gms | German Medical Science

Kongress Medizin und Gesellschaft 2007

17. bis 21.09.2007, Augsburg

Glycaemic index, glycaemic load and fibre at age 2 and their prospective influence on childhood body composition at age 7

Meeting Abstract

  • Guo Cheng - Research Institute of Child Nutrition, Dortmund
  • Nadina Karaolis-Danckert - Research Institute of Child Nutrition, Dortmund
  • Anke LB Günther - Research Institute of Child Nutrition, Dortmund
  • Thomas Remer - Research Institute of Child Nutrition, Dortmund
  • Anette E Buyken - Research Institute of Child Nutrition, Dortmund

Kongress Medizin und Gesellschaft 2007. Augsburg, 17.-21.09.2007. Düsseldorf: German Medical Science GMS Publishing House; 2007. Doc07gmds053

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/gmds2007/07gmds053.shtml

Published: September 6, 2007

© 2007 Cheng et al.
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Outline

Text

Objective: Among adolescents and adults the dietary glycaemic index (GI), glycaemic load (GL) and fibre have been found to be associated with body mass index (BMI), supporting a role for them in the development of health outcomes [1], [2], [3], [4]. To date, studies in healthy children are only cross-sectional, and most of them were conducted in small samples. This analysis examined dietary GI, GL and fibre in early childhood and their prospective influence on childhood body composition at age 7.

Subjects and methods: Analyses were based on weighed 3-day dietary records from 359 participants of the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study [5], for whom complete information on diet and anthropometry was available at ages 2 and 7 years. GI was estimated for each carbohydrate containing food using published values [6]. Overweight and overfatness at age 7 was defined according to published cut-offs for international use [7], [8].

Results: Risk of overfatness at age 7 was not related to GI, GL and fibre at age 2 (odds ratio (OR)(95% confidence interval), reference tertile=t1: OR_GI_t2=0.87(0.40-1.87), OR_GI_t3=0.99(0.48-2.12), p for trend: 0.8; OR_GL_t2=1.25(0.58-2.73), OR_GL_t3=1.13(0.47-2.69), p for trend: 0.9; OR_fibre_t2=1.12(0.53-2.38), OR_fibre_t3=1.07(0.50-2.27), p for trend: 1.0; adjusted for sex, energy intake, fibre intake (in GI and GL models), meal frequency, maternal overweight, and percentage body fat at age 2). Similarly, GI, GL and fibre at age 2 were not related to risk of overweight, percentage body fat or BMI at age 7.

Conclusions: GI, GL and fibre intake at age 2, a potentially critical period for the subsequent development of overweight, were not related to body composition at age 7.


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