The relationship between diet quality and insulin resistance in obese children: adaptation of the Healthy Lifestyle-Diet Index in Turkey
-
Yasemin Ertaş Öztürk
,
Rukiye Bozbulut
Abstract
Background:
Childhood obesity and its complications are serious health problems and diet/lifestyle changes can be beneficial for the prevention of diseases. Adaptation of the Healthy Lifestyle-Diet (HLD) Index in accordance with the dietary guidelines for Turkey (TR) and determination of the relationship between metabolic syndrome risk factors in obese children were the aims of this study.
Methods:
This study was conducted on 164 overweight or obese children (87 male, 77 female) aged 9–13 years. For all participants, the HLD-TR Index and a 24-h dietary recall were performed and the mean adequacy ratio (MAR) was calculated. Anthropometric measurements and the body composition of the children were taken. Metabolic syndrome risk factors and insulin resistance were assessed.
Results:
The mean age of the male and female children was 11.2±1.49 and 11.0±1.40 years, respectively. The majority of the children were obese in both genders. There were no statistically significant differences in the HLD-TR scores between the genders. As the index scores increased, a decrease in the energy intake and an increase in the MAR were observed. Negative correlations between the index scores and body mass, waist circumference and body fat mass were observed. Furthermore, a one-unit increase in the index score decreases the insulin resistance risk by 0.91 times after adjustments for age and gender (odds ratio: 0.91 [0.85–0.97]).
Conclusions:
The HLD-TR Index is a valid tool that can give an idea about the quality of the diet in obese children. Furthermore, with the increase in the compliance with recommendations for diet/lifestyle changes, indicators of obesity and metabolic syndrome were decreased.
Acknowledgments
The authors are grateful to individuals who participated in the survey and to anonymous reviewers for their comments.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
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Supplemental Material:
The online version of this article offers supplementary material (https://doi.org/10.1515/jpem-2017-0271).
©2018 Walter de Gruyter GmbH, Berlin/Boston
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Articles in the same Issue
- Frontmatter
- Original Articles
- HbA1c levels in children with type 1 diabetes and correlation to diabetic retinopathy
- Relationship between urinary sodium-creatinine ratios and insulin resistance in Korean children and adolescents with obesity
- Prevalence of comorbid conditions pre-existing and diagnosed at a tertiary care pediatric weight management clinic
- The relationship between diet quality and insulin resistance in obese children: adaptation of the Healthy Lifestyle-Diet Index in Turkey
- Outcomes of mitochondrial derived diseases: a single-center experience
- Metabolic and genetic markers’ associations with elevated levels of alanine aminotransferase in adolescents
- Phenotypic presentation of adolescents with overt primary hypothyroidism
- Growth velocity and biological variables during puberty in achondroplasia
- Employing a results-based algorithm to reduce laboratory utilization in ACTH stimulation testing
- Investigating the changes in amino acid values in premature infants: a pilot study
- A hierarchical Bayesian tri-variate analysis on factors associated with anthropometric measures in a large sample of children and adolescents: the CASPIAN-IV study
- Smith-Lemli-Opitz syndrome: clinical and biochemical correlates
- Case Reports
- Sporadic pediatric papillary thyroid carcinoma harboring the ETV6/NTRK3 fusion oncogene in a 7-year-old Japanese girl: a case report and review of literature
- Hypercalcemia, hyperkalemia and supraventricular tachycardia in a patient with subcutaneous fat necrosis
- Late presentation of glycogen storage disease types Ia and III in children with short stature and hepatomegaly
- A novel paraneoplastic syndrome with acquired lipodystrophy and chronic inflammatory demyelinating polyneuropathy in an adolescent male with craniopharyngioma
