Research Article
Volume 2 • Issue 2 •1000113
Open Access Research Article
Al-Agha et al., J Pat Care 2016, 2:2
DOI: 10.4172/2573-4598.1000113
J Pat Care, an open access journal
ISSN: 2573-4598
*Corresponding author: Abdulmoein Eid Al-Agha, MBBS, DCH, CABP, FRCPCH
Associate Professor of Pediatric Endocrinology, Department of Pediatric, King
Abdulaziz University Hospital, P.O. Box 80215, Jeddah 21589, Saudi Arabia, Tel:
966 2 6408353, E-mail: aagha@kau.edu.sa
Received: January 15, 2016; Accepted: June 21, 2016; Published: June 28,
2016
Citation: Al-Agha AE, Al-Baradi WR, Al-Rahmani DA, Simbawa BM (2016)
Associations between Various Nutritional Elements and Weight, Height and BMI
in Children and Adolescents. J Pat Care 2: 113. doi: 10.4172/2573-4598.1000113
Copyright: © 2016 Al-Agha AE, et al. This is an open-access article distributed
under the terms of the Creative Commons Attribution License, which permits
unrestricted use, distribution, and reproduction in any medium, provided the
original author and source are credited.
Keywords: Growth; Nutrition; Children; Diet
Introduction
Of children younger than 5 years old in 2013, it was estimated that
161.5 million were stunted, 50.8 million had low weight for height and
41.7 million were overweight or obese [1]. Terefore, the association
between nutrition and growth in children is becoming important,
particularly given the reported associations, both signifcant and non-
signifcant, between specifc nutrients and weight, height, or body mass
index (BMI). Te estimated average of daily requirements should be
met in order to have sufcient growth of the child.
Carbohydrates are the primary source of energy and play a key role
in maintenance of body weight. Whole grains, fruits, vegetables, and
beans should form the majority of carbohydrate intake, because these
foods also provide the nutrients that support growth and development
in children. Fruit and vegetable intake also helps to prevent weight gain
and reduces the risk of obesity [2,3]. Furthermore, increasing overall
carbohydrate intake might increase the risk of insulin resistance in
children as they become obese [4].
Although dietary fat is essential, higher consumption is associated
with multiple diseases. While height might not be afected by fat
consumption, weight is defnitely afected. An adequate balance of
polyunsaturated and monounsaturated fats should be considered while
limiting saturated and trans fat products [5]. Protein is considered
important for child growth. In particular, milk intake during childhood
is crucial for growth and bone development, especially in girls [6].
Te World Health Organization recommended that consumption
of sugar-sweetened beverages should be reduced to <10% (equivalent
to 50 g) of total intake [7] because of the limited nutritional value.
However, because chocolate has a certain benefcial amount of protein,
it is excluded from the sugar-related recommendations. Fast food
is high in calories and low in nutritional value, increasing the risk of
weight gain and serious diseases. Among adolescents, the consumption
Associations between Various Nutritional Elements and Weight, Height
and BMI in Children and Adolescents
Abdulmoein Eid Al-Agha
1
*, Wed Rasheed Al-Baradi
1
, Dana Ayed Al-Rahmani
1
and Bhaa Maher Simbawa
2
1
Department of Pediatric, King Abdulaziz University, Jeddah, Saudi Arabia
2
Jeddah University, Jeddah, Saudi Arabia
Abstract
Purpose: This cross-sectional study included 653 children aged 2–18 years located in Jeddah, Saudi Arabia
(2015–2016). This study aimed to determine the association between dietary intake (daily, weekly and rarely) and
anthropometric measurements.
Method: Both child and family questionnaire was given, followed by weight and height measurements. The
questionnaire consisted of general demographic information, anthropometric measurements, analysis of various
nutritional element of daily intake. Using one-way ANOVA test after checked all assumptions. Also, Welch test was
using whiles the assumption of homogeneity of variance not satisfed by levene test.
Results: Higher mean BMI in children consuming legumes daily than weekly and rarely and also higher BMI mean
in children drinking milk rarely than daily and weekly. While lower mean BMI in children drinking soft drinks rarely. For
children height, the means among eating proteins, vegetables and drinking milk daily have lower heights mean than
weekly and rarely. Height means in children who eating and drinking daily fat, fast food, and soft drinks have higher
heights mean than weekly and rarely. Weight SDs with various nutrition elements shows no signifcant relation.
Conclusion: Different type of nutritional elements and its effect on children’s growth so further studies should be
made to identify the values of the level of food intake and its beneft on the child growth.
of fast food is highly associated with total energy and fat intake and
inversely associated with daily intake of fruit, vegetables and milk [8].
Tis study aimed to determine the association between various
nutritional elements and weight, height, and BMI in children and
adolescents in Jeddah, Saudi Arabia.
Materials and Method
Tis cross-sectional study was conducted in Saudi Arabia, Jeddah
and included 653 children aged 2–18 years who were randomly selected
in 2015–2016; children older than 18 years were excluded (n=36). Te
child and family were interviewed using a questionnaire, followed
by measurement of the child’s weight and height. Written and verbal
consent were obtained prior to completion of the questionnaire by the
parents. Ethical approval for this study was obtained from the Research
Ethics Committee of our hospital. Study setting: Te questionnaire was
been distributed randomly in multiple primary health care facilities
coming for regular follow up.
Te questionnaire consisted of general demographic information,
anthropometric measurements and current frequency of intake (day,
week or rarely) of protein (eggs, meat, chicken and fsh), carbohydrates
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ISSN: 2573-4598