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Published in: European Journal of Nutrition 8/2016

01-12-2016 | Original Contribution

Food intake and inflammation in European children: the IDEFICS study

Authors: Esther M. González-Gil, Javier Santabárbara, Paola Russo, Wolfgang Ahrens, Mandy Claessens, Lauren Lissner, Claudia Börnhorst, Vittorio Krogh, Licia Iacoviello, Denes Molnar, Alfonso Siani, Michael Tornaritis, Toomas Veidebaum, Luis A. Moreno

Published in: European Journal of Nutrition | Issue 8/2016

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Abstract

Purpose

This cross-sectional study assesses the relationship between consumption frequencies of food items and high-sensitivity C-reactive protein (hs-CRP) in European children.

Methods

Out of the baseline sample (N = 16.228) of the IDEFICS study, 6.403 children (1.315 boys aged 2 to <6, 1.908 boys aged 6 to <10, 1.204 girls aged 2 to <6 and 1.976 girls aged 6 to <10 years) had hs-CRP measured and the Children’s Eating Habits Questionnaire filled, including a food frequency questionnaire. Logistic regression adjusted for body mass index z-score, education of the mother, breast-feeding and self-reported hours of physical activity in a sport club per week was conducted.

Results

Mean frequency intake of raw vegetable was lower in boys (p = 0.022 in young and p = 0.020 in old) and older girls (p = 0.026) with high hs-CRP concentration, while in younger girls (p = 0.008) the same occurred with the cooked vegetables. The probability of having higher hs-CRP concentration was significantly associated with having low consumption frequency of vegetables (p = 0.004 in older boys, raw vegetables; and p = 0.0032 in younger girls, cooked vegetables). Also, honey/jam intake decreased the probability of having higher concentration of hs-CRP, whereas soft drinks with sugar, mayonnaise and cereals milled increased this probability.

Conclusions

Out of all food items associated with hs-CRP, frequency intake of vegetables presented more associations across all the analysis. Findings suggest that a high-frequency intake of vegetables is inversely related to an inflammatory status in children. More studies are needed to assess the association between diet and inflammation.
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Literature
2.
4.
go back to reference Sbarbati A, Osculati F, Silvagni D, Benati D, Galie M, Camoglio FS, Rigotti G, Maffeis C (2006) Obesity and inflammation: evidence for an elementary lesion. Pediatrics 117(1):220–223. doi:10.1542/peds.2004-2854 CrossRef Sbarbati A, Osculati F, Silvagni D, Benati D, Galie M, Camoglio FS, Rigotti G, Maffeis C (2006) Obesity and inflammation: evidence for an elementary lesion. Pediatrics 117(1):220–223. doi:10.​1542/​peds.​2004-2854 CrossRef
5.
go back to reference Cook DG, Mendall MA, Whincup PH, Carey IM, Ballam L, Morris JE, Miller GJ, Strachan DP (2000) C-reactive protein concentration in children: relationship to adiposity and other cardiovascular risk factors. Atherosclerosis 149(1):139–150. doi:10.1016/S0021-9150(99)00312-3 CrossRef Cook DG, Mendall MA, Whincup PH, Carey IM, Ballam L, Morris JE, Miller GJ, Strachan DP (2000) C-reactive protein concentration in children: relationship to adiposity and other cardiovascular risk factors. Atherosclerosis 149(1):139–150. doi:10.​1016/​S0021-9150(99)00312-3 CrossRef
8.
11.
go back to reference Nanri A, Moore MA, Kono S (2007) Impact of C-reactive protein on disease risk and its relation to dietary factors. Asian Pac J Cancer Prev 8(2):167–177 Nanri A, Moore MA, Kono S (2007) Impact of C-reactive protein on disease risk and its relation to dietary factors. Asian Pac J Cancer Prev 8(2):167–177
12.
go back to reference Holt EM, Steffen LM, Moran A, Basu S, Steinberger J, Ross JA, Hong CP, Sinaiko AR (2009) Fruit and vegetable consumption and its relation to markers of inflammation and oxidative stress in adolescents. J Am Diet Assoc 109(3):414–421. doi:10.1016/j.jada.2008.11.036 CrossRef Holt EM, Steffen LM, Moran A, Basu S, Steinberger J, Ross JA, Hong CP, Sinaiko AR (2009) Fruit and vegetable consumption and its relation to markers of inflammation and oxidative stress in adolescents. J Am Diet Assoc 109(3):414–421. doi:10.​1016/​j.​jada.​2008.​11.​036 CrossRef
13.
go back to reference Ley SH, Sun Q, Willett WC, Eliassen AH, Wu K, Pan A, Grodstein F, Hu FB (2014) Associations between red meat intake and biomarkers of inflammation and glucose metabolism in women. Am J Clin Nutr 99(2):352–360. doi:10.3945/ajcn.113.075663 CrossRef Ley SH, Sun Q, Willett WC, Eliassen AH, Wu K, Pan A, Grodstein F, Hu FB (2014) Associations between red meat intake and biomarkers of inflammation and glucose metabolism in women. Am J Clin Nutr 99(2):352–360. doi:10.​3945/​ajcn.​113.​075663 CrossRef
14.
go back to reference Dickinson S, Hancock DP, Petocz P, Ceriello A, Brand-Miller J (2008) High-glycemic index carbohydrate increases nuclear factor-kappaB activation in mononuclear cells of young, lean healthy subjects. Am J Clin Nutr 87(5):1188–1193 Dickinson S, Hancock DP, Petocz P, Ceriello A, Brand-Miller J (2008) High-glycemic index carbohydrate increases nuclear factor-kappaB activation in mononuclear cells of young, lean healthy subjects. Am J Clin Nutr 87(5):1188–1193
15.
go back to reference Buyken AE, Goletzke J, Joslowski G, Felbick A, Cheng G, Herder C, Brand-Miller JC (2014) Association between carbohydrate quality and inflammatory markers: systematic review of observational and interventional studies. Am J Clin Nutr 99(4):813–833. doi:10.3945/ajcn.113.074252 CrossRef Buyken AE, Goletzke J, Joslowski G, Felbick A, Cheng G, Herder C, Brand-Miller JC (2014) Association between carbohydrate quality and inflammatory markers: systematic review of observational and interventional studies. Am J Clin Nutr 99(4):813–833. doi:10.​3945/​ajcn.​113.​074252 CrossRef
16.
go back to reference He K, Liu K, Daviglus ML, Jenny NS, Mayer-Davis E, Jiang R, Steffen L, Siscovick D, Tsai M, Herrington D (2009) Associations of dietary long-chain n-3 polyunsaturated fatty acids and fish with biomarkers of inflammation and endothelial activation (from the Multi-Ethnic Study of Atherosclerosis [MESA]). Am J Cardiol 103(9):1238–1243. doi:10.1016/j.amjcard.2009.01.016 CrossRef He K, Liu K, Daviglus ML, Jenny NS, Mayer-Davis E, Jiang R, Steffen L, Siscovick D, Tsai M, Herrington D (2009) Associations of dietary long-chain n-3 polyunsaturated fatty acids and fish with biomarkers of inflammation and endothelial activation (from the Multi-Ethnic Study of Atherosclerosis [MESA]). Am J Cardiol 103(9):1238–1243. doi:10.​1016/​j.​amjcard.​2009.​01.​016 CrossRef
17.
go back to reference Calder PC, Ahluwalia N, Brouns F, Buetler T, Clement K, Cunningham K, Esposito K, Jonsson LS, Kolb H, Lansink M, Marcos A, Margioris A, Matusheski N, Nordmann H, O’Brien J, Pugliese G, Rizkalla S, Schalkwijk C, Tuomilehto J, Warnberg J, Watzl B, Winklhofer-Roob BM (2011) Dietary factors and low-grade inflammation in relation to overweight and obesity. Br J Nutr 106(Suppl 3):S5–S78. doi:10.1017/S0007114511005460 CrossRef Calder PC, Ahluwalia N, Brouns F, Buetler T, Clement K, Cunningham K, Esposito K, Jonsson LS, Kolb H, Lansink M, Marcos A, Margioris A, Matusheski N, Nordmann H, O’Brien J, Pugliese G, Rizkalla S, Schalkwijk C, Tuomilehto J, Warnberg J, Watzl B, Winklhofer-Roob BM (2011) Dietary factors and low-grade inflammation in relation to overweight and obesity. Br J Nutr 106(Suppl 3):S5–S78. doi:10.​1017/​S000711451100546​0 CrossRef
18.
go back to reference Lopez-Garcia E, Schulze MB, Manson JE, Meigs JB, Albert CM, Rifai N, Willett WC, Hu FB (2004) Consumption of (n-3) fatty acids is related to plasma biomarkers of inflammation and endothelial activation in women. J Nutr 134(7):1806–1811 Lopez-Garcia E, Schulze MB, Manson JE, Meigs JB, Albert CM, Rifai N, Willett WC, Hu FB (2004) Consumption of (n-3) fatty acids is related to plasma biomarkers of inflammation and endothelial activation in women. J Nutr 134(7):1806–1811
19.
go back to reference Madsen T, Skou HA, Hansen VE, Fog L, Christensen JH, Toft E, Schmidt EB (2001) C-reactive protein, dietary n-3 fatty acids, and the extent of coronary artery disease. Am J Cardiol 88(10):1139–1142CrossRef Madsen T, Skou HA, Hansen VE, Fog L, Christensen JH, Toft E, Schmidt EB (2001) C-reactive protein, dietary n-3 fatty acids, and the extent of coronary artery disease. Am J Cardiol 88(10):1139–1142CrossRef
20.
go back to reference Ahrens W, Bammann K, Siani A, Buchecker K, De Henauw S, Iacoviello L, Hebestreit A, Krogh V, Lissner L, Marild S, Molnar D, Moreno LA, Pitsiladis YP, Reisch L, Tornaritis M, Veidebaum T, Pigeot I (2011) The IDEFICS cohort: design, characteristics and participation in the baseline survey. Int J Obes (Lond) 35(Suppl 1):S3–S15. doi:10.1038/ijo.2011.30 CrossRef Ahrens W, Bammann K, Siani A, Buchecker K, De Henauw S, Iacoviello L, Hebestreit A, Krogh V, Lissner L, Marild S, Molnar D, Moreno LA, Pitsiladis YP, Reisch L, Tornaritis M, Veidebaum T, Pigeot I (2011) The IDEFICS cohort: design, characteristics and participation in the baseline survey. Int J Obes (Lond) 35(Suppl 1):S3–S15. doi:10.​1038/​ijo.​2011.​30 CrossRef
21.
go back to reference Huybrechts I, Bornhorst C, Pala V, Moreno LA, Barba G, Lissner L, Fraterman A, Veidebaum T, Hebestreit A, Sieri S, Ottevaere C, Tornaritis M, Molnar D, Ahrens W, De Henauw S, Consortium I (2011) Evaluation of the children’s eating habits questionnaire used in the IDEFICS study by relating urinary calcium and potassium to milk consumption frequencies among European children. Int J Obes (Lond) 35(Suppl 1):S69–S78. doi:10.1038/ijo.2011.37 CrossRef Huybrechts I, Bornhorst C, Pala V, Moreno LA, Barba G, Lissner L, Fraterman A, Veidebaum T, Hebestreit A, Sieri S, Ottevaere C, Tornaritis M, Molnar D, Ahrens W, De Henauw S, Consortium I (2011) Evaluation of the children’s eating habits questionnaire used in the IDEFICS study by relating urinary calcium and potassium to milk consumption frequencies among European children. Int J Obes (Lond) 35(Suppl 1):S69–S78. doi:10.​1038/​ijo.​2011.​37 CrossRef
22.
26.
go back to reference Santaliestra-Pasias AM, Mouratidou T, Verbestel V, Bammann K, Molnar D, Sieri S, Siani A, Veidebaum T, Marild S, Lissner L, Hadjigeorgiou C, Reisch L, De Bourdeaudhuij I, Moreno LA (2013) Physical activity and sedentary behaviour in European children: the IDEFICS study. Public Health Nutr. doi:10.1017/S1368980013002486 Santaliestra-Pasias AM, Mouratidou T, Verbestel V, Bammann K, Molnar D, Sieri S, Siani A, Veidebaum T, Marild S, Lissner L, Hadjigeorgiou C, Reisch L, De Bourdeaudhuij I, Moreno LA (2013) Physical activity and sedentary behaviour in European children: the IDEFICS study. Public Health Nutr. doi:10.​1017/​S136898001300248​6
27.
go back to reference Nappo A, Iacoviello L, Fraterman A, Gonzalez-Gil EM, Hadjigeorgiou C, Marild S, Molnar D, Moreno LA, Peplies J, Sioen I, Veidebaum T, Siani A, Russo P (2013) High-sensitivity C-reactive protein is a predictive factor of adiposity in children: results of the identification and prevention of dietary- and lifestyle-induced health effects in children and infants (IDEFICS) study. J Am Heart Assoc 2(3):e000101. doi:10.1161/JAHA.113.000101 CrossRef Nappo A, Iacoviello L, Fraterman A, Gonzalez-Gil EM, Hadjigeorgiou C, Marild S, Molnar D, Moreno LA, Peplies J, Sioen I, Veidebaum T, Siani A, Russo P (2013) High-sensitivity C-reactive protein is a predictive factor of adiposity in children: results of the identification and prevention of dietary- and lifestyle-induced health effects in children and infants (IDEFICS) study. J Am Heart Assoc 2(3):e000101. doi:10.​1161/​JAHA.​113.​000101 CrossRef
29.
go back to reference Oliveira A, Rodriguez-Artalejo F, Lopes C (2009) The association of fruits, vegetables, antioxidant vitamins and fibre intake with high-sensitivity C-reactive protein: sex and body mass index interactions. Eur J Clin Nutr 63(11):1345–1352. doi:10.1038/ejcn.2009.61ejcn200961 CrossRef Oliveira A, Rodriguez-Artalejo F, Lopes C (2009) The association of fruits, vegetables, antioxidant vitamins and fibre intake with high-sensitivity C-reactive protein: sex and body mass index interactions. Eur J Clin Nutr 63(11):1345–1352. doi:10.​1038/​ejcn.​2009.​61ejcn200961 CrossRef
30.
go back to reference Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC (2006) Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. Am J Clin Nutr 84(6):1489–1497 Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC (2006) Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. Am J Clin Nutr 84(6):1489–1497
32.
go back to reference di Giuseppe R, Di Castelnuovo A, Melegari C, De Lucia F, Santimone I, Sciarretta A, Barisciano P, Persichillo M, De Curtis A, Zito F, Krogh V, Donati MB, de Gaetano G, Iacoviello L, Moli-sani Project I (2012) Typical breakfast food consumption and risk factors for cardiovascular disease in a large sample of Italian adults. Nutr Metab Cardiovasc Dis 22(4):347–354. doi:10.1016/j.numecd.2010.07.006 CrossRef di Giuseppe R, Di Castelnuovo A, Melegari C, De Lucia F, Santimone I, Sciarretta A, Barisciano P, Persichillo M, De Curtis A, Zito F, Krogh V, Donati MB, de Gaetano G, Iacoviello L, Moli-sani Project I (2012) Typical breakfast food consumption and risk factors for cardiovascular disease in a large sample of Italian adults. Nutr Metab Cardiovasc Dis 22(4):347–354. doi:10.​1016/​j.​numecd.​2010.​07.​006 CrossRef
33.
go back to reference Bel-Serrat S, Mouratidou T, Bornhorst C, Peplies J, De Henauw S, Marild S, Molnar D, Siani A, Tornaritis M, Veidebaum T, Krogh V, Moreno LA (2013) Food consumption and cardiovascular risk factors in European children: the IDEFICS study. Pediatr Obes 8(3):225–236. doi:10.1111/j.2047-6310.2012.00107.x CrossRef Bel-Serrat S, Mouratidou T, Bornhorst C, Peplies J, De Henauw S, Marild S, Molnar D, Siani A, Tornaritis M, Veidebaum T, Krogh V, Moreno LA (2013) Food consumption and cardiovascular risk factors in European children: the IDEFICS study. Pediatr Obes 8(3):225–236. doi:10.​1111/​j.​2047-6310.​2012.​00107.​x CrossRef
34.
go back to reference Ceriello A (2005) Postprandial hyperglycemia and diabetes complications: is it time to treat? Diabetes 54(1):1–7CrossRef Ceriello A (2005) Postprandial hyperglycemia and diabetes complications: is it time to treat? Diabetes 54(1):1–7CrossRef
35.
go back to reference CRPCHDG Collaboration, Wensley F, Gao P, Burgess S, Kaptoge S, Di Angelantonio E, Shah T, Engert JC, Clarke R, Davey-Smith G, Nordestgaard BG, Saleheen D, Samani NJ, Sandhu M, Anand S, Pepys MB, Smeeth L, Whittaker J, Casas JP, Thompson SG, Hingorani AD, Danesh J (2011) Association between C reactive protein and coronary heart disease: mendelian randomisation analysis based on individual participant data. BMJ 342:d548. doi:10.1136/bmj.d548bmj.d548 CrossRef CRPCHDG Collaboration, Wensley F, Gao P, Burgess S, Kaptoge S, Di Angelantonio E, Shah T, Engert JC, Clarke R, Davey-Smith G, Nordestgaard BG, Saleheen D, Samani NJ, Sandhu M, Anand S, Pepys MB, Smeeth L, Whittaker J, Casas JP, Thompson SG, Hingorani AD, Danesh J (2011) Association between C reactive protein and coronary heart disease: mendelian randomisation analysis based on individual participant data. BMJ 342:d548. doi:10.​1136/​bmj.​d548bmj.​d548 CrossRef
36.
go back to reference Lanfer A, Hebestreit A, Ahrens W, Krogh V, Sieri S, Lissner L, Eiben G, Siani A, Huybrechts I, Loit HM, Papoutsou S, Kovacs E, Pala V, Consortium I (2011) Reproducibility of food consumption frequencies derived from the children’s eating habits questionnaire used in the IDEFICS study. Int J Obes (Lond) 35(Suppl 1):S61–S68. doi:10.1038/ijo.2011.36ijo201136 CrossRef Lanfer A, Hebestreit A, Ahrens W, Krogh V, Sieri S, Lissner L, Eiben G, Siani A, Huybrechts I, Loit HM, Papoutsou S, Kovacs E, Pala V, Consortium I (2011) Reproducibility of food consumption frequencies derived from the children’s eating habits questionnaire used in the IDEFICS study. Int J Obes (Lond) 35(Suppl 1):S61–S68. doi:10.​1038/​ijo.​2011.​36ijo201136 CrossRef
Metadata
Title
Food intake and inflammation in European children: the IDEFICS study
Authors
Esther M. González-Gil
Javier Santabárbara
Paola Russo
Wolfgang Ahrens
Mandy Claessens
Lauren Lissner
Claudia Börnhorst
Vittorio Krogh
Licia Iacoviello
Denes Molnar
Alfonso Siani
Michael Tornaritis
Toomas Veidebaum
Luis A. Moreno
Publication date
01-12-2016
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nutrition / Issue 8/2016
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-015-1054-3

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