Objective
To assess the association of adherence to Dietary Approaches to Stop Hypertension
(DASH)-style diet with development of metabolic syndrome (MetS) in children and adolescents.
Study design
Dietary data were collected using a valid and reliable food frequency questionnaire
among 425 healthy subjects, aged 6-18 years. MetS was defined as the presence of at
least 3 of the following according to the Cook criteria: waist circumference ≥90th
percentile for sex and age according to national reference curves; systolic blood
pressure and/or diastolic blood pressure ≥90th percentile for sex, age, and height;
fasting plasma glucose ≥100 mg/dL; triglycerides ≥110 mg/dL; and high-density lipoprotein
cholesterol <40 mg/dL. The DASH-style diet score was assessed based on 8 components:
high intakes of whole grain, vegetables, fruits, nuts, legumes; moderate amounts of
low-fat dairy products; and low intake of red and processed meat, sweetened beverages,
and sodium. Multivariable logistic regression models were used to estimate the OR
and 95% CI after 3.6 years of follow-up for developing MetS in each quartile of DASH
score after adjustment for baseline confounders.
Results
Mean ± SD for age and DASH score were 13.6 ± 3.7 years and 24.1 ± 4.3, respectively,
at baseline. The OR (95% CI) of developing MetS in the highest, compared with the
lowest, quartile of DASH score was 0.36 (0.14-0.94) with a linear decreasing trend
(P for trend = .023). Also, incidence of hypertension, high fasting plasma glucose,
and abdominal obesity decreased with higher adherence to DASH diet (P < .05 for all).
Conclusions
Our findings indicate the relationship of adherence to DASH-style diet with MetS and
some of its components in both children and adolescents.
Keywords
Abbreviations:
BMI (Body mass index), cMetS (Continuous MetS), DASH (Dietary Approaches to Stop Hypertension), DBP (Diastolic blood pressure), FCT (Food Composition Table), FFQ (Food frequency questionnaire), FPG (Fasting plasma glucose), HDL-C (High-density lipoprotein cholesterol), MetS (Metabolic syndrome), SBP (Systolic blood pressure), TG (Triglyceride), TLGS (Tehran Lipid and Glucose Study), WC (Waist circumference)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: May 04, 2016
Accepted:
March 31,
2016
Received in revised form:
March 2,
2016
Received:
October 7,
2015
Footnotes
Supported by National Research Council of the Islamic Republic of Iran and the Research Institute for Endocrine Sciences ( 098 ), Shahid Beheshti University of Medical Sciences. The authors declare no conflicts of interest.
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
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- Dietary approaches to stop hypertension diet and metabolic syndromeThe Journal of PediatricsVol. 178
- PreviewAsghari et al1 assessed the association between Dietary Approaches to Stop Hypertension (DASH)-style diet and the development of metabolic syndrome (MetS) in 424 children and adolescents. The OR and 95% CI of developing MetS in the highest, compared with the lowest, quartile of DASH score was 0.36 (0.14-0.94). The incidence of some metabolic components also significantly decreased with higher adherence to DASH diet. I have some concerns on their study.
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