Eating patterns and lipid levels in older adolescent girls.

Pubmed ID: 22417625

Pubmed Central ID: PMC3399938

Journal: Nutrition, metabolism, and cardiovascular diseases : NMCD

Publication Date: March 1, 2013

Affiliation: Preventive Medicine and Epidemiology, Boston University School of Medicine, 72 East Concord Street, Boston, MA 02118, USA.

MeSH Terms: Humans, Female, Adolescent, Diet, Child, Prospective Studies, Motor Activity, Socioeconomic Factors, Animals, Cholesterol, HDL, Feeding Behavior, Triglycerides, Cholesterol, LDL, Diet Records, Fruit, Vegetables, Fishes, Meat, Poultry, Surveys and Questionnaires, Edible Grain

Grants: P30 DK048520, R21DK075068, R21 DK075068-02, R21 DK075068

Authors: Moore LL, Bradlee ML, Singer MR, Daniels SR

Cite As: Bradlee ML, Singer MR, Daniels SR, Moore LL. Eating patterns and lipid levels in older adolescent girls. Nutr Metab Cardiovasc Dis 2013 Mar;23(3):196-204. Epub 2012 Mar 13.



BACKGROUND AND AIMS: Few studies have evaluated the effects of food-based eating patterns on adolescent lipid levels. This study examines whether usual adolescent eating patterns (ages 9-17 years) predict lipid levels at 18-20 years of age. METHODS AND RESULTS: This study uses previously collected data from the longitudinal NHLBI Growth and Health Study in which 2379 girls were enrolled at ages 9-10 years and followed for ten years. Food-based eating patterns were derived from multiple 3-day diet records. After adjusting for age, race, socioeconomic status, height, physical activity, and television viewing, girls with higher intakes of dairy, fruit and non-starchy vegetables had about a 40-50% reduced risk an LDL-C ≥ 170 mg/dL and non-HDL-C ≥ 145 mg/dL. Diets characterized by higher intakes of dairy and whole grains had similar benefits on TC and LDL-C. Girls consuming more fruits and non-starchy vegetables as well as more whole grains were much less likely to have high-risk lipid levels. Lean meat, poultry and fish when consumed in the context of other healthy eating patterns had no adverse effects on lipid levels in late adolescence. In fact when consumed with higher amounts of fruit and non-starchy vegetables, lean meat, poultry and fish had beneficial effects on HDL. Finally, dietary patterns that included more whole grains tended to be associated with lower TG levels. CONCLUSION: Healthy childhood eating patterns characterized by higher intakes of a variety of fruits, vegetables, whole grains, dairy, lean meat, poultry and fish are important modifiable predictors of lipid levels in late adolescence.