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Rivista di Pediatria, Neonatologia, Medicina dell’Adolescenza
e Neuropsichiatria Infantile
Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Minerva Pediatrica 2016 Jul 08
Association between meal frequency with anthropometric measures and blood pressure in Iranian children and adolescents
Zeinab AHADI 1, Roya KELISHADI 2, Mostafa QORBANI 3, Hoda ZAHEDI 4, Mohammad E. MOTLAGH 5, Gelayol ARDALAN 2, Gita SHAFIEE 1, Hamid ASAYESH 6, Bagher LARIJANI 7, Ramin HESHMAT 1 ✉
1 Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; 2 Department of Pediatrics, Child Growth and Development Research Center, and Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran; 3 Department of Community Medicine, Alborz University of Medical Sciences, Karaj, Iran; 4 Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; 5. Department of Pediatrics, Ahvaz University of Medical Sciences, Ahvaz, Iran; 6 Department of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran; 7 Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
BACKGROUND: This study aimed to assess the association of meal frequency with anthropometric measures and blood pressure in Iranian children and adolescents.
METHODS: In this national survey, 14,880 students with 6-18 years of age were selected by stratified multistage sampling method from urban and rural regions of 30 provinces of Iran. Meal frequency was assessed by a questionnaire prepared based on global school-based student health survey .Physical measurements included height, weight, waist circumference, systolic blood pressure (SBP), and diastolic blood pressure (DBP).
RESULTS: The participation rate was 90.6% including 49.24% girls and 75.5% urban residents. Skipping breakfast and dinner were more frequent in girls than in boys (71.6% vs. 64.1%, 91.2% vs. 86.9%, respectively, P<0.05). Overweight, obesity, and abdominal obesity were more prevalent in those who had 2meals, 1 meal or very low intake (P-value < 0.001) than those had 3 meals. There were no significant differences in SBP, DBP, and blood pressure across to different meal frequency groups (P-value >0.05). Students who had very low intake and 1 meal per week had more risk of abdominal obesity compared with those who had 3 meals (OR 1.7, CI 95%: 1.3-2.3, and OR 1.6, CI 95%: 1.4-2.0, respectively).
CONCLUSIONS: An inverse significant association between higher meal frequency and anthropometric indices was observed. Therefore, encouraging children and adolescents for regular meal intake should be considered as a health priority in the pediatric population.