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Association between protein intake and obesity


among children

CONFERENCE PAPER JANUARY 2013

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4 AUTHORS, INCLUDING:

Riyadh Alzaheb Jon Godwin


Glasgow Caledonian University Glasgow Caledonian University
2 PUBLICATIONS 0 CITATIONS 186 PUBLICATIONS 16,354 CITATIONS

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Available from: Riyadh Alzaheb


Retrieved on: 27 September 2015
Methods: We included 1372 first incident colorectal cancer between protein intake and obesity, while controlling for age,
cases and 1372 individually matched controls and calculated gender, physical activity, social class and energy intake/basal
the incidence rate ratios (IRR) for overall and sub-sites of colo- metabolic rate ratio.
rectal cancer using conditional logistic regression adjusted for Results: The mean+SD protein intake of obese children was
potential confounders. significantly higher compared with the non-obese children in
Results: Plasma total alkylresorcinol concentrations were all three age groups: 3-5 years (62.3 15.6 vs 54.7 11.8 g/day);
not associated with risk of overall colorectal cancer, proximal 6-10 years (67.1 20.5 vs 61.5 14.7 g/day); and 11-17 years
colon cancer or rectal cancer. However, high plasma total alkyl- (78.0 22.6 vs 66.8 18.5 g/day). There was a significant asso-
resorcinol concentrations were statistically significantly asso- ciation between the protein intake and obesity after controlling
ciated with lower incidence of cancer located in the distal (left for confounders: 3-5yrs Adjusted Odds Ratio (AOR) 1.12; 95%
or descending) part of the colon. Adjusted IRR of distal colon Confidence Interval (CI) 1.04-1.20; 6-10yrs AOR 1.10; 95% CI
cancer for highest versus lowest quartile of plasma alkylresorci- 1.06-1.13 and 11-17yrs AOR 1.07; 95% CI 1.04-1.09.
nol was 0.48 (95% confidence interval = 0.28 to 0.83). Further- Conclusions: Obese children had higher protein intakes
more, we observed an inverse association with colon cancer than their non-obese counterparts at all ages. High protein in-
for the Scandinavian part of the participants. Alkylresorcinols take in childhood may contribute to childhood obesity. Ack-
may be more appropriate as biomarkers in Middle Europe and nowledgements: UK Data Archive, Food Standard Agency UK
Scandinavia i.e. in areas where whole grains are regularly con- funded the Survey.
sumed. Key words: Protein intake, obesity, children.
Conclusions: Whole-grain intake, assessed by alkylresor-
cinols, was associated with a lower incidence of distal colon
cancer. Alkylresorcinols seem useful as objective biomarkers
of whole-grain intake in populations where whole-grains are a
staple part of the diet. Acknowledgements: This work was sup- PO1971
ported by World Cancer Research Fund International (WCRF) EXCESS WEIGHT AND BREAST DENSITY AT PU-
and WCRF Netherlands (WCRF NL) (2011/436), and Nor- BERTY, AN UNKNOWN ASSOCIATION: EVIDENCE
dForsk (Centre of Excellence programme HELGA (070015)). FROM THE GROWTH AND OBESITY CHILEAN CO-
Key words: Whole grains, colorectal cancer, biomarkers. HORT
A. Pereira1, M L. Garmendia1, R. Uauy1, C. Corvalan1
1
Institute of Nutrition and Food Technology, Univer-
sity of Chile, Santiago, Chile
PO1970
ASSOCIATION BETWEEN PROTEIN INTAKE AND Background and objectives: Mammographic breast den-
OBESITY AMONG CHILDREN sity (BD) is the strongest predictor of Breast Cancer(BC) risk
J. Armstrong1, R. Alzaheb1, J. Godwin1, J. Jackson1 and it is negatively associated with Body Mass Index(BMI),
1 which is a risk factor for postmenopausal BC. However little
Glasgow Caledonian University, Scotland, UK
is known in relation to BD and adiposity during puberty; the
former is highest at the end of puberty and declines with age;
Background and objectives: Dietary intakes of macronu- thus understanding the association between BD and adiposity
trients, particularly protein, have been examined as part of at- at the end of puberty would be critical for determining BC pre-
tempts to understand the dietary aspects of obesity. This study disposition during adulthood.
examines the relationship between protein intake and obesity
Methods: We recruited 61 girls from an ongoing cohort of
in children in Scotland.
400 low-income Chilean girls born in 2002-2003, who reached
Methods: The data were from the Survey of Sugar Intake
Tanner Breast Stage 4 or 5 in 2012. At the same visit, we as-
among Children in Scotland. The survey was carried out in
sessed i) anthropometric measures(weight and height) and ii)
children aged 3-17 in 2006. Diet was assessed by semi-quan-
breast composition(%fibroglandular volume (FGV), absolute
titative food frequency questionnaire and height and weight
FGV(AFGV, i.e dense tissue) and breast volume) by DXA, a
were measured. Of the 1390 subjects with complete dietary
validated method to measure breast composition at young ages
and anthropometric data, 889 were used in the analyses fo-
llowing the exclusion of mis-reporters. Children were classified (low dose radiation). Crude and adjusted Odds Ratio (OR) and
as obese or non-obese, BMI z-score 1.64 and <1.64 respecti- 95% Confidence intervals (95%CI) were estimated to assess the
vely. Analyses of covariance were performed to determine the relation between excess weight (BMI z-score>1) and %FGV,
mean differences in protein intake (g/day) between obese and AFGV or breast volume.
non-obese children. Logistic regression tested the association Results: The mean age and height z-score of the study
group were 122 months(sd=4.8) and 0.8(sd=0.9) respectively
1208 Ann Nutr Metab 2013;63(suppl 1):11960 Abstracts

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