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AuthorYang, Bing
AuthorTang, Chengjun
AuthorShi, Zumin
AuthorGao, Liwang
Available date2023-10-01T06:08:34Z
Publication Date2023-05-01
Publication NameNutrients
Identifierhttp://dx.doi.org/10.3390/nu15102307
CitationYang, B.; Tang, C.; Shi, Z.; Gao, L. Association of Macronutrients Intake with Body Composition and Sarcopenic Obesity in Children and Adolescents: A Population-Based Analysis of the National Health and Nutrition Examination Survey (NHANES) 2011–2018. Nutrients 2023, 15, 2307. https://doi.org/10.3390/nu15102307
URIhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85160352173&origin=inward
URIhttp://hdl.handle.net/10576/48128
AbstractThe association of macronutrients intake with body composition and sarcopenic obesity remains uncertain in children and adolescents. We aimed to explore the association between macronutrients intake and body composition, especially sarcopenic obesity, in children and adolescents residing in the United States. The study utilized data from 5412 participants aged 6–17 years who attended NHANES between 2011 and 2018. Body composition was assessed using DXA, and nutrient intake was based on 24-h recall. Multivariable linear regression and multinomial logistic regression were used. The unweighted prevalence of sarcopenic obesity was 15.6%. A higher percentage of energy (5 %E) from fat was inversely associated with muscle mass but positively associated with fat mass and sarcopenic obesity. Substituting carbohydrate (5 %E) with fat decreased muscle mass by 0.03 (95% CI 0.01 to 0.06) but increased fat mass by 0.03 (95% CI 0.01 to 0.06) and increased the prevalence of sarcopenic obesity by 254% (95% CI 15% to 487%). Replacing protein intake with fat intake also increased the OR of sarcopenic obesity (OR, 2.36 [95% CI 1.18 to 3.18]). In conclusion, a high-fat diet, coupled with low carbohydrate/protein intake, is associated with sarcopenic obesity among children and adolescents. The change in children’s diet towards a healthy diet with low fat composition may help prevent sarcopenic obesity. However, randomized clinical trials or longitudinal studies are needed to further validate our findings.
SponsorThis study was supported in part by the National Natural Science Foundation of China (grant number: 82204062) and Beijing Postdoctoral Research Foundation.
Languageen
PublisherMDPI
Subjectbody composition
children and adolescents
macronutrient
sarcopenic obesity
TitleAssociation of Macronutrients Intake with Body Composition and Sarcopenic Obesity in Children and Adolescents: A Population-Based Analysis of the National Health and Nutrition Examination Survey (NHANES) 2011–2018
TypeArticle
Issue Number10
Volume Number15
ESSN2072-6643
dc.accessType Open Access


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