Leading dietary determinants identified using machine learning techniques and a healthy diet score for changes in cardiometabolic risk factors in children : A longitudinal analysis

Journal article


Shang, Xianwen, Li, Yanping, Xu, Haiquan, Zhang, Qian, Liu, Ailing, Du, Songming, Guo, Hongwei and Ma, Guansheng. (2020). Leading dietary determinants identified using machine learning techniques and a healthy diet score for changes in cardiometabolic risk factors in children : A longitudinal analysis. Nutrition Journal. 19(1), p. 105. https://doi.org/10.1186/s12937-020-00611-2
AuthorsShang, Xianwen, Li, Yanping, Xu, Haiquan, Zhang, Qian, Liu, Ailing, Du, Songming, Guo, Hongwei and Ma, Guansheng
Abstract

Background
Identifying leading dietary determinants for cardiometabolic risk (CMR) factors is urgent for prioritizing interventions in children. We aimed to identify leading dietary determinants for the change in CMR and create a healthy diet score (HDS) to predict CMR in children.

Methods
We included 5676 children aged 6–13 years in the final analysis with physical examinations, blood tests, and diets assessed at baseline and one year later. CMR score (CMRS) was computed by summing Z-scores of waist circumference, an average of systolic and diastolic blood pressure (SBP and DBP), fasting glucose, high-density lipoprotein cholesterol (HDL-C, multiplying by − 1), and triglycerides. Machine learning was used to identify leading dietary determinants for CMR and an HDS was then computed.

Results
The nine leading predictors for CMRS were refined grains, seafood, fried foods, sugar-sweetened beverages, wheat, red meat other than pork, rice, fungi and algae, and roots and tubers with the contribution ranging from 3.9 to 19.6% of the total variance. Diets high in seafood, rice, and red meat other than pork but low in other six food groups were associated with a favorable change in CMRS. The HDS was computed based on these nine dietary factors. Children with HDS ≥8 had a higher decrease in CMRS (β (95% CI): − 1.02 (− 1.31, − 0.73)), BMI (− 0.08 (− 0.16, − 0.00)), SBP (− 0.46 (− 0.58, − 0.34)), DBP (− 0.46 (− 0.58, − 0.34)), mean arterial pressure (− 0.50 (− 0.62, − 0.38)), fasting glucose (− 0.22 (− 0.32, − 0.11)), insulin (− 0.52 (− 0.71, − 0.32)), and HOMA-IR (− 0.55 (− 0.73, − 0.36)) compared to those with HDS ≦3. Improved HDS during follow-up was associated with favorable changes in CMRS, BMI, percent body fat, SBP, DBP, mean arterial pressure, HDL-C, fasting glucose, insulin, and HOMA-IR.

Conclusion
Diets high in seafood, rice, and red meat other than pork and low in refined grains, fried foods, sugar-sweetened beverages, and wheat are leading healthy dietary factors for metabolic health in children. HDS is strongly predictive of CMR factors.

Keywordscardiometabolic risk factors; leading dietary determinants; healthy diet score; machine learning; children
Year2020
JournalNutrition Journal
Journal citation19 (1), p. 105
PublisherBiomed Central Ltd
ISSN1475-2891
Digital Object Identifier (DOI)https://doi.org/10.1186/s12937-020-00611-2
Scopus EID2-s2.0-85091265761
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-16
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online19 Sep 2020
Publication process dates
Accepted24 Aug 2020
Deposited08 Jul 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8w549/leading-dietary-determinants-identified-using-machine-learning-techniques-and-a-healthy-diet-score-for-changes-in-cardiometabolic-risk-factors-in-children-a-longitudinal-analysis

Restricted files

Publisher's version

  • 71
    total views
  • 0
    total downloads
  • 3
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Associations of vision impairment and eye diseases with memory decline over 4 years in China and the United States
Shang, Xianwen, Zhu, Zhuoting, Wang, Wei and He, Mingguang. (2021). Associations of vision impairment and eye diseases with memory decline over 4 years in China and the United States. American Journal of Ophthalmology. 228, pp. 16-26. https://doi.org/10.1016/j.ajo.2021.03.021
Energy and macronutrient intakes at breakfast and cognitive declines in community-dwelling older adults : A 9-year follow-up cohort study
Xianwen Shang, Hill, Edward, Li, Yanping and He, Mingguang. (2021). Energy and macronutrient intakes at breakfast and cognitive declines in community-dwelling older adults : A 9-year follow-up cohort study. American Journal of Clinical Nutrition. 113(5), pp. 1093-1103. https://doi.org/10.1093/ajcn/nqaa403
Independent and interactive associations of fitness and fatness with changes in cardiometabolic risk in children : A longitudinal analysis
Shang, Xianwen, Li, Yanping, Xu, Haiquan, Zhang, Qian, Hu, Xiaoqi, Liu, Ailing, Du, Songming, Li, Tingyu, Guo, Hongwei, Li, Ying, Xu, Guifa, Liu, Weijia, Ma, Jun and Ma, Guansheng. (2020). Independent and interactive associations of fitness and fatness with changes in cardiometabolic risk in children : A longitudinal analysis. Frontiers in Endocrinology. 11, p. 342. https://doi.org/10.3389/fendo.2020.00342
Are leading risk factors for cancer and mental disorders multimorbidity shared by these two individual conditions in community-dwelling middle-aged adults?
Shang, Xianwen, Hodge, Allison M., Peng, Wei, He, Mingguang and Zhang, Lei. (2020). Are leading risk factors for cancer and mental disorders multimorbidity shared by these two individual conditions in community-dwelling middle-aged adults? Cancers. 12(6), pp. 1-15. https://doi.org/10.3390/cancers12061700
The clustering of low diet quality, low physical fitness, and unhealthy sleep pattern and its association with changes in cardiometabolic risk factors in children
Shang, Xianwen, Li, Yanping, Xu, Haiquan, Zhang, Qian, Liu, Ailing and Ma, Guansheng. (2020). The clustering of low diet quality, low physical fitness, and unhealthy sleep pattern and its association with changes in cardiometabolic risk factors in children. Nutrients. 12(2), p. 591. https://doi.org/10.3390/nu12020591
Meal patterns and changes in cardiometabolic risk factors in children : A longitudinal analysis
Shang, Xianwen, Li, Yanping, Xu, Haiquan, Zhang, Qian, Liu, Ailing, Du, Songming and Ma, Guansheng. (2020). Meal patterns and changes in cardiometabolic risk factors in children : A longitudinal analysis. Nutrients. 12(3), pp. 1-13. https://doi.org/10.3390/nu12030799
Leading determinants for multimorbidity in middle-aged Australian men and women : A nine-year follow-up cohort study
Shang, Xianwen, Peng, Wei, Wu, Jinrong, He, Mingguang and Zhang, Lei. (2020). Leading determinants for multimorbidity in middle-aged Australian men and women : A nine-year follow-up cohort study. Preventive Medicine. 141, p. 106260. https://doi.org/10.1016/j.ypmed.2020.106260
Healthy breakfast habits and changes in obesity-related cardiometabolic markers in children : A longitudinal analysis
Shang, Xianwen, Li, Yanping, Xu, Haiquan, Zhang, Qian, Hu, Xiaoqi, Liu, Ailing, Du, Songming, Li, Tingyu, Guo, Hongwei, Li, Ying, Xu, Guifa, Liu, Weijia, Ma, Jun and Ma, Guansheng. (2020). Healthy breakfast habits and changes in obesity-related cardiometabolic markers in children : A longitudinal analysis. European Journal of Clinical Nutrition. 74(12), pp. 1685-1697. https://doi.org/10.1038/s41430-020-0614-7
Effect of comprehensive interventions including nutrition education and physical activity on high blood pressure among children : Evidence from school-based cluster randomized control trial in China
Xu, Haiquan, Li, Yanping, Shang, Xianwen, Du, Songming, Zhang, Qian, Liu, Ailing and Ma, Guansheng. (2020). Effect of comprehensive interventions including nutrition education and physical activity on high blood pressure among children : Evidence from school-based cluster randomized control trial in China. International Journal of Environmental Research and Public Health. 17(23), p. 8944. https://doi.org/10.3390/ijerph17238944
Leading determinants for disease-free status in community-dwelling middle-aged men and women : A 9-year follow-up cohort study
Shang, Xianwen, Wang, Wei, Keel, Stuart, Wu, Jinrong, He, Mingguang and Zhang, Lei. (2019). Leading determinants for disease-free status in community-dwelling middle-aged men and women : A 9-year follow-up cohort study. Frontiers in Public Health. 7, p. 320. https://doi.org/10.3389/fpubh.2019.00320
Dietary protein from different food sources, incident metabolic syndrome and changes in its components: an 11-year longitudinal study in healthy community-dwelling adults
Shang, Xianwen, Scott, David, Hodge, Allison, English, Dallas, Giles, Graham G., Ebeling, Peter and Sanders, Kerrie. (2017). Dietary protein from different food sources, incident metabolic syndrome and changes in its components: an 11-year longitudinal study in healthy community-dwelling adults. Clinical Nutrition. 36(6), pp. 1540 - 1548. https://doi.org/10.1016/j.clnu.2016.09.024
Dietary quality is associated with abdominal aortic calcification: a mean of 18-year longitudinal study in community-dwelling older adults
Shang, Xianwen, Scott, David, Hodge, Allison, Khan, Belal, Khan, Nayab, English, Dallas, Giles, Graham G., Ebeling, Peter and Sanders, Kerrie. (2017). Dietary quality is associated with abdominal aortic calcification: a mean of 18-year longitudinal study in community-dwelling older adults. Journal of Nutrition, Health and Aging. 21(2), pp. 147 - 151. https://doi.org/10.1007/s12603-016-0738-6
Dietary protein intake and risk of type 2 diabetes: Results from the Melbourne Collaborative Cohort Study and a meta-analysis of prospective studies
Shang, Xianwen, Scott, David, Hodge, Allison M., English, Dallas R., Giles, Graham G., Ebeling, Peter R. and Sanders, Kerrie M.. (2016). Dietary protein intake and risk of type 2 diabetes: Results from the Melbourne Collaborative Cohort Study and a meta-analysis of prospective studies. American Journal of Clinical Nutrition. 104(5), pp. 1352 - 1365. https://doi.org/10.3945/ajcn.116.140954
Dietary a-linolenic acid and total omega-3 fatty acids are inversely associated with abdominal aortic calcification in older women, but not in older men
Shang, Xianwen, Sanders, Kerrie, Scott, David, Khan, Belal, Hodge, Allison, Khan, Nayab, English, Dallas, Giles, Graham and Ebeling, Peter. (2015). Dietary a-linolenic acid and total omega-3 fatty acids are inversely associated with abdominal aortic calcification in older women, but not in older men. The Journal of Nutrition. 145(8), pp. 1778 - 1786. https://doi.org/10.3945/jn.115.211789