Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Association Between Dietary Diversity Score and Anthropometric Indices Among Children and Adolescents: The Weight Disorders Survey in the Caspian-Iv Study Publisher Pubmed



Heidaribeni M1 ; Riahi R2 ; Massoudi S2 ; Qorbani M3, 4 ; Kelishadi R5
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Nutrition, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
  4. 4. Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of the Science of Food and Agriculture Published:2021


Abstract

BACKGROUND: The aim of this study was to determine the association between the dietary diversity score (DDS) and anthropometric indices in a nationally representative sample of Iranian children and adolescents. METHODS: The nationwide cross-sectional study included 5178 students aged 6–18 years. A validated 168-item food frequency questionnaire (FFQ) was used. The DDS was assessed by dividing food items into five groups. RESULTS: An increase of 1 in the total DDS score was associated with 0.08 increase in the body mass index z-score (BMIz), 0.06 increase in waist circumference z-score (WCz), and 0.07 increase in hip circumference z-score (HCz) (P < 0.05) in girls. An increase of 1 in the DDS score of the dairy group was associated with an 0.11 increases in BMIz (P < 0.05). An increase of 1 in the DDS score of the fruit-vegetable group was associated with 0.09 and 0.08 increase in BMIz and HCz among girls respectively (P < 0.05). The odds of excess weight (overweight or obesity) and abdominal obesity increased with each unit increase in total DDS in girls (odds ratio, OR excess weight = 1.11 (95% confidence interval, CI: 1.003–1.23), OR abdominal obesity = 1.11 (95% CI: 1.001–1.23)). The odds of excess weight increased with each unit increase in dairy DDS (OR excess weight = 1.20 (95% CI: 1.002–1.43) among boys. CONCLUSION: Higher DDS was associated with higher anthropometric indices and greater risk of obesity among children and adolescents. Our findings emphasize the importance of increasing the diversity of healthy food items to reduce weight disorders in the pediatric age group. © 2021 Society of Chemical Industry. © 2021 Society of Chemical Industry
Related Docs
View other Related Docs
1. The Association Between Dietary Diversity Score and General and Abdominal Obesity in Iranian Children and Adolescents, BMC Endocrine Disorders (2020)
2. Higher Dietary Diversity Score Is Associated With Obesity: A Case–Control Study, Public Health (2018)
3. The Relationship Between Dietary Diversity Score and Obesity in Tehranian Adults: A Case-Control Study, Iranian Journal of Endocrinology and Metabolism (2016)
4. Association Between Mean Adequacy Ratio As Diet Quality Index and Anthropometric Indices in Children and Adolescents, Mediterranean Journal of Nutrition and Metabolism (2019)
5. Higher Dietary Phytochemical Index Is Associated With Anthropometric Indices in Children and Adolescents: The Weight Disorders Survey of the Caspian-Iv Study, International Journal for Vitamin and Nutrition Research (2021)
6. Association of Nutrient Patterns With Anthropometric Indices in Children and Adolescents: The Weight Disorders Survey of the Caspian-Iv Study, Mediterranean Journal of Nutrition and Metabolism (2019)
7. Dietary Energy Density Is Favorably Associated With Dietary Diversity Score Among Female University Students in Isfahan, Nutrition (2012)
8. The Prevalence of Childhood Underweight, Overweight, and Obesity Based on Four Different Criteria, Journal of Nutrition and Food Security (2020)
Experts (# of related papers)
View all Related Experts
Roya Kelishadi (170)
Noushin Mohammadifard (41)
Other Related Docs
9. Association of Legumes and Nuts Consumption With Metabolic Health Status in Iranian Overweight And Obese Adolescents, Scientific Reports (2023)
10. The Association Between Dietary Diversity Score and Risk of Prostate Cancer: (A Case-Control Study), Nutrition and Cancer (2022)
11. Dietary Diversity Score Is Related to Obesity and Abdominal Adiposity Among Iranian Female Youth, Public Health Nutrition (2011)
12. Dietary Diversity Score and Obesity: A Systematic Review and Meta-Analysis of Observational Studies, European Journal of Clinical Nutrition (2016)
13. The Effect of Nutrition Consultation on Dietary Diversity Score of Cardiac Patients Referred to Cardiac Rehabilitation Research Center Isfahan Cardiovascular Research Institute During 2008–2013, International Journal of Preventive Medicine (2016)
14. Effect of Diverse Low Energy-Dense Versus Healthy Diet on Metabolic Outcomes in Overweight/Obese Adolescents: A Randomized Controlled Trial, Progress in Nutrition (2019)
15. Trend Analysis, Gender-Specific Patterns, and Age Dynamics of Childhood and Adolescent Obesity: Insights From the Tehran Lipid and Glucose Study, BMC Public Health (2024)
16. Association Of Dietary Acid Load With Anthropometric Indices in Children and Adolescents, Eating and Weight Disorders (2021)
17. Dietary Patterns of Young Females and Their Association With Waist Circumference As a Health Index in Northwest of Iran, 2007, Iranian Red Crescent Medical Journal (2015)
18. Major Dietary Patterns and Their Associations With Overweight and Obesity Among Iranian Children, International Journal of Preventive Medicine (2013)
19. Breakfast Eating Pattern and Its Association With Dietary Quality Indices and Anthropometric Measurements in Young Women in Isfahan, Nutrition (2013)
20. Association of Dietary Inflammatory Index With Anthropometric Indices in Children and Adolescents: The Weight Disorder Survey of the Childhood and Adolescence Surveillance and Prevention of Adult Non-Communicable Disease (Caspian)-Iv Study, British Journal of Nutrition (2019)
21. Association Between Obesity and Parental Weight Status in Children and Adolescents, JCRPE Journal of Clinical Research in Pediatric Endocrinology (2017)
22. Healthy Eating Index and Cardiovascular Risk Factors Among Iranians, Journal of the American College of Nutrition (2013)
23. Diet Quality Among Iranian Adolescents Needs Improvement, Public Health Nutrition (2015)
24. Dietary Approaches to Stop Hypertension Diet and Obesity: A Cross-Sectional Study of Iranian Children and Adolescents, ARYA Atherosclerosis (2017)
25. The Association Between Dietary Glycemic Index, Glycemic Load and Diet Quality Indices in Iranian Adults: Results From Isfahan Healthy Heart Program, International Journal of Food Sciences and Nutrition (2016)
26. Association of Healthy Foods Intake With Anthropometric Measures and Blood Pressure in a National Sample of Iranian Children and Adolescents: The Caspian-Iv Study, Minerva Pediatrica (2019)
27. The Association of Dietary Carbohydrate Quality and Quantity With Obesity Among Iranian Adolescents: A Case-Control Study, BMC Pediatrics (2024)
28. Association Between Dietary Fat Quality Indices With Anthropometric Measurements in Children and Adolescents, BMC Pediatrics (2022)
29. Childhood Overweight and Obesity and Associated Factors in Iranian Children and Adolescents: A Multilevel Analysis; the Caspian-Iv Study, Frontiers in Pediatrics (2018)
30. Trend in the Prevalence of Obesity and Overweight Among Iranian Children and Adolescents: A Systematic Review and Meta-Analysis, Nutrition (2014)
31. The Association of the Healthy Food Diversity Index With the Risk of Non-Alcoholic Fatty Liver Disease Among the Adult Population, Clinical Nutrition ESPEN (2024)
32. Age-Period-Cohort Analysis of Obesity and Overweight in Iranian Children and Adolescents, International Journal of Endocrinology and Metabolism (2017)
33. Is Duration of Breastfeeding Associated With Anthropometric Measures in Children and Adolescents? the Weight Disorders Survey of the Caspian- Iv Study, International Journal of Pediatrics (2016)
34. Economic Inequality in Prevalence of Underweight and Short Stature in Children and Adolescents: The Weight Disorders Survey of the Caspian-Iv Study, Archives of Endocrinology and Metabolism (2020)
35. Dietary Habits and Health Related Behaviors in Iranian Children and Adolescents: The Caspian- Iv Study, International Journal of Pediatrics (2016)
36. The Association Between Dietary Diversity Score and Odds of Diabetic Nephropathy: A Case-Control Study, Frontiers in Nutrition (2022)
37. Association Between Parental Feeding Practices and Later Body Mass Index in Children and Adolescents: The Weight Disorder Survey of the Caspian-Iv Study, Mediterranean Journal of Nutrition and Metabolism (2019)
38. Sleep Deprivation Is Associated With Lower Diet Quality Indices and Higher Rate of General and Central Obesity Among Young Female Students in Iran, Nutrition (2012)
39. The Association Between Dietary Diversity Score and Food Insecurity and Novel Cardiovascular Risk Factors in Type 2 Diabetes Mellitus Patients: A Cross-Sectional Study, Journal of Diabetes and Metabolic Disorders (2025)
40. Soy Product Consumption and Association With Health Characteristics and Dietary Quality Indices in Isfahan, Iran, ARYA Atherosclerosis (2015)
41. Metabolic Syndrome and Its Determinants in a Sample of Young Iranian Children With Obesity, Pakistan Journal of Medical Sciences (2013)
42. The Ratio of Dietary Diversity Score Versus Energy Density in Relation to Anthropometric and Biochemical Variables Among Patients With Chronic Kidney Diseases, Progress in Nutrition (2019)
43. Association of Parental Obesity With Cardiometabolic Risk Factors in Their Children: The Caspian-V Study, PLoS ONE (2018)
44. Is Frequency of Potato and White Rice Consumption Associated With Cardiometabolic Risk Factors in Children and Adolescents: The Caspian-V Study, BMC Cardiovascular Disorders (2020)
45. Association Between Nuts Consumption and Abdominal Obesity, Overweight and Obesity in Female Adolescents: An Epidemiological Study, Iranian Journal of Endocrinology and Metabolism (2013)
46. Family-Based Intervention for Controlling Childhood Obesity: An Experience Among Iranian Children, International Journal of Preventive Medicine (2013)
47. Is Dietary Diversity a Proxy Measurement of Nutrient Adequacy in Iranian Elderly Women?, Appetite (2016)
48. Obesity and Associated Modifiable Environmental Factors in Iranian Adolescents: Isfahan Healthy Heart Program - Heart Health Promotion From Childhood, Pediatrics International (2003)
49. Association of Early Life Factors With Weight Disorders and Abdominal Obesity in Children and Adolescents: The Caspian-V Study, Mediterranean Journal of Nutrition and Metabolism (2019)
50. Potato Consumption As High Glycemic Index Food, Blood Pressure, and Body Mass Index Among Iranian Adolescent Girls, ARYA Atherosclerosis (2015)