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Fructose Consumption and Lipid Metabolism in Obese Children and Adolescents

  • Aneta Czerwonogrodzka-SenczynaEmail author
  • Małgorzata Rumińska
  • Anna Majcher
  • Dominika Credo
  • Anna Jeznach-Steinhagen
  • Beata Pyrżak
Part of the Advances in Experimental Medicine and Biology book series


Inappropriate dietary habits influence the development of excessive body weight. The role of added sugars, including fructose, notably is significant in this process. It is estimated that fructose intake has increased many times over the past two centuries. The aim of the study was to define the effect of fructose consumption on anthropometric indices and lipid metabolism in obese (body mass index (BMI) >30 kg/m2) children and adolescents. The study included 84 patients (47 girls and 37 boys) aged 7–18 years, divided into prepubertal, pubertal, and post-pubertal age groups. Aside from BMI, the assessment comprised waist circumference, body composition estimated with bioelectrical impedance (BIA), plasma lipid profile, fructose intake consumption based on a 3-day menu analysis, and a number of calculated atherogenic indices. The major findings were that total daily fructose intake was high, on average, ranging from 19 to 26 g, with no appreciable relation to age. A higher fructose intake from beverages is significantly associated with the percentage of body fat, waist circumference, waist-to-height ratio, and also with the content of total cholesterol, triglycerides, and the level of atherogenic indices. In conclusion, fructose appears a particularly unfavorable component in children’s diet as it is conducive to visceral obesity and atherogenic lipid profile. However, inadequate proportions of other macronutrients may also be at play in the development of metabolic diet-related disorders.


Adolescents Anthropometry Children Diet Fructose Lipid metabolism Nutrition Obesity 


Conflicts of Interest

The authors declare no conflicts of interest in relation to this article.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study protocol was approved by the Bioethics Committee of Warsaw Medical University in Poland.

Informed Consent

Informed consent was obtained from all individual participants included in the study and/or their parents/legal guardians.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Aneta Czerwonogrodzka-Senczyna
    • 1
    Email author
  • Małgorzata Rumińska
    • 2
  • Anna Majcher
    • 2
  • Dominika Credo
    • 2
  • Anna Jeznach-Steinhagen
    • 1
  • Beata Pyrżak
    • 2
  1. 1.Department of Clinical DieteticsWarsaw Medical University WarsawWarsawPoland
  2. 2.Department of Pediatrics and EndocrinologyWarsaw Medical University WarsawWarsawPoland

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