Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/44667
Title: Energy density, diet quality, and central body fat in a nationwide survey of young Spaniards
Authors: Schröder, Helmut
Mendez, Michelle A.
Gomez, Santiago F.
Fíto, Montserrat
Ribas, Lourdes
Aranceta, Javier
Serra-Majem, Lluis 
Keywords: Mediterranean Diet
Cardiometabolic Risk
Waist Circumference
Metabolic Syndrome
School-Children, et al
Issue Date: 2013
Publisher: 0899-9007
Journal: Nutrition 
Abstract: Objectives: To determine the impact of energy density on diet quality and anthropometric proxy measures for central body fat in young Spaniards.Methods: Data were obtained from a representative national sample of 2513 young Spaniards aged 10 to 24 y. Dietary assessment was performed with a 24-h recall. Adherence to the Mediterranean diet was measured by the KIDMED index. Reduced rank regression analysis was used to identify energy-density dietary patterns. Waist circumferences and height were measured.Results: Pastries and sausages showed the strongest loading for the dietary energy density factor score (DED-FS), with fruits and vegetables at the opposite end of the scale. Multiple linear regression analysis showed a positive association (P < 0.01) of dietary energy density (DED) and the DED-FS with waist circumferences regressed on height and age (WCheight+age) and waist-to-height ratio (WHtR). The adjusted odds ratio for elevated WCheight+age and WHtR increased across quartile distribution of DED (P < 0.001) and DED-FS (P < 0.05). Diet quality characterized by the KIDMED index was negatively associated (P < 0.001) with DED and the DED-FS.Conclusions: Higher DED is a risk for increased central fat distribution and is associated with low adherence to the Mediterranean diet. (C) 2013 Elsevier Inc. All rights reserved.
URI: http://hdl.handle.net/10553/44667
ISSN: 0899-9007
DOI: 10.1016/j.nut.2013.05.019
Source: Nutrition[ISSN 0899-9007],v. 29, p. 1350-1355
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