Association Of Dietary Acid Load With Anthropometric Indices in Children and Adolescents Publisher Pubmed



Aslani Z^{1, 2} ; Bahreynian M^{3, 4} ; Namazi N⁵ ; Shivappa N^{6, 7, 8} ; Hebert JR^{6, 7, 8} ; Asayesh H⁹ ; Motlagh ME¹⁰ ; Pourmirzaei MA³ ; Kasaeian A^{11, 12} ; Mahdavigorabi A¹³ ; Qorbani M^{14, 15} ; Kelishadi R³ Show Affiliations
Source: Eating and Weight Disorders Published:2021

Abstract

Purpose: High dietary acid load (DAL) may have an influence on anthropometric indices. Given that there was no study on the association between DAL and anthropometric indices children and adolescents, the current study was aimed to examine the association between DAL and anthropometric indices in Iranian children and adolescents. Methods: Students aged 6–18 years were recruited using a multi-stage, cluster sampling method from 30 provinces of Iran. Dietary intake was assessed through a validated food frequency questionnaire. Height (Ht), weight (Wt), neck circumference (NC), waist circumference (WC), wrist circumference, and hip circumference (HC) were measured. WC-to-HC ratio (WHR), WC-to-Ht ratio (WHtR), body mass index (BMI) z-score, tri-ponderal mass index (TMI), and parental BMI were computed. Potential renal acid load (PRAL) and net endogenous acid production (NEAP) were used to estimate DAL. The association between DAL and anthropometric indices was evaluated using linear regression models. Results: In total, 5326 students (46.92% girls), with mean (standard deviations (SD)) age of 12.50 (3.14) years participated in the study (response rate: 98.13%). After adjusting for confounders, there was a significant association between NEAP and NC (P < 0.05). Also, an inverse association was observed between PRAL and NEAP with parental BMI (P < 0.05). Conclusion: Our findings showed a direct association between diet-induced acid load and NC and an inverse association between DAL indices and parental BMI. More well-designed clinical studies are warranted to confirm our results and the underlying mechanisms. Level of evidence: Level V, cross-sectional descriptive study. © 2020, Springer Nature Switzerland AG.