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Goede voeding tiener belangrijk ter voorkoming van chronische ziektes, ook later*
Uit twee Amerikaanse studies blijkt het belang van goede voeding rijk aan vezels voor tieners tegen hart- en vaatziektes en diabetes type-2. Dit is niet alleen belangrijk ter voorkoming van die ziektes tijdens de tienertijd doch ook voor later in het leven zo blijkt uit de tweede studie. In de eerste studie onder ruim 2.100 jongens en meisjes van 12-19 jaar werd gekeken naar het aantal risicofactoren van het metaboolsyndroom in relatie tot de hoeveelheid voedingsvezels in de voeding. Allereerst bleken ruim 70% van alle jongeren minstens 1 risicofactor van het metaboolsyndroom te hebben en bijna 7% had al het metaboolsyndroom. Geadviseerd wordt dagelijks 30 gram voedingsvezels in de voeding te hebben, maar de jeugd krijgt doorgaans niet meer dan 13 gram binnen, volgens de onderzoekers. Uit de studie blijkt dat zij met de laagste inname van vezels wel 3x meer kans hebben op het metaboolsyndroom zij met de hoogste inname. Uit de tweede studie onder 230 tienermeisjes die tien jaar lang gevolgd werden blijkt dat de inname van meer vezels en minder vetten (tot 28% van de dagelijkse calorieën) tijdens de tienerjaren later in het leven zorgt voor duidelijk minder kans op het metaboolsyndroom.
More Fiber, but Not Necessarily Less Fat, Good for Teen Diets
A diet high in fiber -- but not necessarily one low in saturated fat or cholesterol -- is tied to a lower risk of heart disease and type-2 diabetes in teenagers, according to new findings from Michigan State University.
A study led by Joseph Carlson of MSU's Division of Sports and Cardiovascular Nutrition suggests to reduce metabolic syndrome -- a collection of risk factors including high blood pressure and a large waistline -- it is more important to emphasize diets including fiber-rich, nutrient-dense, plant-based foods than focus on restricting foods high in cholesterol or saturated fat.
The research is published in Journal of the American Dietetic Association.
"What we found is that as fiber intake increases, the risk for metabolic syndrome decreases," said Carlson, a registered dietitian and associate professor at MSU. "High-fiber, nutrient-dense foods are packed with heart healthy vitamins, minerals and chemicals that can positively affect many cardiovascular risk factors.
"It may be better to focus on including these foods than to focus, as is commonly done, on excluding foods high in saturated fat."
That does not mean, however, that teens should have carte blanche in eating foods high in saturated fat and cholesterol, Carlson said.
"It is well established that saturated fat can raise bad cholesterol," he said. "What this data suggest is the importance of including foods high in dietary fiber."
With the high availability of processed foods today, Carlson said, it is possible for teens to eat a diet that is low in saturated fat and cholesterol but that also is low in fiber and nutrient-rich, plant-based foods. Recent national data indicates up to 30 percent of teens' dietary intake comes from beverages and sugar-rich snacks.
Due to low intakes of fruits, vegetables, whole grains and beans, the total dietary fiber intake in teens is about 13 grams per day, well below the recommendation of 26 grams and 38 grams for female and male adolescents, respectively.
In addition, obesity and other key risk factors associated with metabolic syndrome are on the rise in youth; more than 70 percent of teens in the study had at least one of the five risk factors used to assess metabolic syndrome: high blood pressure, high levels of sugar and fat in the blood, low levels of good cholesterol and a large waistline (a person having three or more of the factors are classified as having the syndrome).
"One of the takeaways is that our study reinforced the current dietary recommendations for dietary fiber intake by including a variety of plant-based foods," Carlson said. "A strategy of emphasizing fiber-rich foods may improve adherence to dietary recommendations."
The next step, he said, is to figure out the best methods to boost dietary fiber intakes to levels that will improve or sustain a desirable cardiovascular risk factor status. For example, if a person daily has three servings of fruit and vegetables (12 grams of fiber), one serving of beans (seven grams), and three servings of whole grain, they will be at about 30 grams of dietary fiber.
"The trick is getting people in the groove finding the foods that they both enjoy and are convenient," Carlson said.
As part of the cross-sectional study, Carlson and his team focused on data collected as part of the National Health and Nutrition Examination Survey done from 1999-2002. They analyzed the diets of more than 2,100 boys and girls ages 12 to 19, looking at whether the teens had three or more conditions that make up metabolic syndrome.
The study found there was a three-fold increase in the number of children that had metabolic syndrome when the group of children receiving the least fiber was compared with the group receiving the most. There was not a significant relationship with either saturated fat or cholesterol intake.

Childhood Diet Lower in Fat and Higher in Fiber May Lower Risk for Chronic Disease in Adulthood
A recent study has found that a childhood behavioral intervention to lower dietary intake of total fat and saturated fat and increase consumption of foods that are good sources of dietary fiber resulted in significantly lower fasting plasma glucose levels and lower systolic blood pressure when study participants were re-evaluated in young adulthood.
The study was accepted for publication in The Endocrine Society's Journal of Clinical Endocrinology and Metabolism (JCEM).
A Western dietary pattern high in total fat and saturated fatty acids and refined grains is associated with an increased risk of the metabolic syndrome, a cluster of metabolic abnormalities that include abdominal obesity, low levels of high-density lipoprotein cholesterol (sometimes considered "good cholesterol"), higher levels of triglycerides and blood glucose, and elevated blood pressure. This study evaluated the long-term effects of a dietary intervention to reduce fat and increase fiber intake during childhood on components of the metabolic syndrome in young adult women.
"This research is important because it suggests that modest reductions in total fat and saturated fat intake and increased consumption of dietary fiber during childhood and adolescence may have beneficial effects later in life by decreasing risk of chronic diseases such as diabetes and heart disease," said Joanne Dorgan, PhD, of Fox Chase Cancer Center in Philadelphia, PA and lead author of the study.
In this study, researchers evaluated 230 women between the ages of 25 and 29 years, who nine years before the current study participated in the Dietary Intervention Study in Children (DISC). DISC was a randomized controlled clinical trial of a reduced-fat dietary intervention that strived to limit fat intake to 28 percent of daily caloric intake and increase dietary fiber intake by encouraging consumption of fruits, vegetables and whole grains. The current study was conducted among females who had participated in the DISC trial to determine the longer-term effects of the DISC intervention.
Researchers measured body composition of study participants using whole body dual-energy x-ray absorptiometry (DXA) scans. Blood pressure was measured using automatic blood pressure monitors and blood samples were analyzed to assess levels of plasma glucose, cholesterol and triglycerides.
"Few participants in our follow-up study met the criteria for metabolic syndrome, however the intervention group had statistically significant lower mean systolic blood pressure and fasting plasma glucose levels compared to the control group," said Dorgan. "Significant differences at the follow-up visit, but not earlier, suggest that adolescent diet may have long-term effects on age-related changes in blood pressure and glycemic control that begin to become apparent in young adulthood. Longer follow-up studies of DISC participants are needed to determine if the differences found in this study persist or widen with increasing age."
Other researchers working on the study include: Lea Liu of Clinical Trials & Surveys Corporation in Owings Mills, MD; Bruce Barton of the University of Massachusetts in Shrewsbury; Snehal Deshmukh of Fox Chase Cancer Center; Linda Snetselaar of the University of Iowa in Iowa City; Linda Van Horn of Northwestern University in Chicago, IL; Victor Stevens of Kaiser Permanente Center for Health Research in Portland, OR; Alan Robson of Children's Hospital in New Orleans, LA; Norman Lasser of the New Jersey Medical School in Newark; John Himes of the University of Minnesota in Minneapolis; John Shepherd of the University of California San Francisco; Ray Pourfarzib of LipoScience Inc. in Raleigh, NC; Kelley Pettee Gabriel of the University of Texas in Austin; Andrea Kriska of the University of Pittsburgh in PA; and Peter Kwiterovich, Jr. of Johns Hopkins Hospital in Baltimore, MD. (December 2011)
 

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