Diet patterns and clustering of cardiometabolic risk during adolescence (267.5)

Abstract

Objective: To examine the relation between adolescent dietary patterns and cardiometabolic risk (CMR) clustering at end of adolescence.Methods: Data for 1369 girls enrolled at 9‐10 years of age in the longitudinal NHLBI Growth and Health Study were used. Girls with complete data over 10 years on diet, and six CMR factors, and all confounders of interest were included. Mean dietary data were derived from 3‐day records. CMR factors analyzed included increased waist circumference, elevated blood pressure, insulin resistance, low HDL‐cholesterol and high LDL‐cholesterol and triglyceride levels. Multiple logistic regression analysis was used to estimate the relative risk of having multiple (蠅 2 or 蠅 3) risk factors in late adolescence associated with usual dietary patterns from 9‐17 years of age.Results: Of 1369 subjects included, 252 (18.4%) had 3‐6 risk factors while 479 (35.0%) had two or more. Higher intakes of fruit and non‐starchy vegetables, dairy, and grains were independently associated with having fewer risk factors as were eating patterns characterized by higher combined intakes of these food groups. After adjusting for age, race, socio‐economic status, height, physical activity, and television watching, girls with high intakes of both dairy and fruits and non‐starchy vegetables (vs. lower intakes) were nearly 50% less likely to have 蠅 3 CMR factors while girls with higher intakes of grains and fruits and non‐starchy vegetables (vs. lower intakes) were nearly 60% less likely to have 蠅 3 CMR factors.Conclusion: These data suggest that CMR clustering at the end of adolescence is associated with dietary patterns during adolescence.