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Using reduced rank regression methods to identify dietary patterns associated with obesity: a cross-country study among European and Australian adolescents.
Br J Nutr. 2017 01; 117(2):295-305.BJ

Abstract

This study aims to examine repeatability of reduced rank regression (RRR) methods in calculating dietary patterns (DP) and cross-sectional associations with overweight (OW)/obesity across European and Australian samples of adolescents. Data from two cross-sectional surveys in Europe (2006/2007 Healthy Lifestyle in Europe by Nutrition in Adolescence study, including 1954 adolescents, 12-17 years) and Australia (2007 National Children's Nutrition and Physical Activity Survey, including 1498 adolescents, 12-16 years) were used. Dietary intake was measured using two non-consecutive, 24-h recalls. RRR was used to identify DP using dietary energy density, fibre density and percentage of energy intake from fat as the intermediate variables. Associations between DP scores and body mass/fat were examined using multivariable linear and logistic regression as appropriate, stratified by sex. The first DP extracted (labelled 'energy dense, high fat, low fibre') explained 47 and 31 % of the response variation in Australian and European adolescents, respectively. It was similar for European and Australian adolescents and characterised by higher consumption of biscuits/cakes, chocolate/confectionery, crisps/savoury snacks, sugar-sweetened beverages, and lower consumption of yogurt, high-fibre bread, vegetables and fresh fruit. DP scores were inversely associated with BMI z-scores in Australian adolescent boys and borderline inverse in European adolescent boys (so as with %BF). Similarly, a lower likelihood for OW in boys was observed with higher DP scores in both surveys. No such relationships were observed in adolescent girls. In conclusion, the DP identified in this cross-country study was comparable for European and Australian adolescents, demonstrating robustness of the RRR method in calculating DP among populations. However, longitudinal designs are more relevant when studying diet-obesity associations, to prevent reverse causality.

Authors+Show Affiliations

1International Agency for Research on Cancer,Nutrition and Metabolism Section, 69372 Lyon CEDEX 08,France.2Centre for Physical Activity and Nutrition Research,School of Exercise and Nutrition Sciences,Deakin University,Melbourne,VIC 3125,Australia.5Growth, Exercise, Nutrition and Development (GENUD) Research Group,School of Health Science (EUCS),University of Zaragoza,C/ Domingo Miral s/n,50009 Zaragoza,Spain.1International Agency for Research on Cancer,Nutrition and Metabolism Section, 69372 Lyon CEDEX 08,France.6Department of Nutrition and Dietetics,School of Health Science and Education,Harokopio University,Athens 17671,Greece.7Research Institute of Child Nutrition,Rheinische Friedrich-Wilhelms-University Bonn,44225 Dortmund,Germany.8UMR995, Faculty of Medicine,University of Lille,CHRU,59045 Lille,France.9Preventive Medicine and Nutrition Unit,School of Medicine,University of Crete,PO Box 2208 GR-71003,Heraklion,Crete,Greece.10Department of Public Health, Faculty of Medicine and Health Sciences,Ghent University,Ghent 9000,Belgium.11Department of Medical Physiology,School of Medicine,University of Granada,18014 Granada,Spain.12Department of Pediatrics,Private Medical University,5020 Salzburg,Austria.13ImFINE Research Group,Department of Health and Human Performance, Faculty of Physical Activity and Sport Sciences (INEF),Technical University of Madrid,Madrid E-28040,Spain.16Department of Paediatrics, Medical Faculty,H-7624 Pécs,Hungary.5Growth, Exercise, Nutrition and Development (GENUD) Research Group,School of Health Science (EUCS),University of Zaragoza,C/ Domingo Miral s/n,50009 Zaragoza,Spain.4Paris-Descartes University,Paris, F-75014,France.

Pub Type(s)

Journal Article
Validation Study

Language

eng

PubMed ID

28166853

Citation

Huybrechts, Inge, et al. "Using Reduced Rank Regression Methods to Identify Dietary Patterns Associated With Obesity: a Cross-country Study Among European and Australian Adolescents." The British Journal of Nutrition, vol. 117, no. 2, 2017, pp. 295-305.
Huybrechts I, Lioret S, Mouratidou T, et al. Using reduced rank regression methods to identify dietary patterns associated with obesity: a cross-country study among European and Australian adolescents. Br J Nutr. 2017;117(2):295-305.
Huybrechts, I., Lioret, S., Mouratidou, T., Gunter, M. J., Manios, Y., Kersting, M., Gottrand, F., Kafatos, A., De Henauw, S., Cuenca-García, M., Widhalm, K., Gonzales-Gross, M., Molnar, D., Moreno, L. A., & McNaughton, S. A. (2017). Using reduced rank regression methods to identify dietary patterns associated with obesity: a cross-country study among European and Australian adolescents. The British Journal of Nutrition, 117(2), 295-305. https://doi.org/10.1017/S0007114516004669
Huybrechts I, et al. Using Reduced Rank Regression Methods to Identify Dietary Patterns Associated With Obesity: a Cross-country Study Among European and Australian Adolescents. Br J Nutr. 2017;117(2):295-305. PubMed PMID: 28166853.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Using reduced rank regression methods to identify dietary patterns associated with obesity: a cross-country study among European and Australian adolescents. AU - Huybrechts,Inge, AU - Lioret,Sandrine, AU - Mouratidou,Theodora, AU - Gunter,Marc J, AU - Manios,Yannis, AU - Kersting,Mathilde, AU - Gottrand,Frederic, AU - Kafatos,Anthony, AU - De Henauw,Stefaan, AU - Cuenca-García,Magdalena, AU - Widhalm,Kurt, AU - Gonzales-Gross,Marcela, AU - Molnar,Denes, AU - Moreno,Luis A, AU - McNaughton,Sarah A, Y1 - 2017/02/07/ PY - 2017/2/9/pubmed PY - 2017/5/23/medline PY - 2017/2/8/entrez KW - %BF body fat percentage KW - ALSPAC Avon Longitudinal Study of Parents and Children KW - DED dietary energy density KW - DP dietary pattern KW - FD fibre density KW - HELENA Healthy Lifestyle in Europe by Nutrition in Adolescence study KW - MVPA moderate to vigorous physical activity KW - NCNPAS National Children’s Nutrition and Physical Activity Survey KW - OW overweight KW - PA physical activity KW - RRR reduced rank regression KW - SB sedentary behaviour KW - SES socio-economic status KW - Adolescents KW - Australian National Children’s Nutrition and Physical Activity Survey KW - Dietary patterns KW - Healthy Lifestyle in Europe by Nutrition in Adolescence study KW - Reduced rank regression analysis SP - 295 EP - 305 JF - The British journal of nutrition JO - Br J Nutr VL - 117 IS - 2 N2 - This study aims to examine repeatability of reduced rank regression (RRR) methods in calculating dietary patterns (DP) and cross-sectional associations with overweight (OW)/obesity across European and Australian samples of adolescents. Data from two cross-sectional surveys in Europe (2006/2007 Healthy Lifestyle in Europe by Nutrition in Adolescence study, including 1954 adolescents, 12-17 years) and Australia (2007 National Children's Nutrition and Physical Activity Survey, including 1498 adolescents, 12-16 years) were used. Dietary intake was measured using two non-consecutive, 24-h recalls. RRR was used to identify DP using dietary energy density, fibre density and percentage of energy intake from fat as the intermediate variables. Associations between DP scores and body mass/fat were examined using multivariable linear and logistic regression as appropriate, stratified by sex. The first DP extracted (labelled 'energy dense, high fat, low fibre') explained 47 and 31 % of the response variation in Australian and European adolescents, respectively. It was similar for European and Australian adolescents and characterised by higher consumption of biscuits/cakes, chocolate/confectionery, crisps/savoury snacks, sugar-sweetened beverages, and lower consumption of yogurt, high-fibre bread, vegetables and fresh fruit. DP scores were inversely associated with BMI z-scores in Australian adolescent boys and borderline inverse in European adolescent boys (so as with %BF). Similarly, a lower likelihood for OW in boys was observed with higher DP scores in both surveys. No such relationships were observed in adolescent girls. In conclusion, the DP identified in this cross-country study was comparable for European and Australian adolescents, demonstrating robustness of the RRR method in calculating DP among populations. However, longitudinal designs are more relevant when studying diet-obesity associations, to prevent reverse causality. SN - 1475-2662 UR - https://www.unboundmedicine.com/medline/citation/28166853/Using_reduced_rank_regression_methods_to_identify_dietary_patterns_associated_with_obesity:_a_cross_country_study_among_European_and_Australian_adolescents_ L2 - https://www.cambridge.org/core/product/identifier/S0007114516004669/type/journal_article DB - PRIME DP - Unbound Medicine ER -