Please use this identifier to cite or link to this item:http://hdl.handle.net/20.500.12105/15755
Title
Flavonoid Intake From Cocoa-Based Products and Adiposity Parameters in Adolescents in Spain.
Author(s)
Laveriano-Santos, Emily P | Arancibia-Riveros, Camila | Tresserra-Rimbau, Anna | Castro-Barquero, Sara | Ruiz-León, Ana María | Estruch, Ramón | Casas, Rosa | Bodega, Patricia CNIC | de Miguel, Mercedes CNIC | de Cos-Gandoy, Amaya CNIC | Martínez-Gómez, Jesús | Rodríguez, Carla | Santos-Beneit, Gloria CNIC | Fernández-Alvira, Juan M | Fernández-Jiménez, Rodrigo | Lamuela-Raventós, Rosa M
Date issued
2022
Citation
Front Nutr. 2022 Jul 6;9:931171
Language
Inglés
Document type
journal article
Abstract
Cocoa-based products are a good source of flavonoids, which may have beneficial effects on metabolic health.
The aim of this study is to assess the relationship between flavonoids from cocoa-based products and adiposity parameters in adolescents.
A cross-sectional study was conducted involving 944 adolescents aged 11-14 years enrolled in the SI! Program for Secondary Schools trial in Spain with available baseline data from food frequency questionnaires and anthropometric measurements [weight, height, waist circumference (WC), and fat mass percentage (% FM) by bioimpedance analysis]. Fat mass index (FMI) and waist-to-height ratio (WHtR) were obtained by dividing fat mass by height and WC by height, respectively. Body mass index (BMI), WC, and FMI for age and gender z-score were calculated. Overweight/obesity was defined as BMI ≥ 85th percentile and excess adiposity as %FM or FMI ≥ 75th percentile. WC ≥ 90th percentile and WHtR with a 0.5 threshold were considered as criteria of abdominal obesity. Multilevel mixed-effect regressions were used to evaluate the association between flavonoids from cocoa-based products and adiposity parameters. Municipalities and schools were considered random effects.
Participants with a higher flavonoid intake from cocoa-based products had lower WC z-score [B = -0.04, 95% CI (-0.07; -0.01), P-for trend = 0.045] and WHtR [B = -0.01, 95% CI (-0.02; -0.01), P- for trend < 0.001]. They also had lower probability of having abdominal obesity [OR 0.66, 95% CI (0.52; 0.85), P- for trend = 0.001]. Inverse associations were observed between flavonoids from cocoa powder and BMI z-score [B = -0.08, 95% CI (-0.12; -0.05), P < 0.001], WC z-score [B = -0.06, 95% CI (-0.11; -0.02), P = 0.003], WHtR [B = -0.01, 95% CI (-0.01; -0.00), P < 0.001], %FM [B = -1.11, 95% CI (-1.48; -0.75), P < 0.001], and FMI z-score [B = -0.18, 95% CI (-0.20; -0.17), P < 0.001]. Regarding dark chocolate, an inverse association only with WC z-score [B = -0.06, 95% CI (-0.08; -0.05), P < 0.001] was found. However, no association was observed between flavonoids from milk chocolate intake and anthropometric parameters.
A higher intake of flavonoids from cocoa-based products was associated with lower adiposity parameters and a lower probability of presenting abdominal obesity.
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