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A cross-sectional study of dietary habits and lipid profiles. The Rivas-Vaciamadrid study

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Abstract

The relations between dietary habits and serum lipids have been firmly established in adults. In children, this relation has been less extensively studied. We have assessed the relations between dietary components, including the different types of fatty acids (saturated, polyunsaturated and monounsaturated) and serum lipids and apolipoproteins in a group of 673 6-year-old children of the town of Rivas-Vaciamadrid, Spain. Children in the highest tertile of total fat consumption, when compared with children in the lowest tertile, had higher mean levels of total cholesterol (188.3 mg/dl vs. 146.8 mg/dl), triglycerides (56.7 mg/dl vs. 51.3 mg/dl), LDL cholesterol (120.7 mg/dl vs. 92.6 mg/dl), HDL cholesterol (56.2 mg/dl vs. 54.5 mg/dl) and apolipoprotein B (86.8 mg/dl vs. 62.9 mg/dl). When compared with children in the lowest tertile, children in the highest tertile of saturated fat consumption had significantly higher mean levels of total cholesterol (206.3 mg/dl vs. 151.8 mg/dl), LDL cholesterol (140.6 mg/dl vs. 95.1 mg/dl) and apolipoprotein B (99.2 mg/dl vs. 64.3 mg/dl) and lower mean levels of HDL cholesterol (53.5 mg/dl vs. 57.5 mg/dl), whereas children in the highest tertile of monounsaturated fat consumption had significantly higher mean levels of HDL cholesterol (56.5 mg/dl vs. 51.8 mg/dl) and lower levels of total cholesterol (133.2 mg/dl vs. 201.6 mg/dl), LDL cholesterol (93.1 mg/dl vs. 137.5 mg/dl) and apolipoprotein B (68.6 mg/dl vs. 94.9 mg/dl) than children in the lowest tertile. No statistically significant relation between polyunsaturated fat and lipid levels was found. We have found a strong association between diet composition and lipid and apolipoprotein levels in 6-year-old children. Our findings strengthen the role of monounsaturated fatty acid consumption as a part of a healthy diet in childhood.

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Abbreviations

Apo:

apolipoprotein

HDL:

high density lipoprotein

LDL:

low density lipoprotein

SFA:

saturated fatty acids

PUFA:

polyunsaturated fatty acids

MUFA:

monounsaturated fatty acids

References

  1. Aggett PJ, Haschke F, Heine W, Hernell O, Koletzko B, Lafeber H, Ormission A, Rey J, Tormo R (1994) Committee report: childhood diet and prevention of coronary heart disease. ESPGAN Committee on Nutrition. European Society of Pediatric Gastroenterology and Nutrition. J Pediatr Gastroenterol Nutr 19:261–269

    PubMed  CAS  Google Scholar 

  2. Allain CC, Poon LS, Chan CS, Richmond W, Fu PC (1974) Enzymatic determination of total serum cholesterol. Clin Chem 20:470–475

    PubMed  CAS  Google Scholar 

  3. American Academy of Pediatrics; Committee on Nutrition (1998) Cholesterol in childhood. Pediatrics 101:141–147

    Article  Google Scholar 

  4. Aranceta J. Perez C, Amela C, Garcia R (1994) Encuesta de Nutrición de la Comunidad de Madrid. Documentos Técnicos de Salud, n° 18. Dirección General de Prevención y Promoción de la Salud, Comunidad de Madrid, Madrid

  5. Aranceta J, Perez Rodrigo C, Eguileor I, Marzana I, Gonzalez de Galdeano L, Saenz de Buruaga J (1998) Food consumption patterns in the adult population of the Basque Country (EINUT-I). Public Health Nutr 1:185–192

    Article  PubMed  CAS  Google Scholar 

  6. Assmann G, Schriewer H, Schmitz G, Hägele EO (1983) Quantification of high density lipoprotein cholesterol by precipitation with phosphotungstic acid/MgCl2. Clin Chem 29:2026–2030

    PubMed  CAS  Google Scholar 

  7. Basch CE, Shea S, Arliss R, Contento IR, Rips J, Gutin B, Irigoyen M, Zybert P (1990) Validation of mothers’ reports of dietary intake by 4- to 7-year-old children. Am J Public Health 80:1314–1317

    Article  PubMed  CAS  Google Scholar 

  8. Berenson GS, Srinivasan SR, Bao W, Newman WP 3rd, Tracy RE, Wattigney WA (1998) Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. The Bogalusa Heart Study. N Engl J Med 338:1650–1656

    Article  PubMed  CAS  Google Scholar 

  9. Bucolo G, David H (1973) Quantitative determination of serum triglycerides by the use of enzymes. Clin Chem 19:476–482

    PubMed  CAS  Google Scholar 

  10. Centers for Disease Control and Prevention (1997) Guidelines for school and community programs to promote lifelong physical activity among young people. MMWR 46:1–36

    Google Scholar 

  11. Council on Sports Medicine and Fitness; Council on School Health (2006) Active healthy living: prevention of childhood obesity through increased physical activity. Pediatrics 117:1834–1842

    Article  Google Scholar 

  12. Frank GC, Berenson GS, Webber LS (1978) Dietary studies and the relationship of diet to cardiovascular disease risk factor variables in 10-year-old children. The Bogalusa Heart Study. Am J Clin Nutr 31:328–340

    PubMed  CAS  Google Scholar 

  13. Friedewald WT, Levu RI, Fredrickson DS (1972) Estimation of the concentration of LDL-cholesterol in plasma without use of the preparative ultracentrifuge. Clin Chem 8:499–507

    Google Scholar 

  14. Gardner CD, Kraemer HC (1995) Monounsaturated versus polyunsaturated dietary fat and serum lipids. A meta-analysis. Arterioscler Thromb Vasc Biol 15:1917–1927

    PubMed  CAS  Google Scholar 

  15. Ginsberg HN, Barr SL, Gilbert A, Karmally W, Deckelbaum R, Kaplan K, Ramakrishnan R, Holleran S, Dell RB (1990) Reduction of plasma cholesterol levels in normal men on an American Heart Association step 1 diet or a step 1 diet with added monounsaturated fat. N Engl J Med 322:574–579

    Article  PubMed  CAS  Google Scholar 

  16. Glueck CJ, Waldman G, McClish DK, Morrison JA, Khoury P, Larsen R, Salz K, Rifkind BM, Mattson FH (1982) Relationships of nutrient intake to lipids and lipoproteins in 1234 white children. The Lipid Research Clinics Prevalence Study. Arteriosclerosis 2:523–536

    PubMed  CAS  Google Scholar 

  17. Gonzalez-Requejo A, Sanchez-Bayle M, Baeza J, Arnaiz P, Vila S, Asensio J, Ruiz-Jarabo C (1995) Relations between nutrient intake and serum lipid and apolipoprotein levels. J Pediatr 127:53–57

    Article  PubMed  CAS  Google Scholar 

  18. Gonzalez-Requejo A, Sanchez-Bayle M, Ruiz-Jarabo C, Asensio-Anton J, Pelaez MJ, Morales MT, Anton-Pacheco E, Fernandez-Calle M, Madera-Cruz E (2003) Lipoprotein(a) and cardiovascular risk factors in a cohort of 6-year-old children. The Rivas-Vaciamadrid Study. Eur J Pediatr 162:572–575

    Article  PubMed  CAS  Google Scholar 

  19. Grundy SM (1997) What is the desirable ratio of saturated, polyunsaturated, and monounsaturated fatty acids in the diet? Am J Clin Nutr 66:988S–990S

    PubMed  CAS  Google Scholar 

  20. Gulesserian T, Widhalm K (2002) Effect of a rapeseed oil substituting diet on serum lipids and lipoproteins in children and adolescents with familial hypercholesterolemia. J Am Coll Nutr 21:103–108

    PubMed  CAS  Google Scholar 

  21. Hegsted DM, McGandy RB, Myers ML, Stare FJ (1965) Quantitative effects of dietary fat on serum cholesterol in man. Am J Clin Nutr 17:281–295

    PubMed  CAS  Google Scholar 

  22. Howard BV, Hannah JS, Heiser CC, Jablonski KA, Paidi MC, Alarif L, Robbins DC, Howard WJ (1995) Polyunsaturated fatty acids result in greater cholesterol lowering and less triacylglycerol elevation than do monounsaturated fatty acids in a dose-response comparison in a multiracial study group. Am J Clin Nutr 62:392–402

    PubMed  CAS  Google Scholar 

  23. Hu FB, Stampfer MJ, Manson JE, Rimm E, Colditz GA, Rosner BA, Hennekens CH, Willett WC (1997) Dietary fat intake and the risk of coronary heart disease in women. N Engl J Med 337:1491–1499

    Article  PubMed  CAS  Google Scholar 

  24. Keys A, Menotti A, Karvonen MJ, Aravanis C, Blackburn H, Buzina R, Djordjevic BS, Dontas AS, Fidanza F, Keys MH, Kromhout D, Nedeljkovic S, Punsar S, Seccareccia F, Toshima H (1986) The diet and 15-year death rate in the seven countries study. Am J Epidemiol 124:903–915

    PubMed  CAS  Google Scholar 

  25. Klesges RC, Klesges LM, Brown G, Frank GC (1987) Validation of the 24-hour dietary recall in preschool children. J Am Diet Assoc 87:1383–1385

    PubMed  CAS  Google Scholar 

  26. Kris-Etherton PM, Pearson TA, Wan Y, Hargrove RL, Moriarty K, Fishell V, Etherton TD (1999) High-monounsaturated fatty acid diets lower both plasma cholesterol and triacylglycerol concentrations. Am J Clin Nutr 70:1009–1015

    PubMed  CAS  Google Scholar 

  27. Kromhout D, Menotti A, Bloemberg B, Aravanis C, Blackburn H, Buzina R, Dontas AS, Fidanza F, Giaipaoli S, Jansen A, Karvonen M, Katan M, Nissinen A, Nedeljkovic S, Pekkanen J, Pekkarinen M, Punsar S, Rasanen L, Simic B, Toshima H (1995) Dietary saturated and trans fatty acids and cholesterol and 25-year mortality from coronary heart disease: the Seven Countries Study. Prev Med 24:308–315

    Article  PubMed  CAS  Google Scholar 

  28. Maciejko JJ, Levinson SS, Markyvech L, Smith MP, Blevins RD (1987) New assay of apolipoproteins A-I and B by rate nephelometry evaluated. Clin Chem 33:2065–2069

    PubMed  CAS  Google Scholar 

  29. Mata P, Garrido JA, Ordovas JM, Blazquez E, Alvarez-Sala LA, Rubio MJ, Alonso R, de Oya M (1992) Effect of dietary monounsaturated fatty acids on plasma lipoproteins and apolipoproteins in women. Am J Clin Nutr 56:77–83

    PubMed  CAS  Google Scholar 

  30. Moreiras O, Carbajal A, Cabrera ML (1992) La composición de los alimentos. EUDEMA, Madrid

    Google Scholar 

  31. Morrison JA, Larsen R, Glatfelter L, Boggs D, Burton K, Smith C, Kelly K, Mellies MJ, Khoury P, Glueck CJ (1980) Interrelationships between nutrient intake and plasma lipids and lipoproteins in schoolchildren aged 6 to 19: the Princeton School District Study. Pediatrics 65:727–734

    PubMed  CAS  Google Scholar 

  32. National Cholesterol Education Program Coordinating Committee (1992) The Report of the Expert Panel on Blood Cholesterol Levels in Children and Adolescents. Pediatrics 89:525S–584S

    Google Scholar 

  33. Nutrition Recommendations Update: Dietary Fat and Children (1993) Report of the Joint Working Group of the Canadian Paediatric Society (CPS) and Health Canada. Ottawa, Canada

  34. Nydahl MC, Gustafsson IB, Vessby B (1994) Lipid-lowering diets enriched with monounsaturated or polyunsaturated fatty acids but low in saturated fatty acids have similar effects on serum lipid concentrations in hyperlipidemic patients. Am J Clin Nutr 59:115–122

    PubMed  CAS  Google Scholar 

  35. Paul AA, Southgate DAT (1991) McCance and Widdowson’s The composition of foods. 5th edn. HMSO, London

    Google Scholar 

  36. Renaud S, Attie MC (1986) La composition des aliments. Astra-Calvé: INSERM, Paris

    Google Scholar 

  37. Shea S, Basch CE, Irigoyen M, Zybert P, Rips JL, Contento I, Gutin B (1991) Relationships of dietary fat consumption to serum total and low-density lipoprotein cholesterol in Hispanic preschool children. Prev Med 20:237–249

    Article  PubMed  CAS  Google Scholar 

  38. The Advisory Board of the International Conference of Cardiovascular Health (1993) The Victoria Declaration. Closing the gap: science and policy in action. Rev Sanid Hig Publica 67:77–116

    Google Scholar 

  39. The Lipid Research Clinics Program; The Lipid Research Clinics Coronary Primary Prevention Trial Results II (1984) The relationship of reduction in incidence of coronary heart disease to cholesterol lowering. JAMA 251:365–374

    Article  Google Scholar 

  40. Treiber FA, Leonard SB, Frank G, Musante L, Davis H, Strong WB, Levy M (1990) Dietary assessment instruments for preschool children: reliability of parental responses to the 24-hour recall and a food frequency questionnaire. J Am Diet Assoc 90:814–820

    PubMed  CAS  Google Scholar 

  41. Vartiainen E, Puska P, Pietinen P, Nissinen A, Leino U, Uusitalo U (1986) Effects of dietary fat modifications on serum lipids and blood pressure in children. Acta Paediatr Scand 75:396–401

    PubMed  CAS  Google Scholar 

  42. Williams CL, Hayman LL, Daniels SR, Robinson TN, Steinberger J, Paridon S, Bazzarre T (2002) Cardiovascular health in childhood: A statement for health professionals from the Committee on Atherosclerosis, Hypertension, and Obesity in the Young (AHOY) of the Council on Cardiovascular Disease in the Young, American Heart Association. Circulation 106:143–160

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors wish to thanks the Town Council of Rivas-Vaciamadrid for their help and support.The Rivas-Vaciamadrid study has benefitted from Spanish government grant (grant FIS 95/00812) and from financial support of the Town Council of Rivas-Vaciamadrid.

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Correspondence to Angel Gonzalez-Requejo.

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Sanchez-Bayle, M., Gonzalez-Requejo, A., Pelaez, M.J. et al. A cross-sectional study of dietary habits and lipid profiles. The Rivas-Vaciamadrid study. Eur J Pediatr 167, 149–154 (2008). https://doi.org/10.1007/s00431-007-0439-6

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  • DOI: https://doi.org/10.1007/s00431-007-0439-6

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