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American Journal of Epidemiology Advance Access originally published online on January 6, 2009
American Journal of Epidemiology 2009 169(6):667-677; doi:10.1093/aje/kwn375
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American Journal of Epidemiology © The Author 2009. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

ORIGINAL CONTRIBUTIONS

Relation of Dietary Glycemic Index, Glycemic Load, and Fiber and Whole-Grain Intakes During Puberty to the Concurrent Development of Percent Body Fat and Body Mass Index

Guo Cheng, Nadina Karaolis-Danckert, Lars Libuda, Katja Bolzenius, Thomas Remer and Anette E. Buyken

Correspondence to Guo Cheng, Nutrition and Health Unit, Research Institute of Child Nutrition (FKE), Heinstueck 11, D-44225 Dortmund, Germany (e-mail: cheng{at}fke-do.de).

Received for publication August 26, 2008. Accepted for publication October 28, 2008.

The authors prospectively examined whether change in dietary glycemic index (GI), glycemic load (GL), fiber intake, or whole-grain intake during puberty is associated with concurrent change in percentage of body fat (%BF) or body mass index (BMI; weight (kg)/height)2. Linear mixed-effects regression analyses were performed in 215 participants from the Dortmund Nutritional and Anthropometric Longitudinally Designed (DONALD) Study (Dortmund, Germany) who possessed weighed 3-day dietary records and anthropometric data at puberty onset (defined by age at takeoff) and over the subsequent 4 years (1988–2007). Neither changes in dietary GI, GL, fiber intake, nor whole-grain intake were associated with concurrent changes in %BF throughout puberty (change in %BF: –0.03 (standard error (SE), 0.11) per standard deviation (SD) increase in GI (P = 0.8); –0.01 (SE, 0.11) per SD increase in GL (P = 0.9); 0.02 (SE, 0.14) per SD increase in fiber intake (P = 0.9); and 0.09 (SE, 0.13) per SD increase in whole-grain intake (P = 0.5)). Similarly, no concurrent associations were observed between these dietary factors and BMI SD scores. Associations of dietary GI with %BF and BMI SD score differed between overweight and normal-weight adolescents (for concurrent association, P for interaction was 0.03 for %BF and 0.08 for BMI SD score). Dietary GI, GL, and fiber and whole-grain intakes in healthy, free-living adolescents do not appear to be relevant to the development of %BF or BMI during puberty.

adipose tissue; adolescent; body mass index; cereals; dietary fiber; glycemic index

Abbreviations: BMI, body mass index; DONALD, Dortmund Nutritional and Anthropometric Longitudinally Designed; SD, standard deviation


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