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Original Communication

Higher dietary phytochemical index is associated with anthropometric indices in children and adolescents: The weight disorders survey of the CASPIAN-IV study

Published Online:May 29, 2020https://doi.org/10.1024/0300-9831/a000657

Abstract

Abstract.Objectives: The present study aimed to determine the association of total dietary phytochemical intake with generalized and abdominal obesity in children and adolescents. Material and methods: This nationwide cross-sectional study was conducted in 4296 students aged 6–18 years. Dietary phytochemical index (DPI) was calculated as a percentage of daily energy derived from phytochemical-rich foods divided by total daily energy intake. Results: The mean ± standard error of DPIs in the first, second, third and fourth quartiles were 12.70 ± 3.28, 20.36 ± 1.84, 27.52 ± 0.08 and 41.10 ± 0.26, respectively. Anthropometric measures including weight Z-score (−0.04 vs. 0.05, P = 0.023), body mass index (BMI) Z-score (−0.05 vs. 0.06, P = 0.013), waist circumference (WC) (65.80 cm vs. 66.95 cm P = 0.022), hip circumference (HC) (80.20 cm vs. 81.37 cm, P = 0.046), and neck circumference (NC) (30.06 cm vs. 30.45 cm, P = 0.031) were significantly lower among participants in the upper DPI quartile compared to those in the lower quartiles. In overweight and obese children, higher adjusted DPI scores had inverse correlation with BMI, WC, HC, wrist circumference, and NC (βs = −0.077, −0.10, −0.119, −0.01, and −0.032, respectively; P < 0.05). Comparison of the fourth quartile with the first quartile of DPI revealed beneficial effects of higher phytochemical intake on reducing the risk of obesity/overweight and abdominal obesity. However, these results were not statistically significant (P = 0.073). Conclusion: Higher DPI score was associated with lower risk of generalized and abdominal obesity in children and adolescents. However, the results were not statistically significant. Consuming phytochemical-rich foods can be encouraged to prevent childhood obesity.

References

  • 1 Olawuyi AT, Adeoye IA. The prevalence and associated factors of non-communicable disease risk factors among civil servants in Ibadan, Nigeria. PLoS One. 2018;13:e0203587. First citation in articleCrossref Medline, Google Scholar

  • 2 Tzotzas T, Kapantais E, Tziomalos K, Ioannidis I, Mortoglou A, Bakatselos S, et al. Prevalence of overweight and abdominal obesity in Greek children 6–12 years old: Results from the National Epidemiological Survey. Hippokratia. 2011;15:48–53. First citation in articleMedline, Google Scholar

  • 3 Xi B, Mi J, Zhao M, Zhang T, Jia C, Li J, et al. Trends in abdominal obesity among U.S. children and adolescents. Pediatrics. 2014;134:e334–9. First citation in articleCrossref Medline, Google Scholar

  • 4 Casagrande D, Waib PH, Sgarbi JA. Increase in the prevalence of abdominal obesity in Brazilian school children (2000–2015). Int J Pediatr Adolesc Med. 2017;4:133–7. First citation in articleCrossref Medline, Google Scholar

  • 5 Kelishadi R, Haghdoost AA, Sadeghirad B, Khajehkazemi R. Trend in the prevalence of obesity and overweight among Iranian children and adolescents: A systematic review and meta-analysis. Nutrition. 2014;30:393–400. First citation in articleCrossref Medline, Google Scholar

  • 6 Djalalinia S, Kelishadi R, Qorbani M, Peykari N, Kasaeian A, Nasli-Esfahani E, et al. A systematic review on the prevalence of overweight and obesity in Iranian children and adolescents. Iran J Pediatr. 2016;26:e2599. First citation in articleMedline, Google Scholar

  • 7 Esmaili H, Bahreynian M, Qorbani M, Motlagh ME, Ardalan G, Heshmat R, et al. Prevalence of general and abdominal obesity in a nationally representative sample of Iranian children and adolescents: The CASPIAN-IV study. Iran J Pediatr. 2015;25(3):e401. First citation in articleCrossref Medline, Google Scholar

  • 8 Williams DJ, Edwards D, Hamernig I, Jian L, James AP, Johnson SK. Vegetables containing phytochemicals with potential anti-obesity properties: A review. Food Res Int. 2013;52:323–33. First citation in articleCrossref, Google Scholar

  • 9 Balaji M, Ganjayi MS, Kumar GEH, Parim BN, Mopuri R, Dasari S. A review on possible therapeutic targets to contain obesity: The role of phytochemicals. Obes Res Clin Pract. 2016;10:363–80. First citation in articleCrossref Medline, Google Scholar

  • 10 Vincent HK, Bourguignon CM, Taylor AG. Relationship of the dietary phytochemical index to weight gain, oxidative stress and inflammation in overweight young adults. J Hum Nutr Diet. 2010;23:20–9. First citation in articleCrossref Medline, Google Scholar

  • 11 Rolls BJ, Ello-Martin JA, Tohill BC. What can intervention studies tell us about the relationship between fruit and vegetable consumption and weight management? Nutr Rev. 2004;62:1–17. First citation in articleCrossref Medline, Google Scholar

  • 12 Bradlee ML, Singer MR, Qureshi MM, Moore LL. Food group intake and central obesity among children and adolescents in the Third National Health and Nutrition Examination Survey (NHANES III). Public Health Nutr. 2010;13:797–805. First citation in articleCrossref Medline, Google Scholar

  • 13 Al-Hazzaa HM, Abahussain NA, Al-Sobayel HI, Qahwaji DM, Musaiger AO. Lifestyle factors associated with overweight and obesity among Saudi adolescents. BMC public health. 2012;12:354. First citation in articleCrossref Medline, Google Scholar

  • 14 Kelishadi R, Motlagh ME, Bahreynian M, Gharavi MJ, Kabir K, Ardalan G, et al. Methodology and early findings of the assessment of determinants of weight disorders among Iranian children and adolescents: The childhood and adolescence surveillance and prevention of adult Noncommunicable Disease-IV study. Int J Prev Med. 2015;6:77–81. First citation in articleCrossref Medline, Google Scholar

  • 15 Must A, Anderson SE. Body mass index in children and adolescents: Considerations for population-based application. Int J Obes (Lond). 2006;30:590–4. First citation in articleCrossref Medline, Google Scholar

  • 16 Mokha JS, Srinivasan SR, Dasmahapatra P, Fernandez C, Chen W, Xu J, Berenson GS. Utility of waist-to height ratio in assessing the status of central obesity and related cardiometabolic risk profile among normal weight and overweight/obese children: The Bogalusa Heart Study. BMC Pediatr. 2010;10:73. First citation in articleCrossref Medline, Google Scholar

  • 17 Hosseini M, Motlagh ME, Yousefifard M, Qorbani M, Ataei N, Asayesh H, et al. Neck circumference percentiles of Iranian children and adolescents: The weight disorders survey of CASPIAN IV study. Int J Endocrinol Metab. 2017;15:e13569. First citation in articleMedline, Google Scholar

  • 18 Centers for Disease Control and Prevention, National Center for Health Statistics. 2000 CDC growth charts for the United States. Available from: https://www.cdc.gov/growthcharts. Hyattsville MD: National Center for Health Statistics; 2000. First citation in articleGoogle Scholar

  • 19 Esfahani FH, Asghari G, Mirmiran P, Azizi F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol. 2010;20:150–8. First citation in articleCrossref Medline, Google Scholar

  • 20 McCarty MF. Proposal for a dietary “phytochemical index”. Med Hypotheses. 2004;63:813–7. First citation in articleCrossref Medline, Google Scholar

  • 21 Newby P, Tucker KL, Wolk A. Risk of overweight and obesity among semivegetarian, lactovegetarian, and vegan women. Am J Clin Nutr. 2005;81(6):1267–74. First citation in articleCrossref Medline, Google Scholar

  • 22 Farmer B, Larson BT, Fulgoni VL, Rainville AJ, Liepa GU. A vegetarian dietary pattern as a nutrient-dense approach to weight management: An analysis of the national health and nutrition examination survey 1999–2004. J Am Diet Assoc. 2011;111:819–27. First citation in articleCrossref Medline, Google Scholar

  • 23 Berkow SE, Barnard N. Vegetarian diets and weight status. Nutr Rev. 2006;64:175–88. First citation in articleCrossref Medline, Google Scholar

  • 24 Sofi F, Dinu M, Pagliai G, Cesari F, Gori AM, Sereni A, et al. Low-calorie vegetarian versus Mediterranean diets for reducing body weight and improving cardiovascular risk profile: CARDIVEG Study (Cardiovascular Prevention With Vegetarian Diet). Circulation. 2018;137:1103–13. First citation in articleCrossref Medline, Google Scholar

  • 25 Phillips F, Hackett A, Stratton G, Billington D. Effect of changing to a self-selected vegetarian diet on anthropometric measurements in UK adults. J Hum Nutr Diet. 2004;17:249–55. First citation in articleCrossref Medline, Google Scholar

  • 26 Huang RY, Huang CC, Hu FB, Chavarro JE. Vegetarian diets and weight reduction: A meta-analysis of randomized controlled trials. J Gen Intern Med. 2016;31:109–16. First citation in articleCrossref Medline, Google Scholar

  • 27 Sabaté J, Wien M. Vegetarian diets and childhood obesity prevention. Am J Clin Nutr. 2010;91:1525S–9S. First citation in articleCrossref Medline, Google Scholar

  • 28 Grant R, Bilgin A, Zeuschner C, Guy T, Pearce R, Hokin B, et al. The relative impact of a vegetable-rich diet on key markers of health in a cohort of Australian adolescents. Asia Pac J Clin Nutr. 2008;17:107–15. First citation in articleMedline, Google Scholar

  • 29 Abshirini M, Mahaki B, Bagheri F, Siassi F, Koohdani F, Sotoudeh G. Higher intake of phytochemical-rich foods is inversely related to prediabetes: A case-control study. Int J Prev Med. 2018;9:64–8. First citation in articleCrossref Medline, Google Scholar

  • 30 Mirmiran P, Bahadoran Z, Golzarand M, Shiva N, Azizi F. Association between dietary phytochemical index and 3-year changes in weight, waist circumference and body adiposity index in adults: Tehran Lipid and Glucose study. Nutr Metab. 2019;9:108–13. First citation in articleCrossref, Google Scholar

  • 31 Carnauba RA, Chaves DF, Baptistella AB, Paschoal V, Naves A, Buehler AM. Association between high consumption of phytochemical-rich foods and anthropometric measures: A systematic review. Int J Food Sci Nutr. 2017;68:158–66. First citation in articleCrossref Medline, Google Scholar

  • 32 Orgeron R, Pope J, Green V, Erickson D. Phytonutrient intake and body composition: Considering colors. Func Foods Health Dis. 2019;9:108–22. First citation in articleCrossref, Google Scholar

  • 33 Santangelo C, Filesi C, Varì R, Scazzocchio B, Filardi T, Fogliano V, et al. Consumption of extra-virgin olive oil rich in phenolic compounds improves metabolic control in patients with type 2 diabetes mellitus: A possible involvement of reduced levels of circulating visfatin. J Endocrinol Invest. 2016;39:1295–301. First citation in articleCrossref Medline, Google Scholar

  • 34 Tominaga Y, Nakagawa K, Mae T, Kitano M, Yokota S, Arai T, et al. Licorice flavonoid oil reduces total body fat and visceral fat in overweight subjects: A randomized, double-blind, placebo-controlled study. Obes Res Clin Pract. 2009;3:169–78. First citation in articleCrossref, Google Scholar

  • 35 Vincent HK, Bourguignon CM, Taylor AG. Relationship of the dietary phytochemical index to weight gain, oxidative stress and inflammation in overweight young adults. J Hum Nutr Diet. 2010;23:20–9. First citation in articleCrossref Medline, Google Scholar