Dietary factors associated with metabolic risk score in Finnish children aged 6-8 years: the PANIC study

Previous evidence for the associations of eating frequency and food consumption with clustering of metabolic risk factors among children is limited. We therefore investigated association of the daily number of main meals and snacks and food consumption with a metabolic risk score and individual metabolic risk factors in primary school children. The subjects were a population sample of Finnish girls and boys 6-8 years of age. Dietary factors were measured by a four-day food record. Metabolic risk score was calculated summing up the Z-scores of waist circumference, systolic and diastolic blood pressure, and concentrations of fasting serum insulin and fasting plasma glucose, triglycerides and high-density lipoprotein cholesterol, the latest multiplying by -1. Skipping main meals (standardized regression coefficient beta = -0.18, P < 0.001), a higher consumption of non-root vegetables (beta = 0.18, P < 0.01), low-fat vegetable-oil-based margarine (beta = 0.13, P < 0.01) and sugar-sweetened beverages (beta = 0.11, P < 0.05) and a lower consumption of vegetable oils (beta = -0.10, P < 0.05) were associated with a higher metabolic risk score after adjustment for age, sex, total physical activity, electronic media time, energy intake and other dietary factors. The consumption of red meat was directly related to the metabolic risk score, but the association was not statistically significant after adjustment for energy intake. Eating main meals regularly, decreasing the consumption of sugar-sweetened beverages and low-fat margarine and increasing the consumption of vegetable oils should be emphasized to reduce metabolic risk among children.