The effects of diet quality and dietary acid load on insulin resistance in overweight children and adolescents Los efectos de la calidad de la dieta y la carga ácida de la dieta sobre la resistencia a la insulina en niños y adolescentes con sobrepeso


Endocrinologia, Diabetes y Nutricion, vol.69, no.6, pp.426-432, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 69 Issue: 6
  • Publication Date: 2022
  • Doi Number: 10.1016/j.endinu.2021.07.008
  • Journal Name: Endocrinologia, Diabetes y Nutricion
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, DIALNET
  • Page Numbers: pp.426-432
  • Keywords: Adolescent, Child, Diet quality, Dietary acid load, Insulin resistance, Overweight, BODY-MASS INDEX, METABOLIC SYNDROME, OBESITY, CHILDHOOD, NUTRITION, PATTERNS, SAMPLE, HEALTH
  • Kayseri University Affiliated: No


© 2021 SEEN y SEDIntroduction: This study aimed to investigate the association of diet quality (DQ) and dietary acid load (DAL) with insulin resistance (IR) in overweight children and adolescents. Materials and methods: The study was conducted on 135 overweight participants aged 6–17 years. DQ was assessed using the Healthy Eating Index 2015 (HEI-2015) and the HEI-2015-TUBER, revised in accordance with the Turkey Dietary Guidelines (TUBER). Estimation of DAL was made calculating the potential renal acid load (PRAL) and net endogenous acid production (NEAP) scores. Results: The HEI-2015-TUBER score was lower in those with IR than in those without IR (p = 0.021). Higher PRAL and NEAP scores were found in those with IR (p = 0.060 and p = 0.044, respectively). Moreover, a one-unit increase in the HEI-2015-TUBER score and the DAL score was associated with a reduction of 4.2% and a rise of approximately 3% in IR risk, respectively. Conclusions: Healthy eating habits in overweight paediatric groups may help to reduce the IR risk, improving DQ and decreasing DAL.