Dietary Micronutrient Intake and the Prevalence of Metabolic Conditions among Children from the United States–Affiliated Pacific Region in the Children’s Healthy Living Program
Background: Nutritional intake during childhood can shape health and well-being throughout life. Although excess macronutrient intake is considered the main driver of obesity development, micronutrients, i.e., minerals and vitamins, can potentiate or ameliorate pathological processes of adiposity. H...
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Elsevier
2025-01-01
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| Series: | Current Developments in Nutrition |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S247529912402465X |
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| author | Lucia A Seale Ashley B Yamanaka Kristi Hammond Eunjung Lim Lynne R Wilkens Pauline McFall Tanisha F Aflague Patricia Coleman Travis Fleming Leslie Shallcross Jonathan Deenik Rachel Novotny |
| author_facet | Lucia A Seale Ashley B Yamanaka Kristi Hammond Eunjung Lim Lynne R Wilkens Pauline McFall Tanisha F Aflague Patricia Coleman Travis Fleming Leslie Shallcross Jonathan Deenik Rachel Novotny |
| author_sort | Lucia A Seale |
| collection | DOAJ |
| description | Background: Nutritional intake during childhood can shape health and well-being throughout life. Although excess macronutrient intake is considered the main driver of obesity development, micronutrients, i.e., minerals and vitamins, can potentiate or ameliorate pathological processes of adiposity. Hence, the micronutrient intake relationship to childhood obesity can guide precision approaches to nutritional needs, considering the dietary habits of a population. Childhood obesity is a health disparity throughout the United States–Affiliated Pacific (USAP) region. Objectives: The study examined the association between micronutrient intake with body mass index (BMI in kg/m2) and the presence of insulin resistance proxy, acanthosis nigricans (AN), in 3529 children aged 2–8 y from the USAP region in the Children’s Healthy Living study. Methods: The association of micronutrient intakes with BMI and the presence of AN was stratified by World Bank income groups. Main food sources for micronutrients were also identified from 2 d of food records. Obesity and AN were measured by standardized staff. Results: Most USAP children did not meet daily intake recommendations for micronutrients, with low intake of calcium, potassium, vitamin D, vitamin E, excess sodium, vitamin A, folate, and niacin. Obesity was directly associated with thiamin intake and inversely associated with selenium intake. AN was inversely associated with calcium, copper, iron, phosphorus, potassium, riboflavin, vitamin B6, vitamin D, and vitamin E intakes and directly associated with selenium and pantothenic acid intake. Micronutrient intake imbalances were most associated with insulin resistance and obesity in lower-middle and high-income groups in the USAP region, respectively. Conclusions: The profile of micronutrient intake in USAP children and its association with obesity and insulin resistance can be used to provide precision nutrition policy guidance according to the World Bank income group to improve micronutrient intake and curb childhood obesity. |
| format | Article |
| id | doaj-art-5188d3d230ee49e4a95234a74b770f9c |
| institution | Kabale University |
| issn | 2475-2991 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Current Developments in Nutrition |
| spelling | doaj-art-5188d3d230ee49e4a95234a74b770f9c2025-01-23T05:27:34ZengElsevierCurrent Developments in Nutrition2475-29912025-01-0191104531Dietary Micronutrient Intake and the Prevalence of Metabolic Conditions among Children from the United States–Affiliated Pacific Region in the Children’s Healthy Living ProgramLucia A Seale0Ashley B Yamanaka1Kristi Hammond2Eunjung Lim3Lynne R Wilkens4Pauline McFall5Tanisha F Aflague6Patricia Coleman7Travis Fleming8Leslie Shallcross9Jonathan Deenik10Rachel Novotny11Pacific Biosciences Research Center, School of Ocean and Earth Science and Technology, University of Hawaiʻi at Mānoa, Honolulu, HI, United States; Corresponding author.Department of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resilience, University of Hawaiʻi at Mānoa, Honolulu, HI, United StatesDepartment of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resilience, University of Hawaiʻi at Mānoa, Honolulu, HI, United StatesDepartment of Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawaiʻi at Mānoa, Honolulu, HI, United StatesPopulation Sciences Program, University of Hawaiʻi Cancer Center, University of Hawaiʻi at Mānoa, Honolulu, HI, United StatesDepartment of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resilience, University of Hawaiʻi at Mānoa, Honolulu, HI, United StatesCollege of Natural and Applied Sciences, University of Guam, Mangilao, GuamCooperative Research, Extension and Education Services, Northern Marianas College, Saipan, Northern Mariana IslandsAgriculture, Community and Natural Resources Division, American Samoa Community College, Pago Pago, American SamoaNatural Resources and Extension, University of Alaska Fairbanks Institute of Agriculture, Fairbanks, AK, United StatesDepartment of Tropical Plant and Soil Sciences, College of Tropical Agriculture and Human Resilience, University of Hawaiʻi at Mānoa, Honolulu, HI, United StatesDepartment of Human Nutrition, Food and Animal Sciences, College of Tropical Agriculture and Human Resilience, University of Hawaiʻi at Mānoa, Honolulu, HI, United StatesBackground: Nutritional intake during childhood can shape health and well-being throughout life. Although excess macronutrient intake is considered the main driver of obesity development, micronutrients, i.e., minerals and vitamins, can potentiate or ameliorate pathological processes of adiposity. Hence, the micronutrient intake relationship to childhood obesity can guide precision approaches to nutritional needs, considering the dietary habits of a population. Childhood obesity is a health disparity throughout the United States–Affiliated Pacific (USAP) region. Objectives: The study examined the association between micronutrient intake with body mass index (BMI in kg/m2) and the presence of insulin resistance proxy, acanthosis nigricans (AN), in 3529 children aged 2–8 y from the USAP region in the Children’s Healthy Living study. Methods: The association of micronutrient intakes with BMI and the presence of AN was stratified by World Bank income groups. Main food sources for micronutrients were also identified from 2 d of food records. Obesity and AN were measured by standardized staff. Results: Most USAP children did not meet daily intake recommendations for micronutrients, with low intake of calcium, potassium, vitamin D, vitamin E, excess sodium, vitamin A, folate, and niacin. Obesity was directly associated with thiamin intake and inversely associated with selenium intake. AN was inversely associated with calcium, copper, iron, phosphorus, potassium, riboflavin, vitamin B6, vitamin D, and vitamin E intakes and directly associated with selenium and pantothenic acid intake. Micronutrient intake imbalances were most associated with insulin resistance and obesity in lower-middle and high-income groups in the USAP region, respectively. Conclusions: The profile of micronutrient intake in USAP children and its association with obesity and insulin resistance can be used to provide precision nutrition policy guidance according to the World Bank income group to improve micronutrient intake and curb childhood obesity.http://www.sciencedirect.com/science/article/pii/S247529912402465XPacific regionobesitymicronutrient intakechildrenacanthosis nigricansdiet |
| spellingShingle | Lucia A Seale Ashley B Yamanaka Kristi Hammond Eunjung Lim Lynne R Wilkens Pauline McFall Tanisha F Aflague Patricia Coleman Travis Fleming Leslie Shallcross Jonathan Deenik Rachel Novotny Dietary Micronutrient Intake and the Prevalence of Metabolic Conditions among Children from the United States–Affiliated Pacific Region in the Children’s Healthy Living Program Current Developments in Nutrition Pacific region obesity micronutrient intake children acanthosis nigricans diet |
| title | Dietary Micronutrient Intake and the Prevalence of Metabolic Conditions among Children from the United States–Affiliated Pacific Region in the Children’s Healthy Living Program |
| title_full | Dietary Micronutrient Intake and the Prevalence of Metabolic Conditions among Children from the United States–Affiliated Pacific Region in the Children’s Healthy Living Program |
| title_fullStr | Dietary Micronutrient Intake and the Prevalence of Metabolic Conditions among Children from the United States–Affiliated Pacific Region in the Children’s Healthy Living Program |
| title_full_unstemmed | Dietary Micronutrient Intake and the Prevalence of Metabolic Conditions among Children from the United States–Affiliated Pacific Region in the Children’s Healthy Living Program |
| title_short | Dietary Micronutrient Intake and the Prevalence of Metabolic Conditions among Children from the United States–Affiliated Pacific Region in the Children’s Healthy Living Program |
| title_sort | dietary micronutrient intake and the prevalence of metabolic conditions among children from the united states affiliated pacific region in the children s healthy living program |
| topic | Pacific region obesity micronutrient intake children acanthosis nigricans diet |
| url | http://www.sciencedirect.com/science/article/pii/S247529912402465X |
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