Journal of Comprehensive Pediatrics

Published by: Kowsar

The Association Between Dietary Pattern and Weight Status in School-Aged Children: A Cross-Sectional Study

Sayyed Reza Sobhani 1 , Abbasali Keshtkar 2 , Ahmad Reza Dorosty 3 , Hossein Farhadnejad 4 and Hamed Pouraram 5 , *
Authors Information
1 PhD Student of Food and Nutrition Policy, Department of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
2 MD, PhD, Assistant Professor, Department of Health Sciences Education Development, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
3 MSc, PhD, Associate Professor, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, IR Iran
4 PhD Student of Nutrition Sciences, Department of Clinical Nutrition, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
5 MSc, PhD, Assistant Professor, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, IR Iran
Article information
  • Journal of Comprehensive Pediatrics: November 2017, 8 (4); e56063
  • Published Online: November 30, 2017
  • Article Type: Research Article
  • Received: June 24, 2017
  • Accepted: September 5, 2017
  • DOI: 10.5812/compreped.56063

To Cite: Sobhani S R, Keshtkar A, Dorosty A R, Farhadnejad H, Pouraram H. The Association Between Dietary Pattern and Weight Status in School-Aged Children: A Cross-Sectional Study, J Compr Ped. 2017 ; 8(4):e56063. doi: 10.5812/compreped.56063.

Copyright © 2017, Journal of Comprehensive Pediatrics. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Hu FB, Rimm E, Smith-Warner SA, Feskanich D, Stampfer MJ, Ascherio A, et al. Reproducibility and validity of dietary patterns assessed with a food-frequency questionnaire. Am J Clin Nutr. 1999;69(2):243-9. [PubMed: 9989687].
  • 2. Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13(1):3-9. [PubMed: 11790957].
  • 3. Shang X, Li Y, Liu A, Zhang Q, Hu X, Du S, et al. Dietary pattern and its association with the prevalence of obesity and related cardiometabolic risk factors among Chinese children. PLoS One. 2012;7(8). e43183. doi: 10.1371/journal.pone.0043183. [PubMed: 22905228].
  • 4. Popkin BM. The nutrition transition and obesity in the developing world. J Nutr. 2001;131(3):871S-3S. [PubMed: 11238777].
  • 5. Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes (Lond). 2011;35(7):891-8. doi: 10.1038/ijo.2010.222. [PubMed: 20975725].
  • 6. Doak CM, Adair LS, Monteiro C, Popkin BM. Overweight and underweight coexist within households in Brazil, China and Russia. J Nutr. 2000;130(12):2965-71. [PubMed: 11110855].
  • 7. Kelishadi R, Haghdoost AA, Sadeghirad B, Khajehkazemi R. Trend in the prevalence of obesity and overweight among Iranian children and adolescents: a systematic review and meta-analysis. Nutrition. 2014;30(4):393-400. doi: 10.1016/j.nut.2013.08.011. [PubMed: 24332523].
  • 8. Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh R, Hosseini M, Gouya MM, et al. Thinness, overweight and obesity in a national sample of Iranian children and adolescents: CASPIAN Study. Child Care Health Dev. 2008;34(1):44-54. doi: 10.1111/j.1365-2214.2007.00744.x. [PubMed: 18171443].
  • 9. Garrett JL, Ruel MT. Are Determinants of Rural and Urban Food Security and Nutritional Status Different? Some Insights from Mozambique. World Dev. 1999;27(11):1955-75. doi: 10.1016/s0305-750x(99)00091-1.
  • 10. Woodward DR, Cumming FJ, Ball PJ, Williams HM, Hornsby H, Boon JA. Urban‐rural differences in dietary habits and influences among Australian adolescents. Ecol Food Nutr. 2000;39(4):271-92. doi: 10.1080/03670244.2000.9991619.
  • 11. Colic-Baric I, Kajfez R, Satalic Z, Cvjetic S. Comparison of dietary habits in the urban and rural Croatian schoolchildren. Eur J Nutr. 2004;43(3):169-74. doi: 10.1007/s00394-004-0455-5. [PubMed: 15168039].
  • 12. Rezazadeh A, Rashidkhani B. The association of general and central obesity with major dietary patterns in adult women living in tehran, iran. ARYA Atheroscler. 2010;6(1):23-30. [PubMed: 22577409].
  • 13. Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. Dietary patterns and markers of systemic inflammation among Iranian women. J Nutr. 2007;137(4):992-8. [PubMed: 17374666].
  • 14. Esmaillzadeh A, Azadbakht L. Major dietary patterns in relation to general obesity and central adiposity among Iranian women. J Nutr. 2008;138(2):358-63. [PubMed: 18203904].
  • 15. Rezazadeh A, Rashidkhani B, Omidvar N. Association of major dietary patterns with socioeconomic and lifestyle factors of adult women living in Tehran, Iran. Nutrition. 2010;26(3):337-41. doi: 10.1016/j.nut.2009.06.019. [PubMed: 19819112].
  • 16. Bahreynian M, Paknahad Z, Maracy MR. Major dietary patterns and their associations with overweight and obesity among Iranian children. Int J Prev Med. 2013;4(4):448-58. [PubMed: 23671778].
  • 17. Aadahl M, Jorgensen T. Validation of a new self-report instrument for measuring physical activity. Med Sci Sports Exerc. 2003;35(7):1196-202. doi: 10.1249/01.MSS.0000074446.02192.14. [PubMed: 12840642].
  • 18. Ziaee V, Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh SR, Monazzam MM. Physical activity in Iranian students CASPIAN Study. Iran J Pediatr. 2006;16(2):157-64.
  • 19. Esfahani FH, Asghari G, Mirmiran P, Azizi F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol. 2010;20(2):150-8.
  • 20. Asghari G, Rezazadeh A, Hosseini-Esfahani F, Mehrabi Y, Mirmiran P, Azizi F. Reliability, comparative validity and stability of dietary patterns derived from an FFQ in the Tehran Lipid and Glucose Study. Br J Nutr. 2012;108(6):1109-17. doi: 10.1017/S0007114511006313. [PubMed: 22251608].
  • 21. Ghafarpour M, Houshiar-Rad A, Kianfar H. The manual for household measures, cooking yields factors and edible portion of food. Tehran: Nashre Olume Keshavarzy; 1999.
  • 22. Koochakpour G. Food patterns of tehranian adolescents and their relation to anthropometric measures and blood pressure: Tehran lipid and glucose Study. Iran J Endocrinol Metab. 2012;14(1):1-9.
  • 23. Growth reference data for 5-19 years. Geneva: WHO; 2007.Organization WH.
  • 24. Brown J. Choosing the right number of components or factors in PCA and EFA. JALT Test Evai SIG Newslett. 2009;13(2).
  • 25. Azadbakht L, Esmaillzadeh A. Dietary patterns and attention deficit hyperactivity disorder among Iranian children. Nutrition. 2012;28(3):242-9. doi: 10.1016/j.nut.2011.05.018. [PubMed: 21868196].
  • 26. Craig LC, McNeill G, Macdiarmid JI, Masson LF, Holmes BA. Dietary patterns of school-age children in Scotland: association with socio-economic indicators, physical activity and obesity. Br J Nutr. 2010;103(3):319-34. doi: 10.1017/S0007114509991942. [PubMed: 19835641].
  • 27. Dibsdall LA, Lambert N, Bobbin RF, Frewer LJ. Low-income consumers' attitudes and behaviour towards access, availability and motivation to eat fruit and vegetables. Public Health Nutr. 2003;6(2):159-68. doi: 10.1079/PHN2002412. [PubMed: 12675958].
  • 28. Morris TT, Northstone K. Rurality and dietary patterns: associations in a UK cohort study of 10-year-old children. Public Health Nutr. 2015;18(8):1436-43.
  • 29. Ghassemi H, Harrison G, Mohammad K. An accelerated nutrition transition in Iran. Public Health Nutr. 2002;5(1A):149-55. doi: 10.1079/PHN2001287. [PubMed: 12027278].
  • 30. de Onis M, Blossner M, Borghi E, Frongillo EA, Morris R. Estimates of global prevalence of childhood underweight in 1990 and 2015. JAMA. 2004;291(21):2600-6. doi: 10.1001/jama.291.21.2600. [PubMed: 15173151].
  • 31. Caballero B. A nutrition paradox--underweight and obesity in developing countries. N Engl J Med. 2005;352(15):1514-6. doi: 10.1056/NEJMp048310. [PubMed: 15829531].
  • 32. Lissner L, Heitmann BL. Dietary fat and obesity: evidence from epidemiology. Eur J Clin Nutr. 1995;49(2):79-90. [PubMed: 7743988].
  • 33. Roberts SB. High-glycemic index foods, hunger, and obesity: is there a connection?. Nutr Rev. 2000;58(6):163-9. [PubMed: 10885323].
  • 34. Shrewsbury V, Wardle J. Socioeconomic status and adiposity in childhood: a systematic review of cross-sectional studies 1990-2005. Obesity (Silver Spring). 2008;16(2):275-84. doi: 10.1038/oby.2007.35. [PubMed: 18239633].
  • 35. Tamayo T, Christian H, Rathmann W. Impact of early psychosocial factors (childhood socioeconomic factors and adversities) on future risk of type 2 diabetes, metabolic disturbances and obesity: a systematic review. BMC Public Health. 2010;10:525. doi: 10.1186/1471-2458-10-525. [PubMed: 20809937].
  • 36. Keane E, Layte R, Harrington J, Kearney PM, Perry IJ. Measured parental weight status and familial socio-economic status correlates with childhood overweight and obesity at age 9. PLoS One. 2012;7(8). e43503. doi: 10.1371/journal.pone.0043503. [PubMed: 22912886].
  • 37. Falahi E, Roosta S, Ebrahimzadeh F, Anbari K, Khalkhali Rad AR. Traditional dietary patterns and risk of metabolic syndrome: a study in Khorramabad. Iran J Nutr Sci Food Technol. 2013;8(2):155-64.
  • 38. Cutler GJ, Flood A, Hannan PJ, Slavin JL, Neumark-Sztainer D. Association between major patterns of dietary intake and weight status in adolescents. Br J Nutr. 2012;108(2):349-56. doi: 10.1017/S0007114511005435. [PubMed: 22017879].
  • 39. Jenkins DJ, Kendall CW, Augustin LS, Franceschi S, Hamidi M, Marchie A, et al. Glycemic index: overview of implications in health and disease. Am J Clin Nutr. 2002;76(1):266S-73S. [PubMed: 12081850].
  • 40. Kimm SY. The role of dietary fiber in the development and treatment of childhood obesity. Pediatrics. 1995;96(5 Pt 2):1010-4. [PubMed: 7494672].
  • 41. Aranceta J, Perez-Rodrigo C, Ribas L, Serra-Majem L. Sociodemographic and lifestyle determinants of food patterns in Spanish children and adolescents: the enKid study. Eur J Clin Nutr. 2003;57 Suppl 1:S40-4. doi: 10.1038/sj.ejcn.1601813. [PubMed: 12947451].

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