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Titre : | Diet Quality and Cardiometabolic Risk Factors in Adolescents with Down Syndrome (2023) |
Auteurs : | Neha S. Anand ; Babette S. Zemel ; Mary Pipan ; Andrea Kelly ; Sheela N. Magge |
Type de document : | Article |
Dans : | Journal of the academy of nutrition and dietetics (Vol. 123, n°2, February 2023) |
Article en page(s) : | p. 253-262 |
Note générale : | https://doi.org/10.1016/j.jand.2022.07.017 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adolescent ; Facteurs de risque cardiométaboliques ; Obésité ; Régime alimentaire ; Syndrome de Down |
Résumé : | Background Youth with Down syndrome (DS) have a high prevalence of obesity and dyslipidemia. Diet quality may influence cardiometabolic risk (CMR) in youth. Objective The aim of this secondary analysis was to investigate the relationship between diet quality (Healthy Eating Index [HEI-2015]) with CMR factors in youth with DS compared with age, sex, race, ethnicity, and body mass index percentile matched, typically developing controls. Design Adolescents (aged 10 to 20 years) with DS and controls of comparable age, sex, race, ethnicity, and body mass index percentile were recruited from 2012 to 2017 for a cross-sectional study from two large children?s hospitals (Children?s Hospital of Philadelphia and the Children?s National Health System in Washington, DC). Participants and setting CMRs in 143 adolescents with DS were compared with 100 controls. Exclusion criteria consisted of major organ-system illnesses. Main outcome measures The average of three 24-hour dietary recalls was used to calculate the HEI-2015. Anthropometrics, blood pressure, and fasting labs were collected. Statistical analyses performed Group differences were tested using Wilcoxon rank-sum tests. Relationships of CMR factors with HEI-2015 score within DS and controls were tested using linear regression models adjusted for sex, age, race, and body mass index z score. Results Compared with controls (n = 100, median age = 14.8 years [interquartile range = 12.2 to 17.3 years]; 41% male; 24% African American; 65% with body mass index ?85th percentile), adolescents with DS (n = 143, median age = 14.7 years [interquartile range = 11.4 to 17.4 years]; 44% male; 18% African American; 62% with body mass index ?85th percentile) had higher scores (more aligned with dietary recommendations) for total HEI-2015 (DS: 52.7 [interquartile range = 46.8 to 58.6] vs controls: 45.1 [interquartile range = 39.5 to 55.0]; P |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222007262 |