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Title: Dietary Intakes and Eating Behavior between Metabolically Healthy and Unhealthy Obesity Phenotypes in Asian Children and Adolescents
Authors: Ooi, Delicia Shu Qin 
Toh, Jia Ying
Ng, Lucas Yan Bin
Peng, Zikang
Yang, Supeng
Rashid, Nurul Syafiqah Binte Said Abdul 
Sng, Andrew Anjian 
Chan, Yiong Huak 
Chong, Mary Foong-Fong 
Lee, Yung Seng 
Issue Date: Sep-2022
Publisher: MDPI AG
Citation: Ooi, Delicia Shu Qin, Toh, Jia Ying, Ng, Lucas Yan Bin, Peng, Zikang, Yang, Supeng, Rashid, Nurul Syafiqah Binte Said Abdul, Sng, Andrew Anjian, Chan, Yiong Huak, Chong, Mary Foong-Fong, Lee, Yung Seng (2022-09). Dietary Intakes and Eating Behavior between Metabolically Healthy and Unhealthy Obesity Phenotypes in Asian Children and Adolescents. Nutrients 14 (22) : 4796-4796. ScholarBank@NUS Repository.
Abstract: Diet plays a critical role in the development of obesity and obesity-related morbidities. Our study aimed to evaluate the dietary food groups, nutrient intakes and eating behaviors of metabolically healthy and unhealthy obesity phenotypes in an Asian cohort of children and adolescents. Participants (n = 52) were asked to record their diet using a 3-day food diary and intakes were analyzed using a nutrient software. Eating behavior was assessed using a validated questionnaire. Metabolically healthy obesity (MHO) or metabolically unhealthy obesity (MUO) were defined based on criteria of metabolic syndrome. Children/adolescents with MUO consumed fewer whole grains (median: 0.00 (interquartile range: 0.00–0.00 g) vs. 18.5 g (0.00–69.8 g)) and less polyunsaturated fat (6.26% kcal (5.17–7.45% kcal) vs. 6.92% kcal (5.85–9.02% kcal)), and had lower cognitive dietary restraint (15.0 (13.0–17.0) vs. 16.0 (14.0–19.0)) compared to children/adolescents with MHO. Deep fried food, fast food and processed convenience food were positively associated with both systolic (β: 2.84, 95%CI: 0.95–6.62) and diastolic blood pressure (β: 4.83, 95%CI: 0.61–9.04). Higher polyunsaturated fat intake (OR: 0.529, 95%CI: 0.284–0.986) and cognitive dietary restraint (OR: 0.681, 95%CI: 0.472–0.984) were associated with a lower risk of the MUO phenotype. A healthier diet composition and positive eating behavior may contribute to favorable metabolic outcomes in children and adolescents with obesity.
Source Title: Nutrients
ISSN: 20726643
DOI: 10.3390/nu14224796
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