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Intake of milk, but not total dairy, yogurt, or cheese, is negatively associated with the clustering of cardiometabolic risk factors in adolescents

dc.contributor.authorAbreu, Sandra
dc.contributor.authorMoreira, Pedro
dc.contributor.authorMoreira, Carla
dc.contributor.authorMoreira-Silva, Isabel
dc.contributor.authorMota, Jorge
dc.contributor.authorSantos, Paula Clara
dc.contributor.authorSantos, Rute
dc.date.accessioned2015-05-20T15:13:57Z
dc.date.available2015-05-20T15:13:57Z
dc.date.issued2013
dc.description.abstractEpidemiologic studies have reported an inverse association between dairy product consumption and cardiometabolic risk factors in adults, but this relation is relatively unexplored in adolescents. We hypothesized that a higher dairy product intake is associated with lower cardiometabolic risk factor clustering in adolescents. To test this hypothesis, a cross-sectional study was conducted with 494 adolescents aged 15 to 18 years from the Azorean Archipelago, Portugal. We measured fasting glucose, insulin, total cholesterol, high-density lipoprotein cholesterol, triglycerides, systolic blood pressure, body fat, and cardiorespiratory fitness. We also calculated homeostatic model assessment and total cholesterol/high-density lipoprotein cholesterol ratio. For each one of these variables, a z score was computed using age and sex. A cardiometabolic risk score (CMRS) was constructed by summing up the z scores of all individual risk factors. High risk was considered to exist when an individual had at least 1 SD from this score. Diet was evaluated using a food frequency questionnaire, and the intake of total dairy (included milk, yogurt, and cheese), milk, yogurt, and cheese was categorized as low (equal to or below the median of the total sample) or “appropriate” (above the median of the total sample).The association between dairy product intake and CMRS was evaluated using separate logistic regression, and the results were adjusted for confounders. Adolescents with high milk intake had lower CMRS, compared with those with low intake (10.6% vs 18.1%, P = .018). Adolescents with appropriate milk intake were less likely to have high CMRS than those with low milk intake (odds ratio, 0.531; 95% confidence interval, 0.302-0.931). No association was found between CMRS and total dairy, yogurt, and cheese intake. Only milk intake seems to be inversely related to CMRS in adolescents.por
dc.identifier.doi10.1016/j.nutres.2013.10.008
dc.identifier.urihttp://hdl.handle.net/10400.22/6068
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.relation.publisherversionhttp://www.sciencedirect.com/science/article/pii/S0271531713002510por
dc.subjectCardiometabolic riskpor
dc.subjectDairy productpor
dc.subjectMilkpor
dc.subjectAdolescentspor
dc.subjectCross-sectional studypor
dc.titleIntake of milk, but not total dairy, yogurt, or cheese, is negatively associated with the clustering of cardiometabolic risk factors in adolescentspor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage57por
oaire.citation.startPage48por
oaire.citation.titleNutrition Researchpor
oaire.citation.volume34por
person.familyNameSantos
person.givenNamePaula Clara
person.identifier.ciencia-id5C16-2441-F091
person.identifier.orcid0000-0003-3548-700X
rcaap.rightsopenAccesspor
rcaap.typearticlepor
relation.isAuthorOfPublication78bef72f-1c59-47e1-a79d-3e4f8e0d438d
relation.isAuthorOfPublication.latestForDiscovery78bef72f-1c59-47e1-a79d-3e4f8e0d438d

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