excellence, Unit of Excellence on Exercise and Health (UCEES), Programa de Captacion de Talento - UGR Fellows (L. G.-M.), the SAMID III network, RETICS (PN I +D+ I 2017-2021). This study has been partially funded by the University of Granada, Plan Propio de Investigacion 2016, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES), and by the Junta de Andalucia, Consejeria de Conocimiento, Investigacion y Universidades and European Regional Development Fund (ERDF), reference SOMM17/6107/UGR. ISCIII-Sub-Directorate General for Research Assessment and Promotion, the European Regional Development Fund (RD16/ 0022), the EXERNET Research Network on Exercise and Health in Special Populations (DEP2005-00046/ACTI), and the University of the Basque Country (GIU14/21). J. M.-G. is supported by the Spanish Ministry of Education, Culture and Sport (FPU14/06837). J. H. M. is supported by the Spanish Ministry of Education, Culture and Sport (FPU15/02645).en
dc.format.extent28 p.
dc.format.mimetypeapplication/pdfen
dc.identifier.doi10.1017/S0007114519000278
dc.identifier.issn7114-1145
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/35530
dc.language.isoengen
dc.publisherCambridge University Pressen
dc.relation.ispartofBritish Journal of Nutrition, (2019), 121 (9), 1057-1068en
dc.relation.projectIDinfo:eu-repo/grantAgreement/MINECO//DEP2013-47540-R/ES/
dc.relation.projectIDinfo:eu-repo/grantAgreement/ES/1PE/DEP2016-78377/
dc.relation.publisherversionhttps://doi.org/10.1017/S0007114519000278
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.subjectNutritionen
dc.subjectDieten
dc.subjectDual-energy X-rayen
dc.subjectAdiposityen
dc.subjectChildhooden
dc.subjectModerate to vigorous physical activityen
dc.titleAssociations 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 activityen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/acceptedVersion
dspace.entity.typePublication
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relation.isAuthorOfPublicationa3f4aa23-172a-47fb-9faf-647f655f7085
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relation.isAuthorOfPublication.latestForDiscovery40824565-b282-4525-900f-f590b8aeb642

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