Recent studies have shown that yogurt consumption was associated with better diet quality and a healthier metabolic profile in adults. However, such associations have not been investigated in children. The present study examined the associations in children using data from a nationally representative survey.
Data from 5,124 children aged 2–18 years, who participated in the National Health and Nutrition Examination Survey (NHANES) between 2003 and 2006 in the USA were analyzed. The frequency of yogurt consumption over 12 months was determined using a validated food frequency questionnaire. Diet quality was assessed by the Healthy Eating Index 2005 (HEI-2005) using one 24-HR dietary recall, and metabolic profiles were obtained from the NHANES laboratory data.
It was found that only 33.1 % of children consumed yogurt at least once per week (frequent consumers). Adjusting for covariates, frequent consumers had better diet quality than infrequent consumers, as indicated by a higher HEI-2005 total score (P = 0.04). Frequent yogurt consumption was associated with a lower fasting insulin level (P < 0.001), a lower homeostatic model assessment of insulin resistance (P < 0.001), and a higher quantitative insulin sensitivity check index (P = 0.03). However, yogurt consumption was not associated with body weight, fasting glucose, serum lipid profiles, C-reactive protein, and blood pressures (all P > 0.05).
These results suggest that frequent yogurt consumption may contribute to improved diet quality and a healthier insulin profile in children. Future longitudinal studies and clinical trials in children are warranted to explore the health benefits of yogurt consumption.
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Huth PJ, DiRienzo DB, Miller GD (2006) Major scientific advances with dairy foods in nutrition and health. J Dairy Sci 89(4):1207–1221
Abargouei AS, Janghorbani M, Salehi-Marzijarani M, Esmaillzadeh A (2012) Effect of dairy consumption on weight and body composition in adults: a systematic review and meta-analysis of randomized controlled clinical trials. Int J Obes 36(12):1485–1493
Aune D, Norat T, Romudstad P, Vatten LJ (2013) Dairy products and the risk of type 2 diabetes: a systematic review and dose-response meta-analysis of cohort studies. Am J Clin Nutr 98(4):1066–1083
Soedamah-Muthu SS, Verberne LDM, Ding EL, Engberink MF, Geleijnse JM (2012) Dairy consumption and incidence of hypertension: a dose-response meta-analysis of prospective cohort studies. Hypertension 60(5):1131–1137
Rosell M, Hakansson NN, Wolk A (2006) Association between dairy food consumption and weight change over 9 y in 19 352 perimenopausal women. Am J Clin Nutr 84(6):1481–1488
Wang H, Troy LM, Rogers GT, Fox CS, McKeown NM, Meigs JB, Jacques PF (2014) Longitudinal association between dairy consumption and changes of body weight and waist circumference: the Framingham Heart Study. Int J Obes 38(2):299–305
Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB (2011) Changes in diet and lifestyle and long-term weight gain in women and men. N Engl J Med 364(25):2392–2404
Van de Water J, Keen CL, Gershwin ME (1999) The influence of chronic yogurt consumption on immunity. J Nutr 129(7):1492S–1495S
Halpern GM, Vruwink KG, Van de Water J, Keen CL, Gershwin ME (1991) Influence of long-term yogurt consumption in young adults. Int J Immunother 7(4):205–210
Beydoun MA, Gary TL, Caballero BH, Lawrence RS, Cheskin LJ, Wang YF (2008) Ethnic differences in dairy and related nutrient consumption among US adults and their association with obesity, central obesity, and the metabolic syndrome. Am J Clin Nutr 87(6):1914–1925
Ivey KL, Lewis JR, Hodgson JM, Zhu K, Dhaliwal SS, Thompson PL, Prince RL (2011) Association between yogurt, milk, and cheese consumption and common carotid artery intima-media thickness and cardiovascular disease risk factors in elderly women. Am J Clin Nutr 94(1):234–239
Wang HF, Livingston KA, Fox CS, Meigs JB, Jacques PF (2013) Yogurt consumption is associated with better diet quality and metabolic profile in American men and women. Nutr Res 33(1):18–26
Pala V, Sieri S, Berrino F, Vineis P, Sacerdote C, Palli D, Masala G, Panico S, Mattiello A, Tumino R, Giurdanella MC, Agnoli C, Grioni S, Krogh V (2011) Yogurt consumption and risk of colorectal cancer in the Italian European prospective investigation into cancer and nutrition cohort. Int J Cancer 129(11):2712–2719
Tong X, Dong JY, Wu ZW, Li W, Qin LQ (2011) Dairy consumption and risk of type 2 diabetes mellitus: a meta-analysis of cohort studies. Eur J Clin Nutr 65(9):1027–1031
Mohammad MA, Molloy A, Scott J, Hussein L (2006) Plasma cobalamin and folate and their metabolic markers methylmalonic acid and total homocysteine among Egyptian children before and after nutritional supplementation with the probiotic bacteria Lactobacillus acidophilus in yoghurt matrix. Int J Food Sci Nutr 57(7–8):470–480
de Mattos AP, Ribeiro TCM, Mendes PSA, Valois SS, Mendes CMC, Ribeiro HC (2009) Comparison of yogurt, soybean, casein, and amino acid-based diets in children with persistent diarrhea. Nutr Res 29(7):462–469
Khodadad A, Farahmand F, Najafi M, Shoaran M (2013) Probiotics for the treatment of pediatric Helicobacter pylori infection: a randomized double blind clinical trial. Iran J Pediatr 23(1):79–84
Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey. http://www.cdc.gov/nchs/nhanes.htm. Accessed 17 Aug 2013
Centers for Disease Control and Prevention. What We Eat in America. http://www.cdc.gov/nchs/nhanes/wweia.htm. Accessed 3 May 2014
Subar AF, Thompson FE, Kipnis V, Midthune D, Hurwitz P, McNutt S, McIntosh A, Rosenfeld S (2001) Comparative validation of the Block, Willett, and National Cancer Institute food frequency questionnaires—the Eating at America’s Table Study. Am J Epidemiol 154(12):1089–1099
Subar AF, Dodd KW, Guenther PM, Kipnis V, Midthune D, McDowell M, Tooze JA, Freedman LS, Krebs-Smith SM (2006) The food propensity questionnaire: concept, development, and validation for use as a covariate in a model to estimate usual food intake. J Am Diet Assoc 106(10):1556–1563
Guenther PM, Reedy J, Krebs-Smith SM (2008) Development of the Healthy Eating Index-2005. J Am Diet Assoc 108(11):1896–1901
Guenther PM, Reedy J, Krebs-Smith SM, Reeve BB (2008) Evaluation of the Healthy Eating Index-2005. J Am Diet Assoc 108(11):1854–1864
United States Department of Agriculture. Healthy Eating Index-2005 development and evaluation technical report support files. http://www.cnpp.usda.gov/HealthyEatingIndex-2005report.htm. Accessed 17 August 2013
Friedewald WT, Levy RI, Fredrickson DS (1972) Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18(6):499–502
Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC (1985) Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28(7):412–419
Katz A, Nambi SS, Mather K, Baron AD, Follmann DA, Sullivan G, Quon MJ (2000) Quantitative insulin sensitivity check index: a simple, accurate method for assessing insulin sensitivity in humans. J Clin Endocrinol Metab 85(7):2402–2410
Zhu Y, Hollis JH (2013) Soup consumption is associated with a reduced risk of overweight and obesity but not metabolic syndrome in US adults: NHANES 2003–2006. PLoS One 8(9):e75360
Zhu Y, Hollis JH (2014) Soup consumption is associated with a lower dietary energy density and a better diet quality in US adults. Br J Nutr 111(8):1474–1480
Davis AM, Bennett KJ, Befort C, Nollen N (2011) Obesity and related health behaviors among urban and rural children in the United States: data from the National Health and Nutrition Examination Survey 2003–2004 and 2005–2006. J Pediatr Psychol 36(6):669–676
Leung CW, Blumenthal SJ, Hoffnagle EE, Jensen HH, Foerster SB, Nestle M, Cheung L, Mozaffarian D, Willett WC (2013) Associations of food stamp participation with dietary quality and obesity in children. Pediatrics 131(3):463–472
O’Neil CE, Nicklas TA, Liu Y, Franklin FA (2009) The impact of dairy product consumption on nutrient adequacy and weight of Head Start mothers. Public Health Nutr 12(10):1693–1701
Weinberg LG, Berner LA, Groves JE (2004) Nutrient contributions of dairy foods in the United States, Continuing Survey of Food Intakes by Individuals, 1994–1996, 1998. J Am Diet Assoc 104(6):895–902
Ranganathan R, Nicklas TA, Yang SJ, Berenson GS (2005) The nutritional impact of dairy product consumption on dietary intakes of adults (1995–1996): the Bogalusa heart study. J Am Diet Assoc 105(9):1391–1400
Asemi Z, Samimi M, Tabassi Z, Rad MN, Foroushani AR, Khorammian H, Esmaillzadeh A (2013) Effect of daily consumption of probiotic yoghurt on insulin resistance in pregnant women: a randomized controlled trial. Eur J Clin Nutr 67(1):71–74
Ejtahed HS, Mohtadi-Nia J, Homayouni-Rad A, Niafar M, Asghari-Jafarabadi M, Mofid V (2012) Probiotic yogurt improves antioxidant status in type 2 diabetic patients. Nutrition 28(5):539–543
Delzenne NM, Neyrinck AM, Backhed F, Cani PD (2011) Targeting gut microbiota in obesity: effects of prebiotics and probiotics. Nat Rev Endocrinol 7(11):639–646
Buttriss J (1997) Nutritional properties of fermented milk products. Int J Dairy Technol 50(1):21–27
dos Santos LC, Cintra ID, Fisberg M, Martini LA (2008) Calcium intake and its relationship with adiposity and insulin resistance in post-pubertal adolescents. J Hum Nutr Diet 21(2):109–116
Johnson MS, Jumbo-Lucioni P, Watts AJ, Allison DB, Nagy TR (2007) Effect of dairy supplementation on body composition and insulin resistance in mice. Nutrition 23(11–12):836–843
Hepner G, Fried R, Stjeor S, Fusetti L, Morin R (1979) Hypocholesterolemic effect of yogurt and milk. Am J Clin Nutr 32(1):19–24
Bazzarre TL, Wu SML, Yuhas JA (1983) Total and HDL-cholesterol concentrations following yogurt and calcium supplementation. Nutr Rep Int 28(6):1225–1232
Snijder MB, van der Heijden A, van Dam RM, Stehouwer CDA, Hiddink GJ, Nijlels G, Heine RJ, Bouter LM, Dekker JM (2007) Is higher dairy consumption associated with lower body weight and fewer metabolic disturbances? The Hoorn Study. Am J Clin Nutr 85(4):989–995
Shay CM, Ning HY, Daniels SR, Rooks CR, Gidding SS, Lloyd-Jones DM (2013) Status of cardiovascular health in US adolescents: prevalence estimates from the National Health and Nutrition Examination Surveys (NHANES) 2005–2010. Circulation 127(13):1369–1376
Hartiala O, Magnussen CG, Kajander S, Knuuti J, Ukkonen H, Saraste A, Rinta-Kiikka I, Kainulainen S, Kahonen M, Hutri-Kahonen N, Laitinen T, Lehtimaki T, Viikari JSA, Hartiala J, Juonala M, Raitakari OT (2012) Adolescence risk factors are predictive of coronary artery calcification at middle age: the cardiovascular risk in young Finns study. J Am Coll Cardiol 60(15):1364–1370
Juonala M, Magnussen CG, Berenson GS, Venn A, Burns TL, Sabin MA, Srinivasan SR, Daniels SR, Davis PH, Chen W, Sun C, Cheung M, Viikari JSA, Dwyer T, Raitakari OT (2011) Childhood adiposity, adult adiposity, and cardiovascular risk factors. N Engl J Med 365(20):1876–1885
This work was supported by U.S. Department of Agriculture Agreement 58-1950-0-014, and a research Grant from The Dannon Company, Inc.
Conflict of interest
PFJ and HW received a research Grant from the Dannon Company, Inc. PFJ serves on an advisory board for the Dannon Company, Inc. YZ and JHH have no conflict of interest to disclose.
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Zhu, Y., Wang, H., Hollis, J.H. et al. The associations between yogurt consumption, diet quality, and metabolic profiles in children in the USA. Eur J Nutr 54, 543–550 (2015). https://doi.org/10.1007/s00394-014-0735-7