BACKGROUND: Metabolic syndrome, elevated blood pressure (BP), elevated cholesterol and type 2 diabetes mellitus are health conditions that increase cardiometabolic risk (CMR). Sleep, physical activity, diet, are modifiable risk factors for the prevention of cardiometabolic disorders. Dietary fiber which is associated with higher fruit and vegetable intakes is known to lower the effects of obesity-related health issues. Further, these foods have an abundance of beneficial vitamins and minerals as well as low energy density. There is controversial, however, regarding the effect of fruit juice intake on CMR, particularly due to its lower fiber content. The objectives of this research were to estimate the effect of intakes of whole fruit and fruit juice on CMR, including effects on Body Mass Index (BMI), overweight/obesity, hypertension/prehypertension, lipid, and blood glucose levels.
METHODS: The National Heart, Lung, and Blood Institute’s National Growth and Health Study (NGHS) cohort of white and black girls ages 9-10 years at baseline participated in a 10-year longitudinal study. Cardiometabolic outcomes included repeated measures of adiposity (e.g., body mass index (BMI)), and blood pressure, as well as laboratory measures such as fasting glucose and lipid levels. Linear regression and logistic regression were used to assess the association of fruit intake and fruit juice intake on CMR, while adjusting for age, race, tv/video, total vegetables, lean meat, and % calories from fat. Statistical Analysis Software (SAS Institute 15.2) analysis of data was performed. Results were considered statistically significant when p-value was <0.05.
RESULTS: For girls in NGHS, BMI at the end of adolescence (ages 17-20 years) averaged to 21.3 kg/m2 for those who ate ≥0.75 cups of fruit and 22.1 kg/m2 for girls who ate <0.25 cups fruit. Similarly, girls with higher fruit juice consumption (≥0.75 cup-equivalents of juice per day) had a statistically significantly lower BMI than those with the lowest juice intake (<0.25 cup-eq/day). For each additional cup of whole fruit consumed on average per day between the ages of 9-17 was associated with 0.18 kg/m2 lower BMI (p<0.0001), after adjusting for age, race, tv/video viewing, total vegetable, lean meat intake, and % calories from fat. Adolescent girls (17 years or older) who drank < 0.25 or 0.25 - < 0.5 cup equivalent fruit juice were 1.60 or 1.63 (respectively) times more likely to become overweight (p-value 0.0005). Neither fruit intake nor fruit juice was associated with elevated fasting glucose risk or with high LDL risk. Whole fruit consumption was associated with a beneficial effect on HDL-cholesterol. Those with low whole fruit intake had a 1.42-fold increased risk of low HDL.
CONCLUSIONS: These results indicate that 100% fruit juice and whole fruit consumption are both associated with beneficial effects on BMI and blood pressure among adolescent girls, suggesting that these foods may aid in the prevention of obesity and hypertension in the early adult years.
KEY WORDS: adolescents, adiposity, body mass index, blood pressure, cardiometabolic health, dietary fiber, dyslipidemia, juice, glucose, metabolic syndrome, obesity, fruit.
| Identifer | oai:union.ndltd.org:bu.edu/oai:open.bu.edu:2144/43833 |
| Date | 07 February 2022 |
| Creators | Cojocaru, Daniela |
| Contributors | Moore, Lynn, Spartano, Nicole |
| Source Sets | Boston University |
| Language | en_US |
| Detected Language | English |
| Type | Thesis/Dissertation |
| Rights | Attribution 4.0 International, http://creativecommons.org/licenses/by/4.0/ |
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